Association of the Geriatric Nutritional Risk Index and Postoperative Complications in Head and Neck Cancer.

IF 2.4 Q3 NUTRITION & DIETETICS
Journal of Nutrition and Metabolism Pub Date : 2025-09-15 eCollection Date: 2025-01-01 DOI:10.1155/jnme/1073981
Angela A Colback, Joy Chen, Soroush Ershadifar, Nicole I Farber, Marianne Abouyared
{"title":"Association of the Geriatric Nutritional Risk Index and Postoperative Complications in Head and Neck Cancer.","authors":"Angela A Colback, Joy Chen, Soroush Ershadifar, Nicole I Farber, Marianne Abouyared","doi":"10.1155/jnme/1073981","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background:</b> Malnutrition is associated with increased morbidity and mortality in patients with head and neck cancer (HNC) undergoing surgery. The ability to identify patients who are malnourished with an objective measure is currently a barrier to prompt screening and interventions. Recognizing the need for a screening tool, we used the geriatric nutritional risk index (GNRI) to assess the prevalence of malnutrition and the association between postoperative complications and GNRI scores. <b>Methods:</b> A retrospective review of medical records was conducted at a tertiary care academic hospital. A total of 49 HNC patients undergoing surgery with a serum albumin obtained within 6 months of surgery were included in this study. GNRI was calculated as follows: (1.487 × serum albumin [g/L] + (41.7 × current weight/ideal body weight [kg]). Analyses were conducted using univariate statistical methods. <b>Results:</b> 49 patients were included in the study, 32 men (65%) and 17 women (35%), with a mean age of 63 + 12 years. Malnutrition was defined by a GNRI score of < 97.5 and was present in 24% of patients (<i>n</i> = 12). Malnourished patients had significantly higher rates of postoperative complications and discharge to a skilled nursing facility (SNF) compared to controls. <b>Conclusions:</b> A low GNRI score appears to be a predictor of increased complications after head and neck surgery. The GNRI is a simple tool that requires serum albumin, current body weight, and ideal body weight to objectively assess nutrition status. Further studies are needed to assess the utility of using GNRI to assess malnutrition and identify patients who are at high risk for complications during the postoperative course.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2025 ","pages":"1073981"},"PeriodicalIF":2.4000,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453930/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nutrition and Metabolism","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/jnme/1073981","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Malnutrition is associated with increased morbidity and mortality in patients with head and neck cancer (HNC) undergoing surgery. The ability to identify patients who are malnourished with an objective measure is currently a barrier to prompt screening and interventions. Recognizing the need for a screening tool, we used the geriatric nutritional risk index (GNRI) to assess the prevalence of malnutrition and the association between postoperative complications and GNRI scores. Methods: A retrospective review of medical records was conducted at a tertiary care academic hospital. A total of 49 HNC patients undergoing surgery with a serum albumin obtained within 6 months of surgery were included in this study. GNRI was calculated as follows: (1.487 × serum albumin [g/L] + (41.7 × current weight/ideal body weight [kg]). Analyses were conducted using univariate statistical methods. Results: 49 patients were included in the study, 32 men (65%) and 17 women (35%), with a mean age of 63 + 12 years. Malnutrition was defined by a GNRI score of < 97.5 and was present in 24% of patients (n = 12). Malnourished patients had significantly higher rates of postoperative complications and discharge to a skilled nursing facility (SNF) compared to controls. Conclusions: A low GNRI score appears to be a predictor of increased complications after head and neck surgery. The GNRI is a simple tool that requires serum albumin, current body weight, and ideal body weight to objectively assess nutrition status. Further studies are needed to assess the utility of using GNRI to assess malnutrition and identify patients who are at high risk for complications during the postoperative course.

老年营养风险指数与头颈癌术后并发症的关系。
背景:营养不良与接受手术的头颈癌(HNC)患者的发病率和死亡率增加有关。目前,通过客观措施确定营养不良患者的能力是及时筛查和干预的障碍。认识到需要一种筛查工具,我们使用老年营养风险指数(GNRI)来评估营养不良的患病率以及术后并发症与GNRI评分之间的关系。方法:对某三级专科医院的病历资料进行回顾性分析。本研究共纳入49例手术后6个月内获得血清白蛋白的HNC患者。GNRI计算公式为:(1.487 ×血清白蛋白[g/L] + (41.7 ×当前体重/理想体重[kg])。采用单变量统计方法进行分析。结果:49例患者纳入研究,其中男性32例(65%),女性17例(35%),平均年龄63 + 12岁。营养不良的定义是GNRI评分< 97.5,24%的患者存在营养不良(n = 12)。与对照组相比,营养不良患者的术后并发症发生率和出院到专业护理机构(SNF)的发生率明显更高。结论:低GNRI评分似乎是头颈部手术后并发症增加的预测因子。GNRI是一种简单的工具,需要血清白蛋白、当前体重和理想体重来客观评估营养状况。需要进一步的研究来评估使用GNRI来评估营养不良和确定术后并发症高风险患者的效用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of Nutrition and Metabolism
Journal of Nutrition and Metabolism NUTRITION & DIETETICS-
CiteScore
5.40
自引率
0.00%
发文量
49
审稿时长
17 weeks
期刊介绍: Journal of Nutrition and Metabolism is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies covering the broad and multidisciplinary field of human nutrition and metabolism. The journal welcomes submissions on studies related to obesity, diabetes, metabolic syndrome, molecular and cellular biology of nutrients, foods and dietary supplements, as well as macro- and micronutrients including vitamins and minerals.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信