Performance of the Geriatric Nutritional Risk Index in predicting 28-day hospital mortality in older adult patients with sepsis

Lee, Jong Seok; Choi, Han Sung; Ko, Young Gwan; Yun, Dong Hwan

doi:10.1016/j.clnu.2013.01.007

Cited by 62 publications

(53 citation statements)

References 27 publications

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“…7 The GNRI assessments have also been reported to be associated with disease specific mortality for patients with heart failure, 11 those on hemodialysis, 12 and those with sepsis. 20 The prevalence of low GNRI subjects was 30.2% in the present study and is similar to 32.6% in hospitalized elderly patients 7 and 29.1% in Japanese heart failure patients. 11 Furthermore, it was suggested that the GNRI was a good predictor of muscle dysfunction, as Cereda et al demonstrated significant correlations between the GNRI scores and hand grip strength among 153 institutionalized elderly patients.…”

Section: Discussionsupporting

confidence: 86%

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Comparison of Geriatric Nutritional Risk Index scores on physical performance among elderly patients with chronic obstructive pulmonary disease

et al. 2015

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Section: Discussionsupporting

confidence: 86%

“…11,12,20 Although our study could not confirm an association with patient mortality, 6MWD used as our main outcome are strongly related to patient mortality. 21,22 In our study, 6MWD differed by nearly 68 m between our high GNRI group (279.5 AE 112.3 m) and our low GNRI group (211.1 AE 125.3 m).…”

Section: Discussionmentioning

confidence: 48%

Comparison of Geriatric Nutritional Risk Index scores on physical performance among elderly patients with chronic obstructive pulmonary disease

et al. 2015

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“…In newly institutionalized elderly patients, a high nutritional risk (GNRI <92) was found to be associated with an increased rate of cardiovascular mortality [6]. In older patients with sepsis, a GNRI of 82-87 and a GNRI <82 could independently predict the mortality risk [21]. In peritoneal dialysis patients, a low initial GNRI tertile was associated with mortality [10].…”

Section: Discussionmentioning

confidence: 99%

Is the Geriatric Nutritional Risk Index a Significant Predictor of Postoperative Complications in Patients with Esophageal Cancer Undergoing Esophagectomy?

Yamana

Takeno²,

Shibata³

et al. 2015

Eur Surg Res

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Background: The Geriatric Nutritional Risk Index (GNRI) is a new index recently introduced for predicting the risk of nutrition-related complications. The GNRI has mainly been reported as a simple and accurate tool to assess the nutritional status and prognosis of elderly patients. So far, there have been no reports of the GNRI in patients with gastrointestinal cancer. Our objective was to examine the association between the GNRI and short-term outcomes, especially postoperative complications, in patients with esophageal cancer who underwent esophagectomy and gastric tube reconstruction. Materials and Methods: The present study enrolled 122 consecutive patients with esophageal cancer who underwent esophagectomy and gastric tube reconstruction. The GNRI at admission to the hospital was calculated as follows: (1.489 × albumin in g/l) + (41.7 × present/ideal body weight). The characteristics and short-term outcomes were compared between two groups: the high (GNRI ≥90) and the low (GNRI <90) GNRI group. The mortality and morbidity rates, especially the rates regarding respiratory complications and anastomotic leakage, were investigated. Results: The mean age of the 122 patients was 63.9 ± 9.1 years (range 43-83). There were no significant differences in either patient or operative characteristics. The low GNRI group had a significantly higher rate of respiratory complications (p = 0.002). A multivariate analysis demonstrated that the GNRI was the only independent significant factor predicting respiratory complications (hazard ratio 3.41, 95% confidence interval 1.19-9.76; p = 0.022). Conclusion: The GNRI is considered to be a clinically useful marker that can be used to assess the nutritional status and predict the development of postoperative respiratory complications in patients with esophageal cancer undergoing esophagectomy and gastric tube reconstruction.

