Phase Angle and Onodera’s Prognostic Nutritional Index in critically ill patients

Vermeulen, Karina Marques; Leal, Leilane Lilian Araújo; Furtado, Mariana Camara Martins Bezerra; Vale, Sancha Helena de Lima; Lais, Lucia L.

doi:10.20960/nh.770

Cited by 18 publications

(35 citation statements)

References 20 publications

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“…Remarkably, Lee et al [ 8 ] found that PA had stronger hospital mortality predictive power than several disease severity scores used in the ICU. In two small, single-center studies performed in Brazil, the mortality rate in the low PA group was higher, but there was no significant association between PA and mortality [ 16 , 17 ]. The mean PA differed among the above mentioned studies (4.0° to 5.4°) as well as the prognostic strength of PA to predict mortality, with unadjusted AUCs varying between 0.53 and 0.77.…”

Section: Discussionmentioning

confidence: 99%

Bioelectrical impedance analysis-derived phase angle at admission as a predictor of 90-day mortality in intensive care patients

et al. 2018

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Background/ObjectivesA low bioelectrical impedance analysis (BIA)-derived phase angle (PA) predicts morbidity and mortality in different patient groups. An association between PA and long-term mortality in ICU patients has not been demonstrated before. The purpose of the present study was to determine whether PA on ICU admission independently predicts 90-day mortality.Subjects/ methodsThis prospective observational study was performed in a mixed university ICU. BIA was performed in 196 patients within 24 h of ICU admission. To test the independent association between PA and 90-day mortality, logistic regression analysis was performed using the APACHE IV predicted mortality as confounder. The optimal cutoff value of PA for mortality prediction was determined by ROC curve analysis. Using this cutoff value, patients were categorized into low or normal PA group and the association with 90-day mortality was tested again.ResultsThe PA of survivors was higher than of the non-survivors (5.0° ± 1.3° vs. 4.1° ± 1.2°, p < 0.001). The area under the ROC curve of PA for 90-day mortality was 0.70 (CI 0.59–0.80). PA was associated with 90-day mortality (OR = 0.56, CI: 0.38–0.77, p = 0.001) on univariate logistic regression analysis and also after adjusting for BMI, gender, age, and APACHE IV on multivariable logistic regression (OR = 0.65, CI: 0.44–0.96, p = 0.031). A PA < 4.8° was an independent predictor of 90-day mortality (adjusted OR = 3.65, CI: 1.34–9.93, p = 0.011).ConclusionsPhase angle at ICU admission is an independent predictor of 90-day mortality. This biological marker can aid in long-term mortality risk assessment of critically ill patients.

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Section: Discussionmentioning

confidence: 99%

Bioelectrical impedance analysis-derived phase angle at admission as a predictor of 90-day mortality in intensive care patients

et al. 2018

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“…SPA was associated with different nutrition status tools in surgical cancer patients, and a low SPA was able to predict infectious complications. The use of PA as an indicator of body cell mass, and consequently a potential marker of nutrition status, has been evaluated in different diseases . However, few studies have assessed the association of SPA, nutrition status, and outcomes in cancer surgical patients …”

Section: Discussionmentioning

confidence: 99%

Association Between Standardized Phase Angle, Nutrition Status, and Clinical Outcomes in Surgical Cancer Patients

et al. 2018

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“…Nevertheless, the ready-to-use formula could maintain body weight and skeletal muscle mass. Since phase angle is a parameter correlated with malnutrition and mortality of hospitalized patients, [23][24][25] its alteration may reflect a good health signal in the participants.…”

Section: Discussionmentioning

confidence: 99%

The Amelioration of Nutritional Status and Phase Angle, Safety, and Satisfaction in Tube-Fed Patients With Ready-to-Use Blenderized Diet With Chicken and Pumpkin

et al. 2019

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Background: The requirement of a hospital-made, blenderized diet, as a generally used and complete polymeric formula, is increasing beyond supply availability and accessibility. A ready-to-use blenderized diet with chicken and pumpkin in a retort pouch was developed from regular use formula by nutritionists and dietitians to solve these problems. However, its clinical outcomes should be evaluated. Objectives: To assess the efficacy and safety of a ready-to-use blenderized diet, and to examine the satisfaction of patients and caregivers. Methods: Thirty adult patients in Ramathibodi Hospital with absolute tube feeding were included in a pre-post treatment comparative study and fed with the study formula for 14 days. Body composition measurements, nutritional status, clinical parameters, and biochemical tests were collected at baseline and day 14 after feeding. Complications were monitored daily. Satisfaction was evaluated at day 14. Results: This study reported statistically significant improvements in nutritional status (P < .001), albumin (P = .003), prealbumin (P = .007), total lymphocytic count (P = .004), and phase angle (P = .02) after 14-day feeding. No major complications were reported. Satisfaction of product use was evaluated in the level of satisfied (27%) and very satisfied (73%). Conclusions: The present study revealed that a ready-to-use blenderized diet with chicken and pumpkin was efficacious in ameliorating nutritional status, nutrition-related blood tests, and phase angle without any major complications.

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Phase Angle and Onodera’s Prognostic Nutritional Index in critically ill patients

Cited by 18 publications

References 20 publications

Bioelectrical impedance analysis-derived phase angle at admission as a predictor of 90-day mortality in intensive care patients

Bioelectrical impedance analysis-derived phase angle at admission as a predictor of 90-day mortality in intensive care patients

Association Between Standardized Phase Angle, Nutrition Status, and Clinical Outcomes in Surgical Cancer Patients

The Amelioration of Nutritional Status and Phase Angle, Safety, and Satisfaction in Tube-Fed Patients With Ready-to-Use Blenderized Diet With Chicken and Pumpkin

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