Volume 19 Issue 2
Feb.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(2): 176-178,231
WEI Xiao-yan, ZHANG Jia-qiang, SHA Sha. The predictive value of nutritional risk index in elderly patients with postoperative complications after pancreatoduodenectomy[J]. Chinese Journal of General Practice, 2021, 19(2): 176-178,231. doi: 10.16766/j.cnki.issn.1674-4152.001760
Citation: WEI Xiao-yan, ZHANG Jia-qiang, SHA Sha. The predictive value of nutritional risk index in elderly patients with postoperative complications after pancreatoduodenectomy[J]. Chinese Journal of General Practice, 2021, 19(2): 176-178,231. doi: 10.16766/j.cnki.issn.1674-4152.001760
shu

The predictive value of nutritional risk index in elderly patients with postoperative complications after pancreatoduodenectomy

doi: 10.16766/j.cnki.issn.1674-4152.001760
  • 1.

    Pancreas center, Ruijin Affiliated Hospital of Shanghai Jiaotong University, Shanghai 200025, China

Funds:

 81802369

  • Received Date: 2020-07-14
    Available Online: 2022-02-19
    Abstract
  •   Objective  To analyze the predictive value of nutritional risk index for postoperative complications in elderly patients with pancreatoduodenectomy (PD), so as to provide reference for perioperative treatment of elderly patients with PD.  Methods  Total 120 elderly patients admitted to the General Surgery Department of our hospital for elective pancreatoduodenectomy (PD) from December 2018 to December 2019 were included in the study. Clinical and follow-up data of the included patients were collected comprehensively.  Results  (1) According to the occurrence of postoperative complications, 120 elderly PD patients were divided into complication group (49 cases) and non-complication group (71 cases). (2) Univariate analysis showed that GNRI, diabetes mellitus, albumin, BMI and operation time were the possible risk factors for postoperative complications in elderly PD patients. (3) Logistic multivariate regression analysis showed that low GNRI, history of diabetes and long operation time were independent risk factors for postoperative complications in elderly PD patients. (4) Value of GNRI in predicting postoperative overall complications in elderly PD patients: sensitivity 83.26%, specificity 75.25%, positive predictive value 58.96%, negative predictive value 92.86%, area under the curve 0.801 (P=0.003), critical value 88.7.  Conclusion  GNRI is an independent risk factor for postoperative complications in clinical elderly PD patients. Timely, comprehensive, accurate and effective preoperative nutrition screening has a good predictive value for postoperative complications in elderly PD patients and can be applied in clinical practice.

     

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