Correlation analysis of nutrition risk index in elderly patients with postoperative complications of abdominal aortic aneurysm_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

XIE Zangjiao ,  ZHAO Jichun , HUANG Bin , YUAN Ding , YANG Yi , ZENG Guojun , WANG Jiarong

Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, R. P. China;

Corresponding?author：

ZHAO Jichun, Email: zhaojc3@163.com

Keywords：

elderly patients; geriatric nutritional risk index; abdominal aortic aneurysm; postoperative complication

DOI：

10.7507/1007-9424.201911070

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To assess whether the geriatric nutritional risk index (GNRI) of elderly patients can be used as an evaluation index for complications after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA).Methods A total of 265 patients with EVAR who received abdominal aortic aneurysm between January 2011 to December 2017 were included in this study from West China Hospital of Sichuan University. All patients included in this study were subrenal arterial AAA. Statistical analysis of clinical data was performed. The value of GNRI in evaluating postoperative complications of EVER patients was evaluated.Results Of the 372 patients, 158 were included in the GNRI abnormal group (GNRI≤98), and 214 were included in the normal group (GNRI>98). Univariate analysis showed that the age (P=0.04), drinking (P=0.04), serum albumin level (P<0.001), BMI (P<0.001), GNRI (P=0.004), and stroke (P<0.05) were risk factors that affects postoperative complications of AAA. Multivariate analysis showed that preoperative GNRI [HR=0.687, 95%CI: (0.487, 0.968), P=0.032] abnormality was one of the risk factors affecting postoperative complications of AAA.Conclusion For patients undergoing endovascular aneurysm repair of abdominal aortic aneurysm, the GNRI is one of the important indicator for predicting postoperative complications.

Citation： XIE Zangjiao, ZHAO Jichun, HUANG Bin, YUAN Ding, YANG Yi, ZENG Guojun, WANG Jiarong. Correlation analysis of nutrition risk index in elderly patients with postoperative complications of abdominal aortic aneurysm. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(9): 1107-1111. doi: 10.7507/1007-9424.201911070 Copy

