Preoperative prognostic nutritional index predicts postoperative delirium in aged patients after surgery: A matched cohort study
Prognostic nutritional index (PNI) is an indicator to evaluate the nutritional immune status of patients. This study aimed to assess whether preoperative PNI could predict the occurrence of postoperative POD in aged patients undergoing non-neurosurgery and non-cardiac surgery. The aged patients unde...
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| Vydané v: | General hospital psychiatry Ročník 86; s. 58 - 66 |
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| Hlavní autori: | , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
Elsevier Inc
01.01.2024
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| ISSN: | 0163-8343, 1873-7714, 1873-7714 |
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| Abstract | Prognostic nutritional index (PNI) is an indicator to evaluate the nutritional immune status of patients. This study aimed to assess whether preoperative PNI could predict the occurrence of postoperative POD in aged patients undergoing non-neurosurgery and non-cardiac surgery.
The aged patients undergoing non-neurosurgery and non-cardiac surgery between January 2014 and August 2019 were included in the retrospective cohort study. The correlation between POD and PNI was investigated by univariate and multivariable logistic regression analysis, propensity score matching (PSM), inverse probability of treatment weighting (IPTW), and subgroup analysis.
In the cohort (n = 29,814), the cutoff value of PNI was 46.01 determined by the receiver operating characteristic (ROC) curve. In univariate and three multivariable regression analysis, the ORs of PNI ≤ 46.01 was 2.573(95% CI:2.261–2.929, P < 0.001),1.802 (95% CI:1.567-2.071, P < 0.001),1.463(95% CI:1.246–1.718, P < 0.001),1.370(95% CI:1.165–1.611, P < 0.001). In the PSM model and IPTW model, the ORs of PNI ≤ 46.01 were 1.424(95% CI:1.172–1.734, P < 0.001) and 1.356(95% CI:1.223–1.505, P < 0.001).
The PNI was found to have a predictive value for POD in patients undergoing non-neurosurgery and non-cardiac surgery. Improving preoperative nutritional status may be beneficial in preventing POD for aged patients. |
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| AbstractList | Prognostic nutritional index (PNI) is an indicator to evaluate the nutritional immune status of patients. This study aimed to assess whether preoperative PNI could predict the occurrence of postoperative POD in aged patients undergoing non-neurosurgery and non-cardiac surgery.
The aged patients undergoing non-neurosurgery and non-cardiac surgery between January 2014 and August 2019 were included in the retrospective cohort study. The correlation between POD and PNI was investigated by univariate and multivariable logistic regression analysis, propensity score matching (PSM), inverse probability of treatment weighting (IPTW), and subgroup analysis.
In the cohort (n = 29,814), the cutoff value of PNI was 46.01 determined by the receiver operating characteristic (ROC) curve. In univariate and three multivariable regression analysis, the ORs of PNI ≤ 46.01 was 2.573(95% CI:2.261–2.929, P < 0.001),1.802 (95% CI:1.567-2.071, P < 0.001),1.463(95% CI:1.246–1.718, P < 0.001),1.370(95% CI:1.165–1.611, P < 0.001). In the PSM model and IPTW model, the ORs of PNI ≤ 46.01 were 1.424(95% CI:1.172–1.734, P < 0.001) and 1.356(95% CI:1.223–1.505, P < 0.001).
