Predictive Role of Preoperative Nutritional Status on Early Postoperative Outcomes in Different-Aged Patients Undergoing Heart Valve Surgery

作者全名：Jiang, Xuetao; Xiang, Jie; Yang, Ming; Liu, Wenjun; Lin, Guoyun; Chen, Fang; Wang, Wei; Duan, Guangyou; Jing, Sheng; Bao, Xiaohang

作者地址：[Jiang, Xuetao; Yang, Ming; Liu, Wenjun; Lin, Guoyun; Chen, Fang; Wang, Wei; Jing, Sheng; Bao, Xiaohang] Army Mil Med Univ, Affiliated Hosp 2, Dept Anesthesiol, 83 Xinqiao St, Chongqing 400037, Peoples R China; [Xiang, Jie] Southwest Jiaotong Univ, Coll Med, Chengdu, Sichuan, Peoples R China; [Duan, Guangyou] Chongqing Med Univ, Affiliated Hosp 2, Dept Anesthesiol, Chongqing, Peoples R China

通信作者：Bao, XH (通讯作者)，Army Mil Med Univ, Affiliated Hosp 2, Dept Anesthesiol, 83 Xinqiao St, Chongqing 400037, Peoples R China.

来源：JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001226574100001

JCR分区：Q2

影响因子：2.3

年份：2024

卷号：38

期号：5

开始页：1169

结束页：1180

文献类型：Article

关键词：nutritional status; heart valve surgery; early postoperative outcomes; nutritional risk index

摘要：Objectives: The authors sought to elucidate the role and predictive effects of preoperative nutritional status on postoperative outcomes across different age groups undergoing heart valve surgery. Design: A retrospective study with intergroup comparison, receiver operating characteristic curve analysis, and logistic regression analysis. Setting: A hospital affiliated with a medical university. Participants: Three thousand nine hundred five patients undergoing heart valve surgery between October 2016 and December 2020. Measurements and Main Results: Patients were categorized into 3 age subgroups: young (aged 18-44 years), middle-aged (aged 45-59 years), and older (aged >60 years) adults. The Nutritional Risk Index (NRI), Prognostic Nutritional Index, and Controlling Nutritional Status scores were evaluated. Young adults with an NRI <99 experienced a significantly higher rate of prolonged intensive care unit stay (28.3% v 4.1%, p < 0.001), with a relative risk of 4.58 (95% CI: 2.04-10.27). Similarly, young adults with an NRI <97 had a significantly increased occurrence of mortality within 30 days after surgery (6.3% v 0.2%, p < 0.001), with a relative risk of 41.11 (95% CI: 3.19-529.48). Conclusions: In patients who undergo heart valve surgery, early postoperative outcomes can be influenced by nutritional status before the surgery. In the young-adult group, NRI <99 and NRI <97 effectively could predict prolonged intensive care unit stay and 30-day mortality, respectively. (c) 2024 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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