1.	侯煜, 楊艷, 鄭婷婷, 等. 老年營養風險指數用于消化內科住院老年患者營養評估. 實用老年醫學, 2014, 28(01): 29-32.
2.	張郁苒, 張政, 于青, 等. 營養風險指數預估老年血液透析患者病死率的價值. 中華醫學雜志, 2015, 95(46): 3741-3745.
3.	谷涌泉, 郭建明. 腹主動脈瘤腔內修復術后并發癥預防與處理. 中國普外基礎與臨床雜志, 2019, 26(1): 1-3.
4.	池魁, 趙紀春. 高風險腹主動脈瘤開放和腔內治療術后嚴重并發癥的分析及防治. 中國普外基礎與臨床雜志, 2012, 19(5): 512-516.
5.	Bouillanne O, Morineau G, Dupont C, et al. Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients. Am J Clin Nutr, 2005, 82(4): 777-783.
6.	苗曉慧, 尚曉濱, 張洪典, 等. 老年營養風險指數對食管鱗癌患者根治性切除術后生存的影響. 中國腫瘤臨床, 2019, 46(6): 293-298.
7.	鄧蘭蘭, 沈鴻梅, 魏興華, 等. 老年營養風險指數在老年心血管疾病患者中的應用. 中國保健營養, 2016, 26(20): 290-291.
8.	翟文亮, 劉利欣, 李俊芬, 等. 合并糖尿病的老年社區獲得性肺炎患者營養風險評估及短期預后. 中國醫刊, 2018, 53(3): 306-310.
9.	胡思聘, 涂夢蕓, 林煒航, 等. 術前老年人營養風險指數對胰腺導管腺癌預后的預測價值. 肝膽胰外科雜志, 2019, 31(5): 271-276.
10.	舒顯竹, 馬曉潔. 老年食管癌患者預后營養指數與老年營養風險指數的相關分析. 現代腫瘤醫學, 2019, 27(5): 783-786.
11.	敬曉, 舒靜, 朱斌, 等. 老年住院腫瘤患者老年營養風險指數的評估與分析. 四川醫學, 2016, 37(7): 713-716.
12.	王深明, 崔進. 我國腹主動脈瘤的治療現狀. 中國普外基礎與臨床雜志, 2017, 24(1): 1-3.
13.	馮睿, 馮家烜, 景在平. 從腹主動脈瘤術后并發癥談腔內修復. 外科理論與實踐, 2019, 24(4): 285-288.
14.	李祺熠, 許太福, 蘇奕明, 等. 多種介入技術聯合腔內修復術治療復雜瘤頸腹主動脈瘤臨床研究. 中國醫學物理學雜志, 2019, 36(8): 924-928.
15.	唐驍, 符偉國. 腹主動脈瘤 EVAR 治療隨訪期并發癥及處理. 中國普外基礎與臨床雜志, 2017, 24(1): 11-13.
16.	張宏鵬, 郭偉. 腹主動脈瘤腔內修復術后Ⅰb 型內漏的預防和處理. 中國普外基礎與臨床雜志, 2019, 26(1): 8-10.
17.	黃斌, 吳洲鵬, 趙紀春, 等. 腹主動脈瘤腔內修復術后Ⅱ型內漏發生的危險因素分析及其處理. 中國普外基礎與臨床雜志, 2014, 21(6): 663-668.
18.	Kang SH, Cho KH, Park JW, et al. Geriatric nutritional risk index as a prognostic factor in peritoneal dialysis patients. Perit Dial Int, 2013, 33(4): 405-410.
19.	Panichi V, Cupisti A, Rosati A, et al. Geriatric nutritional risk index is a strong predictor of mortality in hemodialysis patients: data from the Riscavid cohort. J Nephrol, 2014, 27(2): 193-201.
20.	Kinugasa Y, Kato M, Sugihara S, et al. Geriatric nutritional risk index predicts functional dependency and mortality in patients with heart failure with preserved ejection fraction. Circ J, 2013, 77(3): 705-711.
21.	Unosawa S, Taoka M, Osaka S, et al. Is malnutrition associated with postoperative complications after cardiac surgery? J Card Surg, 2019, 34(10): 908-912.
22.	Lee JS, Choi HS, Ko YG, et al. Performance of the geriatric nutritional risk index in predicting 28-day hospital mortality in older adult patients with sepsis. Clin Nutr, 2013, 32(5): 843-848.
23.	Shiraki T, Iida O, Takahara M, et al. The geriatric nutritional risk index is independently associated with prognosis in patients with critical limb ischemia following endovascular therapy. Eur J Vasc Endovasc Surg, 2016, 52(2): 218-224.
24.	Kotera A. Geriatric nutritional risk index and controlling nutritional status score can predict postoperative 180-day mortality in hip fracture surgeries. JA Clin Rep, 2019, 5(1): 62.
25.	荊沖, 王豪夫, 劉軍軍, 等. 腎下腹主動脈瘤近端瘤頸形態與ⅠA 型內漏的相關性研究. 中國普外基礎與臨床雜志, 2015, 22(8): 937-941.