The PNI was found to have a predictive value for POD in patients undergoing non-neurosurgery and non-cardiac surgery. Improving preoperative nutritional status may be beneficial in preventing POD for aged patients. Prognostic nutritional index (PNI) is an indicator to evaluate the nutritional immune status of patients. This study aimed to assess whether preoperative PNI could predict the occurrence of postoperative POD in aged patients undergoing non-neurosurgery and non-cardiac surgery.OBJECTIVEPrognostic nutritional index (PNI) is an indicator to evaluate the nutritional immune status of patients. This study aimed to assess whether preoperative PNI could predict the occurrence of postoperative POD in aged patients undergoing non-neurosurgery and non-cardiac surgery.The aged patients undergoing non-neurosurgery and non-cardiac surgery between January 2014 and August 2019 were included in the retrospective cohort study. The correlation between POD and PNI was investigated by univariate and multivariable logistic regression analysis, propensity score matching (PSM), inverse probability of treatment weighting (IPTW), and subgroup analysis.METHODThe aged patients undergoing non-neurosurgery and non-cardiac surgery between January 2014 and August 2019 were included in the retrospective cohort study. The correlation between POD and PNI was investigated by univariate and multivariable logistic regression analysis, propensity score matching (PSM), inverse probability of treatment weighting (IPTW), and subgroup analysis.In the cohort (n = 29,814), the cutoff value of PNI was 46.01 determined by the receiver operating characteristic (ROC) curve. In univariate and three multivariable regression analysis, the ORs of PNI ≤ 46.01 was 2.573(95% CI:2.261-2.929, P < 0.001),1.802 (95% CI:1.567-2.071, P < 0.001),1.463(95% CI:1.246-1.718, P < 0.001),1.370(95% CI:1.165-1.611, P < 0.001). In the PSM model and IPTW model, the ORs of PNI ≤ 46.01 were 1.424(95% CI:1.172-1.734, P < 0.001) and 1.356(95% CI:1.223-1.505, P < 0.001).RESULTSIn the cohort (n = 29,814), the cutoff value of PNI was 46.01 determined by the receiver operating characteristic (ROC) curve. In univariate and three multivariable regression analysis, the ORs of PNI ≤ 46.01 was 2.573(95% CI:2.261-2.929, P < 0.001),1.802 (95% CI:1.567-2.071, P < 0.001),1.463(95% CI:1.246-1.718, P < 0.001),1.370(95% CI:1.165-1.611, P < 0.001). In the PSM model and IPTW model, the ORs of PNI ≤ 46.01 were 1.424(95% CI:1.172-1.734, P < 0.001) and 1.356(95% CI:1.223-1.505, P < 0.001).The PNI was found to have a predictive value for POD in patients undergoing non-neurosurgery and non-cardiac surgery. Improving preoperative nutritional status may be beneficial in preventing POD for aged patients.CONCLUSIONThe PNI was found to have a predictive value for POD in patients undergoing non-neurosurgery and non-cardiac surgery. Improving preoperative nutritional status may be beneficial in preventing POD for aged patients. |
| Author | Lou, Jing-Sheng Song, Yu-Xiang Ma, Yu-Long Chen, Kun-Sha Cao, Jiang-Bei Zhou, Xue-Feng Li, Hao Wang, Qian Mi, Wei-Dong Liu, Min Zhao, Hong Liu, Yan-Hong |
| Author_xml | – sequence: 1 givenname: Yu-Xiang surname: Song fullname: Song, Yu-Xiang organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China – sequence: 2 givenname: Qian surname: Wang fullname: Wang, Qian organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China – sequence: 3 givenname: Yu-Long surname: Ma fullname: Ma, Yu-Long organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China – sequence: 4 givenname: Kun-Sha surname: Chen fullname: Chen, Kun-Sha organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China – sequence: 5 givenname: Min surname: Liu fullname: Liu, Min organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China – sequence: 6 givenname: Xue-Feng surname: Zhou fullname: Zhou, Xue-Feng organization: Hangzhou Le9 Healthcare Technology Co., Ltd, Hangzhou 311215, China – sequence: 7 givenname: Hong surname: Zhao fullname: Zhao, Hong organization: Department of Anesthesiology, Peking University People's Hospital, Beijing 100044, China – sequence: 8 givenname: Jing-Sheng surname: Lou fullname: Lou, Jing-Sheng organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China – sequence: 9 givenname: Hao surname: Li fullname: Li, Hao organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China – sequence: 10 givenname: Yan-Hong surname: Liu fullname: Liu, Yan-Hong organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China – sequence: 11 givenname: Wei-Dong surname: Mi fullname: Mi, Wei-Dong email: wwdd1962@aliyun.com organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China – sequence: 12 givenname: Jiang-Bei surname: Cao fullname: Cao, Jiang-Bei email: caojiangbei@301hospital.com.cn organization: Department of Anaesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38101151$$D View this record in MEDLINE/PubMed |
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| Title | Preoperative prognostic nutritional index predicts postoperative delirium in aged patients after surgery: A matched cohort study |
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