Correlation analysis of nutrition risk index in elderly patients with postoperative complications of abdominal aortic aneurysm_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

XIE Zangjiao ,  ZHAO Jichun , HUANG Bin , YUAN Ding , YANG Yi , ZENG Guojun , WANG Jiarong

Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, R. P. China;

Corresponding author：

ZHAO Jichun, Email: zhaojc3@163.com

Keywords：

elderly patients; geriatric nutritional risk index; abdominal aortic aneurysm; postoperative complication

DOI：

10.7507/1007-9424.201911070

Video：

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Objective To assess whether the geriatric nutritional risk index (GNRI) of elderly patients can be used as an evaluation index for complications after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA).Methods A total of 265 patients with EVAR who received abdominal aortic aneurysm between January 2011 to December 2017 were included in this study from West China Hospital of Sichuan University. All patients included in this study were subrenal arterial AAA. Statistical analysis of clinical data was performed. The value of GNRI in evaluating postoperative complications of EVER patients was evaluated.Results Of the 372 patients, 158 were included in the GNRI abnormal group (GNRI≤98), and 214 were included in the normal group (GNRI>98). Univariate analysis showed that the age (P=0.04), drinking (P=0.04), serum albumin level (P<0.001), BMI (P<0.001), GNRI (P=0.004), and stroke (P<0.05) were risk factors that affects postoperative complications of AAA. Multivariate analysis showed that preoperative GNRI [HR=0.687, 95%CI: (0.487, 0.968), P=0.032] abnormality was one of the risk factors affecting postoperative complications of AAA.Conclusion For patients undergoing endovascular aneurysm repair of abdominal aortic aneurysm, the GNRI is one of the important indicator for predicting postoperative complications.

Citation： XIE Zangjiao, ZHAO Jichun, HUANG Bin, YUAN Ding, YANG Yi, ZENG Guojun, WANG Jiarong. Correlation analysis of nutrition risk index in elderly patients with postoperative complications of abdominal aortic aneurysm. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(9): 1107-1111. doi: 10.7507/1007-9424.201911070 Copy

