Nutritional risk screening 2002 and ASA score predict mortality after elective liver resection for malignancy

Zacharias, Thomas; Ferreira, Nelio

doi:10.5114/aoms.2017.65273

Cited by 17 publications

(15 citation statements)

References 36 publications

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“…This may suggest that the use of the NRS >5 as a cut-off value should be questioned. Although previous studies have demonstrated that regrouping the NRS may be more effective, we believe that a standardized grouping system is vital for the universal use of the screening tools, rather than the use of different cut-off values (32,33). We also strongly agree that the development of new tools is redundant since dozens of screening tools are already available (10,14).…”

Section: Discussionmentioning

confidence: 56%

Comparison of Nutritional Screening Tools in Patients Undergoing Surgery for Gastric Cancer

Yıldırım¹,

Candaş²,

Usta³

et al. 2020

Haseki

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Nutritional screening tools are mainly used to identify patients at risk of malnutrition. We aimed to compare commonly used nutritional tools in assessing the nutritional status of patients undergoing surgery for gastric cancer Methods: Consecutive patients undergoing surgery for gastric cancer between January 2017 and May 2019 were retrospectively evaluated from the comprehensive database. Nutritional Risk Screening-2002 (NRS), Malnutrition Universal Screening Tool, Subjective Global Assessment, Mini Nutritional Assessment-Short Form (MNA-SF), Malnutrition Screening Tool, and Short Nutritional Assessment Questionnaire scores were calculated for all patients. The assessment capabilities of these tools were compared using the European Society for Clinical Nutrition and Metabolism (ESPEN) diagnostic criteria for malnutrition as the reference standard. The distinctive abilities of the tool risk groups were also evaluated using parameters reflecting nutritional status, including albumin, lymphocyte count, and fat-free mass index. Results: One hundred forty patients with the mean age of 64.2±11.8 years were analyzed, and 29 (20.71%) of whom were diagnosed as malnourished based on the ESPEN criteria. The strongest association (phi=0.62, large effect) and the highest agreement (kappa=0.59, moderate agreement) between tools and malnutrition were found for MNA-SF. This exhibited the highest specificity (0.84, 95% CI: 0.76 to 0.90), positive predictive value (0.58, 95% CI: 0.42 to 0.73), accuracy (0.84, 95% CI: 0.77 to 0.90), area under curve (0.850, 95% CI: 0.777 to 0.923), and diagnostic odds ratio (32.29, 95% CI: 10.02 to 104.04). Statistically significant decreases in all three parameters were observed only for the NRS risk groups. Additionally, MNA-SF exhibited a statistically significant decrease in the fat-free Amaç: Beslenme tarama araçları çoğunlukla malnutrisyon riski olan hastaları belirlemek için kullanılır. Bu çalışmada mide kanseri nedeniyle ameliyat planlanan hastaların beslenme durumlarını değerlendirmede sıklıkla kullanılan beslenme araçlarını karşılaştırmayı amaçladık. Yöntemler: Ocak 2017-Mayıs 2019 tarihleri arasında mide kanseri nedeniyle ameliyat olan hastalar, kapsamlı veri tabanından elde edilen bilgiler ile retrospektif olarak değerlendirildi. Tüm hastalar için Nutritional Risk Screening-2002 (NRS), Malnutrition Universal Screening Tool, Subjective Global Assessment, Mini Nutritional Assessment-Kısa Form (MNA-SF), Malnutrition Screening Tool, ve Short Nutritional Assessment Questionnaire araçlarının skorları hesaplandı. Bu araçların beslenme değerlendirme becerilerinin karşılaştırılmasında, referans standart olarak Avrupa Klinik Beslenme ve Metabolizma Derneği'nin (ESPEN) malnutrisyon tanı kriteri kullanıldı. Araçların risk gruplarını ayırt edici özellikleri ise albümin, lenfosit sayısı ve yağsız kitle indeksi gibi beslenme durumunu yansıtan parametreler kullanılarak değerlendirildi. Bulgular: Bu çalışmada yaş ortalaması 64.2±11.8 olan toplam 140 hasta analiz edildi ve bu hastaların 29'u (%20.71) E...