1. 侯煜, 楊艷, 鄭婷婷, 等. 老年營養風險指數用于消化內科住院老年患者營養評估. 實用老年醫學, 2014, 28(01): 29-32.
2. 張郁苒, 張政, 于青, 等. 營養風險指數預估老年血液透析患者病死率的價值. 中華醫學雜志, 2015, 95(46): 3741-3745.
3. 谷涌泉, 郭建明. 腹主動脈瘤腔內修復術后并發癥預防與處理. 中國普外基礎與臨床雜志, 2019, 26(1): 1-3.
4. 池魁, 趙紀春. 高風險腹主動脈瘤開放和腔內治療術后嚴重并發癥的分析及防治. 中國普外基礎與臨床雜志, 2012, 19(5): 512-516.
5. Bouillanne O, Morineau G, Dupont C, et al. Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients. Am J Clin Nutr, 2005, 82(4): 777-783.
6. 苗曉慧, 尚曉濱, 張洪典, 等. 老年營養風險指數對食管鱗癌患者根治性切除術后生存的影響. 中國腫瘤臨床, 2019, 46(6): 293-298.
7. 鄧蘭蘭, 沈鴻梅, 魏興華, 等. 老年營養風險指數在老年心血管疾病患者中的應用. 中國保健營養, 2016, 26(20): 290-291.
8. 翟文亮, 劉利欣, 李俊芬, 等. 合并糖尿病的老年社區獲得性肺炎患者營養風險評估及短期預后. 中國醫刊, 2018, 53(3): 306-310.
9. 胡思聘, 涂夢蕓, 林煒航, 等. 術前老年人營養風險指數對胰腺導管腺癌預后的預測價值. 肝膽胰外科雜志, 2019, 31(5): 271-276.
10. 舒顯竹, 馬曉潔. 老年食管癌患者預后營養指數與老年營養風險指數的相關分析. 現代腫瘤醫學, 2019, 27(5): 783-786.
11. 敬曉, 舒靜, 朱斌, 等. 老年住院腫瘤患者老年營養風險指數的評估與分析. 四川醫學, 2016, 37(7): 713-716.
12. 王深明, 崔進. 我國腹主動脈瘤的治療現狀. 中國普外基礎與臨床雜志, 2017, 24(1): 1-3.
13. 馮睿, 馮家烜, 景在平. 從腹主動脈瘤術后并發癥談腔內修復. 外科理論與實踐, 2019, 24(4): 285-288.
14. 李祺熠, 許太福, 蘇奕明, 等. 多種介入技術聯合腔內修復術治療復雜瘤頸腹主動脈瘤臨床研究. 中國醫學物理學雜志, 2019, 36(8): 924-928.
15. 唐驍, 符偉國. 腹主動脈瘤 EVAR 治療隨訪期并發癥及處理. 中國普外基礎與臨床雜志, 2017, 24(1): 11-13.
16. 張宏鵬, 郭偉. 腹主動脈瘤腔內修復術后Ⅰb 型內漏的預防和處理. 中國普外基礎與臨床雜志, 2019, 26(1): 8-10.
17. 黃斌, 吳洲鵬, 趙紀春, 等. 腹主動脈瘤腔內修復術后Ⅱ型內漏發生的危險因素分析及其處理. 中國普外基礎與臨床雜志, 2014, 21(6): 663-668.
18. Kang SH, Cho KH, Park JW, et al. Geriatric nutritional risk index as a prognostic factor in peritoneal dialysis patients. Perit Dial Int, 2013, 33(4): 405-410.
19. Panichi V, Cupisti A, Rosati A, et al. Geriatric nutritional risk index is a strong predictor of mortality in hemodialysis patients: data from the Riscavid cohort. J Nephrol, 2014, 27(2): 193-201.
20. Kinugasa Y, Kato M, Sugihara S, et al. Geriatric nutritional risk index predicts functional dependency and mortality in patients with heart failure with preserved ejection fraction. Circ J, 2013, 77(3): 705-711.
21. Unosawa S, Taoka M, Osaka S, et al. Is malnutrition associated with postoperative complications after cardiac surgery? J Card Surg, 2019, 34(10): 908-912.
22. Lee JS, Choi HS, Ko YG, et al. Performance of the geriatric nutritional risk index in predicting 28-day hospital mortality in older adult patients with sepsis. Clin Nutr, 2013, 32(5): 843-848.
23. Shiraki T, Iida O, Takahara M, et al. The geriatric nutritional risk index is independently associated with prognosis in patients with critical limb ischemia following endovascular therapy. Eur J Vasc Endovasc Surg, 2016, 52(2): 218-224.
24. Kotera A. Geriatric nutritional risk index and controlling nutritional status score can predict postoperative 180-day mortality in hip fracture surgeries. JA Clin Rep, 2019, 5(1): 62.
25. 荊沖, 王豪夫, 劉軍軍, 等. 腎下腹主動脈瘤近端瘤頸形態與ⅠA 型內漏的相關性研究. 中國普外基礎與臨床雜志, 2015, 22(8): 937-941.

Previous Article
腹主動脈瘤腔內修復術后髂動脈支架內急性血栓形成的有效處理
Next Article
腹主動脈瘤腔內修復術后髂動脈支架內急性血栓形成的有效處理

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Correlation analysis of nutrition risk index in elderly patients with postoperative complications of abdominal aortic aneurysm

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content