Preoperative Serum Albumin and TLC as Predictors of Postoperative Complications in Spine Surgery

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2024-09-10 DOI:10.1097/bsd.0000000000001685

Ayman Mohamed, Connor Sheehan, Paramveer Kaur, Frank Schwab, Alexander Butler

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引用次数: 0

Abstract

Study Design: Narrative review. Purpose: To investigate the state of literature regarding serum albumin and total lymphocyte count and their associations with postoperative complications after spine surgery. Methods: Comprehensive search of the PubMed database was performed to find relevant articles addressing preoperative serum albumin, total lymphocyte count, or their respective composite scores and their associations with postoperative complications after spine surgery. Summary of Background Data: Serum albumin level is frequently cited as a marker of patient nutritional status. Total lymphocyte count has more recently gained attention in the literature for similar reasons. Identification of modifiable preoperative patient risk factors for postoperative complications such as malnutrition may help minimize the incidence of postoperative complications. Results: Review of the literature revealed 10 studies that discussed the association between preoperative hypoalbuminemia and postoperative complications. Five studies examined the relationship between either prognostic nutritional index (PNI), controlling nutritional status (CONUT), or both and postoperative complications after spine surgery. Preoperative hypoalbuminemia, low PNI, and high CONUT scores were associated with increased risk of postoperative complications after spine surgery. Conclusions: Preoperative malnourishment is a modifiable patient factor that is associated with an increased risk of postoperative complications after spine surgery.

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预测脊柱手术术后并发症的术前血清白蛋白和 TLC

研究设计：叙述性综述。目的：调查有关脊柱手术后血清白蛋白和总淋巴细胞计数及其与术后并发症关系的文献现状。方法：对 PubMed 进行全面搜索：对 PubMed 数据库进行全面检索，以找到关于术前血清白蛋白、总淋巴细胞计数或其各自的综合评分及其与脊柱手术后并发症的关系的相关文章。背景数据摘要：血清白蛋白水平经常被用作患者营养状况的标志。由于类似的原因，总淋巴细胞计数最近在文献中也受到了关注。确定患者术前可改变的术后并发症风险因素（如营养不良）有助于将术后并发症的发生率降至最低。结果：文献回顾显示，有 10 项研究讨论了术前低白蛋白血症与术后并发症之间的关系。五项研究探讨了预后营养指数 (PNI)、控制营养状况 (CONUT) 或两者与脊柱手术后并发症之间的关系。术前低白蛋白血症、低 PNI 和高 CONUT 评分与脊柱手术后并发症风险增加有关。结论：术前营养不良是一个可改变的患者因素，与脊柱手术后并发症风险增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.