1.	侯煜, 杨艳, 郑婷婷, 等. 老年营养风险指数用于消化内科住院老年患者营养评估. 实用老年医学, 2014, 28(01): 29-32.
2.	张郁苒, 张政, 于青, 等. 营养风险指数预估老年血液透析患者病死率的价值. 中华医学杂志, 2015, 95(46): 3741-3745.
3.	谷涌泉, 郭建明. 腹主动脉瘤腔内修复术后并发症预防与处理. 中国普外基础与临床杂志, 2019, 26(1): 1-3.
4.	池魁, 赵纪春. 高风险腹主动脉瘤开放和腔内治疗术后严重并发症的分析及防治. 中国普外基础与临床杂志, 2012, 19(5): 512-516.
5.	Bouillanne O, Morineau G, Dupont C, et al. Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients. Am J Clin Nutr, 2005, 82(4): 777-783.
6.	苗晓慧, 尚晓滨, 张洪典, 等. 老年营养风险指数对食管鳞癌患者根治性切除术后生存的影响. 中国肿瘤临床, 2019, 46(6): 293-298.
7.	邓兰兰, 沈鸿梅, 魏兴华, 等. 老年营养风险指数在老年心血管疾病患者中的应用. 中国保健营养, 2016, 26(20): 290-291.
8.	翟文亮, 刘利欣, 李俊芬, 等. 合并糖尿病的老年社区获得性肺炎患者营养风险评估及短期预后. 中国医刊, 2018, 53(3): 306-310.
9.	胡思聘, 涂梦芸, 林炜航, 等. 术前老年人营养风险指数对胰腺导管腺癌预后的预测价值. 肝胆胰外科杂志, 2019, 31(5): 271-276.
10.	舒显竹, 马晓洁. 老年食管癌患者预后营养指数与老年营养风险指数的相关分析. 现代肿瘤医学, 2019, 27(5): 783-786.
11.	敬晓, 舒静, 朱斌, 等. 老年住院肿瘤患者老年营养风险指数的评估与分析. 四川医学, 2016, 37(7): 713-716.
12.	王深明, 崔进. 我国腹主动脉瘤的治疗现状. 中国普外基础与临床杂志, 2017, 24(1): 1-3.
13.	冯睿, 冯家烜, 景在平. 从腹主动脉瘤术后并发症谈腔内修复. 外科理论与实践, 2019, 24(4): 285-288.
14.	李祺熠, 许太福, 苏奕明, 等. 多种介入技术联合腔内修复术治疗复杂瘤颈腹主动脉瘤临床研究. 中国医学物理学杂志, 2019, 36(8): 924-928.
15.	唐骁, 符伟国. 腹主动脉瘤 EVAR 治疗随访期并发症及处理. 中国普外基础与临床杂志, 2017, 24(1): 11-13.
16.	张宏鹏, 郭伟. 腹主动脉瘤腔内修复术后Ⅰb 型内漏的预防和处理. 中国普外基础与临床杂志, 2019, 26(1): 8-10.
17.	黄斌, 吴洲鹏, 赵纪春, 等. 腹主动脉瘤腔内修复术后Ⅱ型内漏发生的危险因素分析及其处理. 中国普外基础与临床杂志, 2014, 21(6): 663-668.
18.	Kang SH, Cho KH, Park JW, et al. Geriatric nutritional risk index as a prognostic factor in peritoneal dialysis patients. Perit Dial Int, 2013, 33(4): 405-410.
19.	Panichi V, Cupisti A, Rosati A, et al. Geriatric nutritional risk index is a strong predictor of mortality in hemodialysis patients: data from the Riscavid cohort. J Nephrol, 2014, 27(2): 193-201.
20.	Kinugasa Y, Kato M, Sugihara S, et al. Geriatric nutritional risk index predicts functional dependency and mortality in patients with heart failure with preserved ejection fraction. Circ J, 2013, 77(3): 705-711.
21.	Unosawa S, Taoka M, Osaka S, et al. Is malnutrition associated with postoperative complications after cardiac surgery? J Card Surg, 2019, 34(10): 908-912.
22.	Lee JS, Choi HS, Ko YG, et al. Performance of the geriatric nutritional risk index in predicting 28-day hospital mortality in older adult patients with sepsis. Clin Nutr, 2013, 32(5): 843-848.
23.	Shiraki T, Iida O, Takahara M, et al. The geriatric nutritional risk index is independently associated with prognosis in patients with critical limb ischemia following endovascular therapy. Eur J Vasc Endovasc Surg, 2016, 52(2): 218-224.
24.	Kotera A. Geriatric nutritional risk index and controlling nutritional status score can predict postoperative 180-day mortality in hip fracture surgeries. JA Clin Rep, 2019, 5(1): 62.
25.	荆冲, 王豪夫, 刘军军, 等. 肾下腹主动脉瘤近端瘤颈形态与ⅠA 型内漏的相关性研究. 中国普外基础与临床杂志, 2015, 22(8): 937-941.

