Role of nutritional indices in predicting outcomes of vascular surgery

Jabbour, Jana; Ali, Adham N. Abou; Rabeh, Wissam; Al-Shaar, Laila; Avgerinos, Efthymios D.; Habib, Robert H.

doi:10.1016/j.jvs.2018.10.116

Cited by 14 publications

(11 citation statements)

References 23 publications

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“…Similar studies across the medical disciplines have been published evaluating hypoalbuminemia as a predictive marker for a variety of complications. [26][27][28][29] The authors of this study chose to examine preoperative serum albumin levels to evaluate malnutrition in the sample population.…”

Section: Discussionmentioning

confidence: 99%

“…The study evaluated 54,215 orthopedic, thoracic, and general surgery patients and found those with preoperative hypoalbuminemia were at a significantly higher risk of developing postoperative complications including death. Similar studies across the medical disciplines have been published evaluating hypoalbuminemia as a predictive marker for a variety of complications 26–29 . The authors of this study chose to examine preoperative serum albumin levels to evaluate malnutrition in the sample population.…”

Section: Discussionmentioning

confidence: 99%

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Preoperative Nutritional Laboratory Values, Demographics, and Wound Healing Following Facial Trauma Surgery: Which Variables Predict Postoperative Complications?

Fahmy

Clegg

Deek

et al. 2023

Journal of Craniofacial Surgery

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In individuals who have sustained maxillofacial trauma, inadequate nutrition is often a sequela and may lead to complications. The purpose of this study was to investigate the association between preoperative laboratory values and postoperative complications in patients with maxillofacial trauma requiring surgical intervention.A retrospective cohort study of patients with maxillofacial trauma requiring surgical repair from 2014 to 2020 was performed at a single academic Level I Trauma Center. The primary predictor variables were preoperative laboratory values including serum albumin, white blood cell count, absolute neutrophil count, and lymphocyte count. Complications related to surgical reconstruction of facial injuries represented the primary outcome variable.The patient cohort included 152 patients, of whom 50 (32.9%) were female. When controlling for all other variables, female gender (odds ratio = 2.08, 95% confidence interval, 1.02-4.21; P = 0.04) and number of procedures performed (P = 0.02) were the only statistically significant predictors of postoperative complications. There were no significant differences between the complication groups for age (P = 0.89), injury severity score (P = 0.59), hospital length of stay (P = 0.30), serum albumin (P = 0.86), hemoglobin (P = 0.06), white blood cell count (P = 0.20), absolute neutrophil count (P = 0.95), lymphocyte count (P = 0.23), or absolute neutrophil/lymphocyte count ratio (P = 0.09).In this study, it was found that only gender and the number of procedures performed significantly predicted postoperative complications, while preoperative nutritional laboratory values did not. Further study with a larger cohort of patients is likely required.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Preoperative Nutritional Laboratory Values, Demographics, and Wound Healing Following Facial Trauma Surgery: Which Variables Predict Postoperative Complications?

Fahmy

Clegg

Deek

et al. 2023

Journal of Craniofacial Surgery

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“…Serum Alb is a type of protein present in the blood, and low Alb often indicates undernutrition [12]. Protein intake is increased to improve serum Alb.…”

Section: Discussionmentioning

confidence: 99%

Influence of Geriatric Patients’ Food Preferences on the Selection of Discharge Destination

Fukuda

Kohara²,

Hatakeyama

et al. 2020

J Clin Med Res

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Background: The nonprotein calorie/nitrogen (NPC/N) ratio of food remains poorly investigated. Thus, this study examined the nutritional factors that influence the choice of discharge destination for geriatric patients. Methods: We retrospectively investigated the patient characteristics, clinical laboratory test results, and hospital food consumption of 65 geriatric patients (80.0 ± 8.2 years; 31 males, 34 females), who were receiving oral nutritional support at a small mixed-care hospital and further explored their discharge destinations. The NPC/N ratios were calculated according to the menus for the meals provided during the first 4 weeks after admission. For logistic regression analysis, the objective variables were discharge destinations (i.e., nursing care facilities including home or medical institutions) whereas the predictor variables were age, sex, nursing care level, hospitalization duration, serum albumin level (Alb), estimated glomerular filtration rate (eGFR), and NPC/N ratio.

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“…Serum albumin (Alb) level is widely used as an index to assess nutritional status [1][2][3][4]. To increase the intake of good protein or advantageously induce body protein synthesis, non-protein calorie/nitrogen ratio (NPC/N), which is the balance between energy and protein, is considered.…”

Section: Introductionmentioning

confidence: 99%

Positive Correlation Between Changes in Serum Albumin Levels and Breakfast Non-Protein Calorie/Nitrogen Ratio in Geriatric Patients

Fukuda¹,

Ochi²,

Kanazawa³

et al. 2023

J Clin Med Res

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Background: Differences in nutrition intake by meal intake time of geriatric patients may affect albumin (Alb) synthesis ability. Methods:We included 36 geriatric patients (81.7 ± 7.7 years; 20 males and 16 females) as subjects. We calculated their dietary patterns (DPs) by computing intake by breakfast, lunch, and dinner, as well as by nutrient, for a weight of 1 kg/day for 4 weeks after hospitalization. We confirmed the relationship between "DP with a positive correlation with breakfast protein" and the change rate of albumin (Alb-RC). Then, we performed linear regression analysis to explore factors influencing Alb-RC and compared non-protein calorie/nitrogen ratio (NPC/N) between the upper and lower Alb-RC groups. Results:It was observed that Alb-RC was negatively correlated with "DP with a positive correlation with breakfast protein" (B = -0.055, P = 0.038) and positively correlated with breakfast NPC/N (B = 0.043, P = 0.029). Breakfast NPC/N tended to be higher in the upper group than in the lower group (P = 0.058). Conclusion:The study revealed that there was a positive correlation between Alb-RC levels and breakfast NPC/N in geriatric patients at the care mix institution.

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Role of nutritional indices in predicting outcomes of vascular surgery

Cited by 14 publications

References 23 publications

Preoperative Nutritional Laboratory Values, Demographics, and Wound Healing Following Facial Trauma Surgery: Which Variables Predict Postoperative Complications?

Preoperative Nutritional Laboratory Values, Demographics, and Wound Healing Following Facial Trauma Surgery: Which Variables Predict Postoperative Complications?

Influence of Geriatric Patients’ Food Preferences on the Selection of Discharge Destination

Positive Correlation Between Changes in Serum Albumin Levels and Breakfast Non-Protein Calorie/Nitrogen Ratio in Geriatric Patients

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