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“…Jung et al (17) found that TLC levels were similar in survivors and nonsurvivors haemodialysis patients, and did not suggested that TLC level was used a predictive parameter. However, many studies found that TLC levels of nonsurvivors patients were lower than survivors patients (18,19). In our study, TLC values on discharge were significantly lower in cases with mortality compared to those without mortality.…”

Section: Mortality (+) (N:214) Mortality (-) (N:288) P Valuementioning

confidence: 99%

Efficiency of Hematocrit, Lymphocyte, C-Reactive Protein and Transferrin Levels in Predicting Mortality in Intensive Care Unit Patients

et al. 2015

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The effectiveness of many physiological parameters and laboratory tests was investigated in predicting mortality. In this study, we investigated hematocrit, C-reactive protein, transferrin and total lymphocyte count along with Acute Physiology and Chronic Health Evaluation II and Glasgow Coma Scores of patients who were hospitalized in the intensive care unit. The data were retrospectively analyzed from hospital information management system, doctors' records and nurse observing forms. The mortality rate was 42.6%. The Acute Physiology and Chronic Health Evaluation II scores were significantly higher in cases with mortality compared to those without mortality. The admission and discharge Glasgow Coma Scores were significantly lower in patients who showed mortality compared with patients without mortality. Admission and discharge hematocrit and transferrin values were significantly lower in cases with mortality compared to those without mortality. Discharge C-reactive protein values were significantly higher in cases with mortality compared to those without mortality. Discharge total lymphocyte count values were significantly lower in cases with mortality compared to those without mortality. Consequently, we believe that hematocrit and transferrin values at the time of admission to the intensive care unit and total lymphocyte count and C-reactive protein at the time of discharge from the intensive care unit can be effective in predicting mortality. Yoğun Bakım Hastalarında Hematokrit, Lenfosit, C-Reaktif Protein ve Transferrin Düzeylerinin MortaliteTahmininde Etkinliği ÖZET Mortalite tahmininde birçok fizyolojik parametre ve laboratuvar testinin etkinliği araştırılmıştır. Bu çalışmada, yoğun bakım ünitesinde yatan hastaların Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi II ve Glasgow Koma Skalası skorları ile hematokrit, C-reaktif protein, transferrin ve total lenfosit sayısı değerleri incelendi. Veriler retrospektif olarak hastane bilgi yönetim sistemi, doktor notları ve hemşire gözlem formlarından elde edildi. Mortalite oranı % 42,6 olarak bulundu. Mortalite görülen olguların Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi II değerleri, mortalite görülmeyen olgulardan anlamlı şekilde yüksek bulundu. Mortalite görülen olguların giriş ve çıkış Glasgow Koma Skalası değerleri, mortalite görülmeyen olgulardan anlamlı şekilde düşük bulundu. Mortalite görülen olguların giriş ve çıkış hematokrit ve transferrin değerleri, mortalite görülmeyen olgulardan anlamlı şekilde düşük bulundu. Mortalite görülen olguların çıkış C-reaktif protein değerleri, mortalite görülmeyen olgulardan anlamlı şekilde yüksek bulundu. Mortalite görülen olguların çıkış total lenfosit değerleri, mortalite görülmeyen olgulardan anlamlı şekilde düşük bulundu. Sonuç olarak, hematokrit ve transferrinin yoğun bakım ünitesine giriş değerlerinin; total lenfosit sayısı ve C-reaktif proteinin yoğun bakım ünitesinden çıkış değerlerinin mortalite tahmininde efektif olabileceği kanısındayız.Anahtar kelimeler: C-reaktif protein, hematokrit, mortalite tahmini, ...

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Performance of the Geriatric Nutritional Risk Index in predicting 28-day hospital mortality in older adult patients with sepsis

Cited by 62 publications

References 27 publications

Comparison of Geriatric Nutritional Risk Index scores on physical performance among elderly patients with chronic obstructive pulmonary disease

Comparison of Geriatric Nutritional Risk Index scores on physical performance among elderly patients with chronic obstructive pulmonary disease

Is the Geriatric Nutritional Risk Index a Significant Predictor of Postoperative Complications in Patients with Esophageal Cancer Undergoing Esophagectomy?

Efficiency of Hematocrit, Lymphocyte, C-Reactive Protein and Transferrin Levels in Predicting Mortality in Intensive Care Unit Patients

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