1. 侯煜, 杨艳, 郑婷婷, 等. 老年营养风险指数用于消化内科住院老年患者营养评估. 实用老年医学, 2014, 28(01): 29-32.
2. 张郁苒, 张政, 于青, 等. 营养风险指数预估老年血液透析患者病死率的价值. 中华医学杂志, 2015, 95(46): 3741-3745.
3. 谷涌泉, 郭建明. 腹主动脉瘤腔内修复术后并发症预防与处理. 中国普外基础与临床杂志, 2019, 26(1): 1-3.
4. 池魁, 赵纪春. 高风险腹主动脉瘤开放和腔内治疗术后严重并发症的分析及防治. 中国普外基础与临床杂志, 2012, 19(5): 512-516.
5. Bouillanne O, Morineau G, Dupont C, et al. Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients. Am J Clin Nutr, 2005, 82(4): 777-783.
6. 苗晓慧, 尚晓滨, 张洪典, 等. 老年营养风险指数对食管鳞癌患者根治性切除术后生存的影响. 中国肿瘤临床, 2019, 46(6): 293-298.
7. 邓兰兰, 沈鸿梅, 魏兴华, 等. 老年营养风险指数在老年心血管疾病患者中的应用. 中国保健营养, 2016, 26(20): 290-291.
8. 翟文亮, 刘利欣, 李俊芬, 等. 合并糖尿病的老年社区获得性肺炎患者营养风险评估及短期预后. 中国医刊, 2018, 53(3): 306-310.
9. 胡思聘, 涂梦芸, 林炜航, 等. 术前老年人营养风险指数对胰腺导管腺癌预后的预测价值. 肝胆胰外科杂志, 2019, 31(5): 271-276.
10. 舒显竹, 马晓洁. 老年食管癌患者预后营养指数与老年营养风险指数的相关分析. 现代肿瘤医学, 2019, 27(5): 783-786.
11. 敬晓, 舒静, 朱斌, 等. 老年住院肿瘤患者老年营养风险指数的评估与分析. 四川医学, 2016, 37(7): 713-716.
12. 王深明, 崔进. 我国腹主动脉瘤的治疗现状. 中国普外基础与临床杂志, 2017, 24(1): 1-3.
13. 冯睿, 冯家烜, 景在平. 从腹主动脉瘤术后并发症谈腔内修复. 外科理论与实践, 2019, 24(4): 285-288.
14. 李祺熠, 许太福, 苏奕明, 等. 多种介入技术联合腔内修复术治疗复杂瘤颈腹主动脉瘤临床研究. 中国医学物理学杂志, 2019, 36(8): 924-928.
15. 唐骁, 符伟国. 腹主动脉瘤 EVAR 治疗随访期并发症及处理. 中国普外基础与临床杂志, 2017, 24(1): 11-13.
16. 张宏鹏, 郭伟. 腹主动脉瘤腔内修复术后Ⅰb 型内漏的预防和处理. 中国普外基础与临床杂志, 2019, 26(1): 8-10.
17. 黄斌, 吴洲鹏, 赵纪春, 等. 腹主动脉瘤腔内修复术后Ⅱ型内漏发生的危险因素分析及其处理. 中国普外基础与临床杂志, 2014, 21(6): 663-668.
18. Kang SH, Cho KH, Park JW, et al. Geriatric nutritional risk index as a prognostic factor in peritoneal dialysis patients. Perit Dial Int, 2013, 33(4): 405-410.
19. Panichi V, Cupisti A, Rosati A, et al. Geriatric nutritional risk index is a strong predictor of mortality in hemodialysis patients: data from the Riscavid cohort. J Nephrol, 2014, 27(2): 193-201.
20. Kinugasa Y, Kato M, Sugihara S, et al. Geriatric nutritional risk index predicts functional dependency and mortality in patients with heart failure with preserved ejection fraction. Circ J, 2013, 77(3): 705-711.
21. Unosawa S, Taoka M, Osaka S, et al. Is malnutrition associated with postoperative complications after cardiac surgery? J Card Surg, 2019, 34(10): 908-912.
22. Lee JS, Choi HS, Ko YG, et al. Performance of the geriatric nutritional risk index in predicting 28-day hospital mortality in older adult patients with sepsis. Clin Nutr, 2013, 32(5): 843-848.
23. Shiraki T, Iida O, Takahara M, et al. The geriatric nutritional risk index is independently associated with prognosis in patients with critical limb ischemia following endovascular therapy. Eur J Vasc Endovasc Surg, 2016, 52(2): 218-224.
24. Kotera A. Geriatric nutritional risk index and controlling nutritional status score can predict postoperative 180-day mortality in hip fracture surgeries. JA Clin Rep, 2019, 5(1): 62.
25. 荆冲, 王豪夫, 刘军军, 等. 肾下腹主动脉瘤近端瘤颈形态与ⅠA 型内漏的相关性研究. 中国普外基础与临床杂志, 2015, 22(8): 937-941.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Correlation analysis of nutrition risk index in elderly patients with postoperative complications of abdominal aortic aneurysm

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