Preoperative Nutritional Status Scores to Predict PPC in Elderly With Cardiac Surgery

Prince of Songkla University217 enrolled

Overview

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.

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

Study Type

OBSERVATIONAL

Enrollment

217

Conditions

Cardiac Surgery Elderly Patient Postoperative Pulmonary Complication Nutrition Scoring System

Interventions

Nutrition scoring systemsOTHER

GNRI, MNA-SF, PNI, and NAF

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

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

Locations (1)

Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University

Hat Yai, Changwat Songkhla, Thailand

Outcomes

Primary Outcomes

Postoperative pulmonary complication

PPCs such as pneumonia, pulmonary embolism, ventilation longer than 24 h, pleural effusions necessitating drainage and reintubation within 72 h of extubation

Time frame: 1 month

Data from ClinicalTrials.gov

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