The Association of Geriatric Nutritional Risk Index and Total Lymphocyte Count with Short-Term Nutrition-Related Complications in Institutionalised Elderly

Cereda, Emanuele; Pusani, C.; Limonta, Daniela; Vanotti, Alfredo

doi:10.1080/07315724.2008.10719718

Cited by 57 publications

(31 citation statements)

References 39 publications

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“…Thus, performing more assessment methods, and combining their results, would probably allow a better evaluation and categorization of the patient. This has been recently pointed out for the GNRI [29,30]. Particularly, we observed that the periodical documentation of changes in overall (percentage of food consumed to that delivered) and protein (g/kg per day) intakes might improve the recognition of initial stages of muscle dysfunction in institutionalized elderly not suffering from acute complications [29].…”

Section: Geriatric Nutritional Risk Index In the 'World Of Screening mentioning

confidence: 69%

“…Thus, one might have assumed that it was more suitable for a subacute care setting but a preliminary investigation tested and demonstrated its prognostic value (1-month risk of death) also in acutely hospitalized patients [36]. Thereafter, different studies have suggested an interesting application in nursing homes [34] not only when addressing the association with prognostic indicators, such as muscle dysfunction [28,29], but also when seeking for both mid (6 months) and long-term (>3 years) outcome prediction [30][31][32][33]. Moreover, patients with pressure ulcers frequently appear characterized by low GNRI values (32% with GNRI < 82 or 85% with GNRI < 92) (Cereda et al, unpublished data).…”

Section: Geriatric Nutritional Risk Index and Settingmentioning

confidence: 97%

“…With this in mind, when discussing the relationships between GNRI and muscle dysfunction, a well known prognostic marker [27], as well as those with short and long-term outcomes, we argued that siding a proper systemic indicator of disease severity (albumin) with a descriptor of body store (weight factor) might be better in accounting for both acute and chronic reasons of nutritional complications [28][29][30][31][32][33]. This is to say that, as it is structured, the GNRI seems to mirror the presence of an acute stress, possibly leading to weight loss, in a patient progressively lacking of protein-calorie stores to cope with.…”

Section: Geriatric Nutritional Risk Index: Structure and Purposesmentioning

confidence: 98%

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The geriatric nutritional risk index

Cereda

Pedrolli²

2009

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

Self Cite

153

106

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In maths of nutrition 'recognize and treat' has become a clinical imperative. Actually, clinical judgement by an expert is still considered the reference standard to diagnose malnutrition but the use of simplified tools profitably assists in nutritional risk screening process. The GNRI is easy to use and preliminary results show that it is promising. Its routine application, next to the other validated tools already available, might be enforced in the assessment of the old patient.

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Section: Geriatric Nutritional Risk Index In the 'World Of Screening mentioning

confidence: 69%

Section: Geriatric Nutritional Risk Index and Settingmentioning

confidence: 97%

Section: Geriatric Nutritional Risk Index: Structure and Purposesmentioning

confidence: 98%

See 1 more Smart Citation

The geriatric nutritional risk index

Cereda

Pedrolli²

2009

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

Self Cite

153

106

View full text Add to dashboard Cite

show abstract

“…However, despite its frequent use, albuminemia remains an unreliable indicator of the nutritional status, because it may be more closely related to inflammation or the hydration status than to malnutrition. Recently, the Geriatric Nutritional Risk Index (GNRI), a new prognostic index of nutritional status-related complications, has been proposed for the evaluation of at-risk elderly patients [1,2,3,4,5,6] and hemodialysis patients [7,8,9,10,11,12], and it was revealed to be a predictor of morbidity and mortality and for the possible use in grading the patient's nutritional status. The relationship between the GNRI and the morbidity of patients with gastrointestinal cancer has not yet been reported.…”

Section: Introductionmentioning

confidence: 99%

Is the Geriatric Nutritional Risk Index a Significant Predictor of Postoperative Complications in Patients with Esophageal Cancer Undergoing Esophagectomy?

Yamana

Takeno²,

Shibata³

et al. 2015

Eur Surg Res

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Background: The Geriatric Nutritional Risk Index (GNRI) is a new index recently introduced for predicting the risk of nutrition-related complications. The GNRI has mainly been reported as a simple and accurate tool to assess the nutritional status and prognosis of elderly patients. So far, there have been no reports of the GNRI in patients with gastrointestinal cancer. Our objective was to examine the association between the GNRI and short-term outcomes, especially postoperative complications, in patients with esophageal cancer who underwent esophagectomy and gastric tube reconstruction. Materials and Methods: The present study enrolled 122 consecutive patients with esophageal cancer who underwent esophagectomy and gastric tube reconstruction. The GNRI at admission to the hospital was calculated as follows: (1.489 × albumin in g/l) + (41.7 × present/ideal body weight). The characteristics and short-term outcomes were compared between two groups: the high (GNRI ≥90) and the low (GNRI <90) GNRI group. The mortality and morbidity rates, especially the rates regarding respiratory complications and anastomotic leakage, were investigated. Results: The mean age of the 122 patients was 63.9 ± 9.1 years (range 43-83). There were no significant differences in either patient or operative characteristics. The low GNRI group had a significantly higher rate of respiratory complications (p = 0.002). A multivariate analysis demonstrated that the GNRI was the only independent significant factor predicting respiratory complications (hazard ratio 3.41, 95% confidence interval 1.19-9.76; p = 0.022). Conclusion: The GNRI is considered to be a clinically useful marker that can be used to assess the nutritional status and predict the development of postoperative respiratory complications in patients with esophageal cancer undergoing esophagectomy and gastric tube reconstruction.

