Cardiac Surgery, Elderly Patient, Nutrition Scoring System, Postoperative Pulmonary Complication
Conditions
Keywords
Cardiac surgery, Elderly, Aged, Postoperative pulmonary complication, Nutrition scoring system, GNRI, MNA, PNI
Brief summary
This prospective study investigates prognostic values and compares the role of nutritional status by using GNRI, MNA-SF, PNI, and NAF in predicting post-operative pulmonary complication among elderly patients with cardiac surgery.
Detailed description
In this prospective cohort study, 217 patients aged ≥60 years undergoing elective cardiac surgery at a tertiary university hospital were enrolled. Preoperative nutritional status was assessed using GNRI, MNA-SF, PNI, and NAF. The primary outcome was PPC occurrence during hospitalization. Predictive performance was evaluated using receiver operating characteristic (ROC) analysis, and multivariable logistic regression identified independent predictors
Interventions
GNRI, MNA-SF, PNI, and NAF
Sponsors
Study design
Eligibility
Inclusion criteria
* Elderly patient age ≥ 60 years * Open heart surgical procedure on pump (CABG, valvular disease, combine CABG and valve surgery * Elective surgery
Exclusion criteria
\- Emergency surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pulmonary complication | 1 month | PPCs such as pneumonia, pulmonary embolism, ventilation longer than 24 h, pleural effusions necessitating drainage and reintubation within 72 h of extubation |
Countries
Thailand
Contacts
Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University