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Section: Discussionmentioning

confidence: 56%

Comparison of Nutritional Screening Tools in Patients Undergoing Surgery for Gastric Cancer

Yıldırım¹,

Candaş²,

Usta³

et al. 2020

Haseki

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“…The increased rate of procedural complications in patients undergoing PCI of the LMCA is conditioned by several factors, including a large area of the myocardium that is supplied by the LMCA and which is mainly responsible for the generation of the left ventricle ejection fraction, LMCA anatomy including its diameter and type of division [14][15][16]. It is difficult to compare the procedural complications and mortality rates in patients undergoing PCI of the LMCA because the availability of such data, apart from the designed trials, is limited.…”

Section: Discussionmentioning

confidence: 99%

Concomitant multi-vessel disease is associated with a lower procedural death rate in patients treated with percutaneous coronary interventions within the left main coronary artery (from the ORPKI registry)

et al. 2021

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IntroductionIn this study, we aimed to distinguish differences in the procedural complication rate in a group of patients undergoing percutaneous coronary interventions (PCI) of the left main coronary artery (LMCA) between patients with isolated LMCA disease and multi-vessel disease (MVD) with LMCA involvement and to identify their predictors.Material and methodsWe assessed 221,187 patients from the Polish Cardiovascular Intervention Society national registry (ORPKI) regarding all PCI procedures performed in Poland in 2015 and 2016. We extracted data of 1,819 patients with isolated LMCA disease and 3,718 patients with MVD and LMCA involvement. We compared those two groups in terms of procedural complications and their predictors.ResultsThe overall rate of procedural complications was significantly higher in patients treated with LMCA PCI both in the group of patients with isolated LMCA (6.5%) and the group with MVD with LMCA involvement (7.3%) compared to the non-LMCA PCI group (1.9%, p = 0.002). Multivariate analysis confirmed that MVD with LMCA involvement is an independent predictor of decreased risk of procedural death in the overall group of patients undergoing PCI of the LMCA (odds ratio: 0.583; 95% confidence interval: 0.4–0.848; p = 0.005).ConclusionsThe MVD involvement in patients treated with PCI of the LMCA may play a protective role. Patients with isolated LMCA involvement undergoing PCI should be subjected to special care and protected by various methods, such as devices to support left ventricle function.

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“…In addition, regional and professional variations in ASA classification are also evident [14][15][16]. Therefore, more objective, reliable and consistent assessments with clinical operability are very desirable [17]. APACHE II scoring system is one of the widely used assessments for severe illness in ICU [18].…”

Section: Discussionmentioning

confidence: 99%

Analysis of anesthesia-related prognostic indicators in neurosurgery

Shu

Wang

Chen

et al. 2019

Preprint

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Background: This retrospective study was conducted to identify prognostic predictors for patients undergoing neurosurgery under general anesthesia.Methods: From April 2015 to May 2017, a total of 757 patients undergoing neurosurgery in our hospital were analyzed. Baseline and clinical data including age, gender, etiology, surgery procedures, comorbid and underlying diseases, the Glasgow coma scale (GCS), the APACHE II score, ASA score, anesthesia class, operation time, intraoperative cardiac events, intraoperative blood transfusion, and postoperative fever were collected and analyzed. The Glasgow outcome scale (GOS) was used as outcome measure. Logistic regression analysis was performed to identify the independent prognostic factors. Results: Among the 14 factors analyzed, twelve were significantly correlated to the GOS scores (P < 0.05), including age, etiology, type of surgery, hypertension, anesthesia class, APACHE II score and ASA class, intraoperative cardiac events, intraoperative blood transfusion and postoperative fever. Further logistic regression analysis showed the three parameters had prognostic values with odds ratios of 3.933, 1.812 and 2.910, respectively. On other hand, gender and operation time were not correlated to GOS.Conclusions: Anesthesia class, APACHE II score and ASA class have significant prognostic values for patients undergoing neurosurgical surgery.

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Nutritional risk screening 2002 and ASA score predict mortality after elective liver resection for malignancy

Cited by 17 publications

References 36 publications

Comparison of Nutritional Screening Tools in Patients Undergoing Surgery for Gastric Cancer

Comparison of Nutritional Screening Tools in Patients Undergoing Surgery for Gastric Cancer

Concomitant multi-vessel disease is associated with a lower procedural death rate in patients treated with percutaneous coronary interventions within the left main coronary artery (from the ORPKI registry)

Analysis of anesthesia-related prognostic indicators in neurosurgery

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