Prognostic Nutritional Index: its usefulness as a predictor of clinical course.

Abstract

Despite mounting evidence, a question still exists as to the true clinical relevance of varying degrees of malnutrition, the role of currently measured nutritional parameters in identifying malnutrition and predicting clinical risk in individual patients, and the efficacy of nutritional therapy. This study was designed to document the usefulness of the Prognostic Nutritional Index (PNI) as a predictor of clinical course. The nutritional assessments and clinical records of 328 subjects in a Veterans Administration Hospital were reviewed, PNI and complication rates were determined for each of the subjects, and the data statistically analyzed. The PNI was found to be a useful indicator of malnutrition and predictor of clinical course. The PNI appeared to be a more sensitive index of clinical outcome than did comparison of individual nutritional parameters to accepted norms, although it accounted for only 17% of the information needed to predict clinical course perfectly.

Evaluation of inflammation‑based markers for predicting the prognosis of unresectable pancreatic ductal adenocarcinoma treated with chemotherapy

“…Malnutrition leads to poor prognosis and decreased quality of life. Some inflammatory and nutritional scores, such as neutrophil-to-lymphocyte ratio (NLR) (2-4), platelet-to-lymphocyte ratio (PLR) (5), prognostic nutritional index (PNI) (6)(7)(8), modified Glasgow prognostic score (mGPS) (9,10), and controlling nutritional status (CONUT) score (11,12), have been reported to be useful in estimating the prognosis of patients with advanced cancers. The definition of each score is shown in Fig.…”

Oral Nutritional Supplement Use in Elderly Nursing Home Patients

“…Flow diagram protocols may make the evaluation of malnutrition more uniform and comprehensive, but the ultimate goal of improved patient care may depend upon improved physician knowledge of nutrition and its importance in health maintenance. The design of a prognostic nutritional index for elderly nursing home patients, similar to indices proposed for hospitalized patients, 29–31 might be beneficial. Once undernutrition is identified, intervention is another conundrum.…”

Nutritional status of elderly surgical patients

“…Sukurtos šios anketos: prognostinis mitybos indeksas PNI (angl. Prognostic Nutritional Index) (1979) (7,16,17), mitybos indeksas (angl. Nutritional Index) (1983) (18), mitybos rizikos indeksas NRI (1989) (angl.…”