Preoperative nutritional status and postoperative health outcomes in older adults undergoing spine surgery : Electronic health records analysis
Copyright © 2024. Published by Elsevier Inc..
AIM: To examine whether a high nutritional risk status, assessed via the Geriatric Nutritional Risk Index (GNRI), is independently associated with postoperative health outcomes, including unplanned intensive care unit (ICU) admissions, infectious complications, and prolonged length of stay in older patients undergoing spine surgery.
METHODS: We conducted a retrospective descriptive study analyzing electronic health records from a tertiary hospital, including data from 1,014 patients aged ≥70 undergoing elective spine surgery between February 2013 and March 2023.
RESULTS: High nutritional risk patients had significantly higher odds of unplanned ICU admission, infectious complications, and prolonged length of stay compared to low-risk patients. For each one-point increase in GNRI, there was a significant 0.91- and 0.95-fold decrease in the odds of unplanned ICU admission and infectious complications, respectively.
CONCLUSION: GNRI screening in older patients before spine surgery may have potential to identify those at elevated risk for postoperative adverse outcomes.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:57 |
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| Enthalten in: |
Geriatric nursing (New York, N.Y.) - 57(2024) vom: 10. Apr., Seite 103-108 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Cho, Hyeonmi [VerfasserIn] |
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| Links: |
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| Themen: |
Aged |
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| Anmerkungen: |
Date Revised 11.04.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1016/j.gerinurse.2024.04.005 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM370932668 |
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| 245 | 1 | 0 | |a Preoperative nutritional status and postoperative health outcomes in older adults undergoing spine surgery |b Electronic health records analysis |
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| 500 | |a Date Revised 11.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2024. Published by Elsevier Inc. | ||
| 520 | |a AIM: To examine whether a high nutritional risk status, assessed via the Geriatric Nutritional Risk Index (GNRI), is independently associated with postoperative health outcomes, including unplanned intensive care unit (ICU) admissions, infectious complications, and prolonged length of stay in older patients undergoing spine surgery | ||
| 520 | |a METHODS: We conducted a retrospective descriptive study analyzing electronic health records from a tertiary hospital, including data from 1,014 patients aged ≥70 undergoing elective spine surgery between February 2013 and March 2023 | ||
| 520 | |a RESULTS: High nutritional risk patients had significantly higher odds of unplanned ICU admission, infectious complications, and prolonged length of stay compared to low-risk patients. For each one-point increase in GNRI, there was a significant 0.91- and 0.95-fold decrease in the odds of unplanned ICU admission and infectious complications, respectively | ||
| 520 | |a CONCLUSION: GNRI screening in older patients before spine surgery may have potential to identify those at elevated risk for postoperative adverse outcomes | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Geriatric Nutritional Risk Index | |
| 650 | 4 | |a Nutritional status | |
| 650 | 4 | |a Spine | |
| 650 | 4 | |a Surgical procedures | |
| 700 | 1 | |a Choi, Jeongeun |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Hyangkyu |e verfasserin |4 aut | |
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