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“…6 The GNRI has been introduced since 2005 as early screening in patients with malnutrition high risk. 8 Therefore early treatment can be conducted and length of stay, cost, morbidity and mortality can be reduced. This study was conducted to evaluate the relationship of GNRI with length of hospitalization and mortality rate in elderly patients in Dr. Sardjito General Hospital, Yogyakarta…”

Section: Introductionmentioning

confidence: 99%

Relationship of Geriatric Nutritional Risk Index (GNRI) with length of hospitalization and mortality rate in elderly patients

Ratnasari¹

2014

JMedScie

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The proportion of elderly population is growing faster than any other age group. Malnutrition is a widespread problem in elderly and has been recognized as the most common cause of mortality and morbidity. Mini Nutritional Assessment (MNA) is recommended to detect malnutrition risk among geriatrics. However, it is just appropriate for geriatric who stay at home. For hospitalization patients, Nutritional Risk Index (NRI) that using albumin and weight is recommended. However, the weight data is often not possible obtained in geriatrics. Therefore, Geriatric Nutritional Risk Index (GNRI) using ideal body weight is recommended. The aim of this study was to evaluate relationship of GNRI with length of hospitalization and mortality rate in geriatric patients. This was an observational study with a prospective cohort design conducted in Dr. Sardjito General Hospital, Yogyakarta from January to February 2012. Patients who met the inclusion and exclusion criteria were recruited. Laboratoty and clinical examinations as well as GNRI scoring were then performed. Patients were grouped into two groups i.e. patients with GNRI score < 82 and e" 82. The patients were then monitored during hospitalization until they were discharged due to die or recovered. The length of stay and patients died were then recorded. The results showed that the length of stay of patients with GNRI score < 82 (14.32 ± 8.20 days) was significantly longer than those with GNRI score 82 (9.31 ± 6.15 days) (p = 0.006). Moreover, the mortality rate of patients with GNRI score < 82 (42.1%) was significantly higher than those with GNRI score 82 (2.8%) (p = 0.000). Kaplan-Meier survival analysis showed survival rate of patients with GNRI score <82 rapidly decreased when compared with those with GNRI score 82. In conclusion, there is negative correlation between GNRI with length of hospitalization and mortality rate in elderly. ABSTRAKProporsi populasi usia lanjut tumbuh lebih cepat dari kelompok usia lain. Malnutrisi menjadi masalah luas pada usia lanjut dan diketahui sebagai penyebab umum kesakitan dan kematian. Mini Nutritional Assessment (MNA) direkomendasikan untuk mendeteksi risiko malnutrisi diantara usia lanjut. Namun demikian, pengukuran ini hanya tepat untuk usia lanjut yang tinggal di rumah. Untuk pasien di rumah sakit, Nutritional Risk Index (NRI) yang menggunakan data albumin dan berat badan direkomendasikan. Akan tetapi data berat badan sering tidak bisa diperoleh pada usia lanjut. Sehingga, Geriatric Nutritional Risk Index (GNRI) menggunakan berat badan ideal direkomendasikan. Tujuan penelitian ini adalah mengkaji hubungan antara GNRI dengan lama tinggal dan kematian pasien usia lanjut. Penelitian ini merupakan penelitian observasional dengan rancangan kohort prospektif yang dilakukan di RSUP Dr. Sardjito, Yogyakarta pada Januari sampai Februari 2012. Pasien yang memenuhi kriteria inklusi dan eksklusi direkrut. Pemeriksaan laboratorium dan klinik dan perhitungan angka GNRI dilakukan. Pasien dikelompokkan menjadi dua kelompok yaitu kelom...

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The Association of Geriatric Nutritional Risk Index and Total Lymphocyte Count with Short-Term Nutrition-Related Complications in Institutionalised Elderly

Cited by 57 publications

References 39 publications

The geriatric nutritional risk index

The geriatric nutritional risk index

Is the Geriatric Nutritional Risk Index a Significant Predictor of Postoperative Complications in Patients with Esophageal Cancer Undergoing Esophagectomy?

Relationship of Geriatric Nutritional Risk Index (GNRI) with length of hospitalization and mortality rate in elderly patients

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