The correlation of nutrition risk index, nutrition risk score, and bioimpedance analysis with postoperative complications in patients undergoing gastrointestinal surgery

Schiesser, Marc; Kirchhoff, Philipp; Müller, Markus K.; Schäfer, Markus; Clavien, Pierre‐Alain

doi:10.1016/j.surg.2009.02.001

Cited by 177 publications

(91 citation statements)

References 50 publications

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“…The present study provides further evidence that severe malnutrition, defined by an NRI less than 83.5, was associated with an increased complication rate; this finding is similar to those reported by by Schiesser and colleagues 5 and Buzby and colleagues. 24 The perioperative mortality of 11% registered in the present study was similar to the rate of 10.6% reported in a large multicentre study of elderly patients (≥ 65 yr) undergoing major digestive surgery.…”

Section: Limitationssupporting

confidence: 92%

“…There is good evidence that short-term outcome in malnourished patients is poorer than that in well-nourished patients. [2][3][4][5] Malnutrition is frequently observed in surgical patients, [3][4][5] increases with age 6 and is often present in patients with cancer. 7 As life expectancy increases, malnutrition will be more frequently observed in surgical patients, leading to substantial morbidity.…”

mentioning

confidence: 99%

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Outcome 1 year after digestive surgery in malnourished, elderly patients, with an emphasis on quality of life analysis

Zacharias

Zacharias²

2013

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RESEARCH • RECHERCHEOutcome 1 year after digestive surgery in malnourished, elderly patients, with an emphasis on quality of life analysis Background: Quality of life data after digestive surgery in malnourished, elderly patients are rarely reported. What can we expect as 1-year outcomes in these high-risk patients after digestive surgery? Methods:We conducted a prospective observational study in a digestive surgery department in a tertiary, nonacademic hospital in Mulhouse, France. Malnourished, older patients (according to the Nutritional Risk Index) undergoing digestive surgery between November 2007 and December 2008 were included and followed up for 1 year. Quality of life was measured by the European Organization for Research and Treatment of Cancer QLQ-C30 questionnaire at the end of the study period. Results:We included 37 patients with a median age of 76 (range 66-86) years in our study. The mean global health status and quality of life score in 17 of 24 living patients 1 year after surgery was 68.6 (standard deviation [SD] 12.4), and no difference with the score of a reference population 70.8 (SD 22.1) was observed (p = 0.68). Inhospital mortality was 11% and morbidity was 70%. Conclusion:The present study suggests that despite high postoperative mortality and morbidity, an acceptable quality of life can be achieved in malnourished, elderly survivors of digestive surgery. Conclusion :Cette étude suggère que malgré une morbidité et mortalité élevée, les patients survivants, agés et dénutris peuvent retrouver une qualité de vie acceptable 1 an après chirurgie digestive.

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Section: Limitationssupporting

confidence: 92%

mentioning

confidence: 99%

Outcome 1 year after digestive surgery in malnourished, elderly patients, with an emphasis on quality of life analysis

Zacharias

Zacharias²

2013

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“…, 4 The PA is the arctangent of resistance and reactance ratio (Xc/R), that is, it derived from the bioelectrical impedance evaluation with the use of direct measurements of the components of the R and Xc vector; when used as nutritional status indicator and body cell mass (BCM), it considerably eliminates the errors of analysis by bioelectrical impedance 5. Its use has been recommended as an indicator of prognosis in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Phase angle and World Health Organization criteria for the assessment of nutritional status in children with osteogenesis imperfecta

Pileggi

Scalize

Camelo

2016

Revista Paulista de Pediatria (English Edition)

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Objective:To compare the phase angle of patients with osteogenesis imperfecta treated at a tertiary university hospital with patients in a control group of healthy children, and to assess the nutritional status of these patients through the body mass index proposed by the World Health Organization.Methods:Cross-sectional study carried out in a university hospital that included seven patients with osteogenesis imperfecta and a control group of 17 healthy children of the same gender and age. Weight and height were measured and bioelectrical impedance was performed. Subsequently, the phase angle was calculated based on resistance and reactance values.Results:The phase angle of the group of children with osteogenesis imperfecta was significantly lower than that of the control group (p<0.05). The body mass index criterion for age of the World Health Organization showed no difference between groups.Conclusions:Children with osteogenesis imperfecta have a nutritional risk detected by the phase angle, which is a useful tool for nutritional screening. The calculation result could help in the diet therapy of patients with osteogenesis imperfecta.

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“…The PM closer to 1.00 represents measly cellular health or excessive amount of fluid [12]. The PM is higher in those who subsequently developed edema so that BIA can be utilized as an additional bedside tool with the potential to identify and monitor patients who are susceptible to pathological fluid shifts after major surgery [13]. Higher PM values have been associated with postoperative edema [14] worsening renal [15] and cardiac [16] function, and poor nutrition status [17].…”

Section: Bioelectrical Impedance Parametersmentioning

confidence: 99%

Bioelectrical Impedance Analysis on the Paretic and Non-paretic Regions of Severe and Mild Hemiplegic Stroke Patients

Chanuk¹,

Yang²,

Baik³

et al. 2017

Journal of Korea Multimedia Society

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For many stroke patients undergoing rehabilitation therapy, there is a need for indicator for evaluating the body function in paretic and non-paretic regions of stroke patients quantitatively. In this paper, the function of muscles and cells in paretic and non-paretic regions of severe and mild hemiplegic stroke patients was evaluated using multi-channel bioelectrical impedance spectroscopy. The paretic and non-paretic regions of severe and mild stroke patients were quantitatively assessed by using bioelectrical impedance parameters such as prediction marker (PM), phase angle (θ), characteristic frequency (f c ), and bioelectrical impedance vector analysis (BIVA). The mean values of impedance vector were significantly discriminated in all comparisons (severe-paretic, severe-non-paretic, mild-paretic, and mild-non-paretic). The bioelectrical impedance parameters were proved to be a very valuable tool for quantitatively evaluating the paretic and non-paretic regions of hemiplegic stroke patients.

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The correlation of nutrition risk index, nutrition risk score, and bioimpedance analysis with postoperative complications in patients undergoing gastrointestinal surgery

Cited by 177 publications

References 50 publications

Outcome 1 year after digestive surgery in malnourished, elderly patients, with an emphasis on quality of life analysis

Outcome 1 year after digestive surgery in malnourished, elderly patients, with an emphasis on quality of life analysis

Phase angle and World Health Organization criteria for the assessment of nutritional status in children with osteogenesis imperfecta

Bioelectrical Impedance Analysis on the Paretic and Non-paretic Regions of Severe and Mild Hemiplegic Stroke Patients

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