Association of preoperative hypoprotein malnutrition with spinal postoperative complications and other conditions: A systematic review and meta-analysis

Hu, Ying; Wang, Liping; Líu, Hao; Yang, Kelu; Wang, Song; Zhang, Xiang; Yang, Hongsheng

doi:10.1016/j.clnesp.2023.07.083

Cited by 2 publications

(2 citation statements)

References 33 publications

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“…Previous studies indicated that co-detecting multiple biomarkers, such as CRP to prealbumin [ 11 ], CRP to albumin [ 26 ], and modified Glasgow prognostic score (mGPS) [ 27 – 29 ], could refine and ultimately improve the prediction accuracy of postoperative complications or survival outcomes. Our results, consistent with others [ 10 , 11 ], revealed that falling preoperative prealbumin was an independent predictor of postoperative pneumonia, although it only displayed limited prediction power (AUC = 0.60). Therefore, we proposed SII combined with prealbumin that could proportionately integrate inflammation and malnutrition effects to improve predictive capability further.…”

Section: Discussionsupporting

confidence: 92%

“…Meanwhile, serum prealbumin is a relatively easily obtainable indicator, typically used alone or in combination with other biomarkers to reflect the nutritional status [ 9 ]. Preoperative low prealbumin or high C-reactive protein (CRP) to prealbumin can serve as a potential risk indicator for predicting the occurrence of postoperative pneumonia in patients undergoing spinal surgery or esophagectomy [ 10 , 11 ]. Going further, inflammation and prealbumin are tightly linked and may affect each other [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Predictive significance of systemic immune-inflammation index combined with prealbumin for postoperative pneumonia following lung resection surgery

Miao,

Ge,

Wang

et al. 2024

BMC Pulm Med

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Background We aimed to determine whether systemic immune-inflammation index (SII) combined with prealbumin can provide better predictive power for postoperative pneumonia in patients undergoing lung resection surgery. Methods We identified eligible patients undergoing lung resection surgery at the Affiliated Hospital of Nantong University from March 2021 to March 2022. Demographic characteristics, clinical data, and laboratory information were collected and reviewed from the electronic medical records of the patients. To test the effect of the combined detection of SII and prealbumin, we made an equation using logistic regression analysis. The receiver operating characteristic curve (ROC) was plotted to evaluate the predictive powers, sensitivity, and specificity of prealbumin, SII, and SII combined with prealbumin. Decision curve analysis (DCA) was used to determine the clinical validity and net benefit of different methods of detection. Results Totally 386 eligible patients were included with a median age of 62.0 years (IQR: 55.0, 68.0), and 57 (14.8%) patients presented with postoperative pneumonia within 7 days after surgery. The multivariate regression analysis showed that preoperative SII as continuous variable was associated with an increased risk of postoperative pneumonia (OR: 1.38, 95% CI: 1.19–2.83, P = 0.011), whereas the prealbumin as continuous variable remained as an independent protective predictor of postoperative pneumonia in the adjusted analysis (OR: 0.80, 95% CI: 0.37–0.89, P = 0.023). Compared to SII or prealbumin, the combined detection of preoperative SII and prealbumin showed a higher predictive power with area under curve of 0.79 (95% CI: 0.71–0.86, P < 0.05 for all). Additionally, DCA indicated that the combined detection was superior over preoperative SII or prealbumin alone in clinical validity and net benefit. Conclusion Both preoperative SII and prealbumin are independent influencing factors for postoperative pneumonia after lung resection surgery. The combined detection of preoperative SII and prealbumin can significantly improve prediction capability to identify potential postoperative pneumonia-susceptible patients, facilitating early interventions to improve postoperative quality of life for surgical lung resection patients.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Predictive significance of systemic immune-inflammation index combined with prealbumin for postoperative pneumonia following lung resection surgery

Miao,

Ge,

Wang

et al. 2024

BMC Pulm Med

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Association between underweight status or low body mass index and the risk of developing superior mesenteric artery syndrome following scoliosis corrective surgery in pediatric patients: a review of the literature

Lamport,

DiMauro,

Johnson

et al. 2024

Spine Deform

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Superior mesenteric artery (SMA) syndrome is the compression of the third portion of the duodenum between the abdominal aorta and the superior mesenteric artery. Although multifactorial, the most frequent cause of SMA syndrome is significant weight loss and cachexia often induced by catabolic stress. SMA syndrome resulting from scoliosis surgery is caused by a reduction of the aortomesenteric angle and distance. Risk factors include rapid weight loss, malnutrition, and a rapid reduction in the mesenteric fat pad and are the most common causes of a decrease in the aortomesenteric angle and distance. Surgically lengthening the vertebral column can also lead to a reduction of the aortomesenteric distance, therefore, has been identified as a risk factor unique to spinal surgery. Despite a reported decline in SMA syndrome cases due to improved surgical techniques, duodenal compression is still a risk and remains a life-threatening complication of scoliosis surgery. This article is a cumulative review of the evidence of being underweight or having a low body mass index as risk factors for developing SMA syndrome following surgical scoliosis instrumentation and correction.

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Association of preoperative hypoprotein malnutrition with spinal postoperative complications and other conditions: A systematic review and meta-analysis

Cited by 2 publications

References 33 publications

Predictive significance of systemic immune-inflammation index combined with prealbumin for postoperative pneumonia following lung resection surgery

Predictive significance of systemic immune-inflammation index combined with prealbumin for postoperative pneumonia following lung resection surgery

Association between underweight status or low body mass index and the risk of developing superior mesenteric artery syndrome following scoliosis corrective surgery in pediatric patients: a review of the literature

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