Geriatric nutritional risk index as a predictor of major postoperative complications in emergency femoral hernia patients.

IF 1.6 3区医学 Q2 SURGERY

BMC Surgery Pub Date : 2024-12-23 DOI:10.1186/s12893-024-02727-2

Qiuyue Ma, Xiaoli Liu, Chen Liang, Huiqi Yang, Jie Chen, Yingmo Shen

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Abstract

Background: To evaluate the prognostic values of GNRI for major postoperative complications in emergency femoral hernia patients.

Methods: In this cross-sectional study, we enrolled 105 emergency femoral hernia patients. GNRI was calculated using preoperative body weight, height, and serum albumin. The primary outcome was a composite of major postoperative complications. Univariable and multivariable logistic regression analyses were used to examine the association between GNRI and major complications. The ability of GNRI in detecting major complications was assessed by area under the curve (AUC).

Results: The prevalence of low, moderate, and severe nutritional risk was 18.1%, 25.7%, and 10.5%. Five patients (4.8%) had major postoperative complications. Higher GNRI was associated with lower risk of major complications after adjusting for age and sex (aOR = 0.90, 95% CI: 0.81-1.00, P = 0.044). The AUC for GNRI identifying major complications was 0.812 (95% CI: 0.640-0.984, P = 0.019), and the optimal cut-point value was 90.96 (sensitivity: 80.0%; specificity: 72.0%).

Conclusions: GNRI is significantly associated with major postoperative complications. It is a simple and useful prognostic tool for femoral hernia patients in emergency settings.

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老年营养风险指数作为紧急股疝患者术后主要并发症的预测指标。

背景：评价GNRI对急诊股疝术后主要并发症的预后价值。方法：在这项横断面研究中，我们纳入了105例急诊股疝患者。GNRI采用术前体重、身高和血清白蛋白计算。主要结局是主要术后并发症的综合结果。采用单变量和多变量logistic回归分析来检验GNRI与主要并发症之间的关系。通过曲线下面积（AUC）评估GNRI检测主要并发症的能力。结果：低、中、重度营养风险患病率分别为18.1%、25.7%和10.5%。术后出现重大并发症5例（4.8%）。调整年龄和性别后，较高的GNRI与较低的主要并发症风险相关（aOR = 0.90, 95% CI: 0.81-1.00, P = 0.044）。GNRI识别主要并发症的AUC为0.812 (95% CI: 0.640 ~ 0.984, P = 0.019)，最佳切点值为90.96(敏感性：80.0%；特异性:72.0%)。结论：GNRI与术后主要并发症显著相关。它是一种简单而有效的预测股疝患者在紧急情况下的预后工具。

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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