Predictive power of the Geriatric Nutritional Risk Index for mortality in patients over 80 years of age undergoing open heart surgery

Özgür Çoban; Hacı Ali Uçak

Makale detayları

Predictive power of the Geriatric Nutritional Risk Index for mortality in patients over 80 years of age undergoing open heart surgery

Yazarlar:

Özgür Çoban | Hacı Ali Uçak

Yayıncı:

Cukurova University

Ana Başlıklar:

Kalp ve Damar Cerrahisi

Dergi:

Cukurova Medical Journal Vol.48 Issue 4, pp.1374-1379

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286428

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: This retrospective study aimed to determine the predictive power of the geriatric nutritional risk index, calculated using the preoperative albumin value of patients over 80 years old who underwent open-heart surgery, in relation to the postoperative mortality rate. Materials and Methods: A total of 22 patients 13 males, 9 females; mean age: 82.12.4 years; range, 80-88 years who underwent open elective heart surgery for coronary bypass and heart valve replacement between July 2019 and September 2022 were retrospectively analyzed using the geriatric nutritional risk index. Based on this index, two distinct groups were formed. Values 98 and below were considered risky, and values 99 and above were considered risk-free. There were 6 patients in the risk group. The other 16 patients were in the risk-free group. All patient groups were compared on the basis of surgical procedures, age, gender, body mass index kgm2, diabetes, hypertension, atrial fibrillation, smoking, and operative characteristics. Results: In the study, 6 risky 27.3 and 16 risk-free 72.7 patients were examined according to the geriatric nutritional risk index and the mortality rate was found to be high 66.7 in the risky group. The patients in the risk group had lower body mass index and albumin values 25.01.8 and 30.12.4 compared with the risk-free group 28.12.4 and 36.73.1. In addition, the mean extubation values were high 11.24.2. No significant difference was found between the other parameters and the presence of risk. Conclusion: Before undergoing open heart surgery, the Geriatric Nutritional Risk Index can strongly predict postoperative mortality rates.

 Purpose: This retrospective study aimed to determine the predictive power of the geriatric nutritional risk index, calculated using the preoperative albumin value of patients over 80 years old who underwent open-heart surgery, in relation to the postoperative mortality rate. Materials and Methods: A total of 22 patients 13 males, 9 females; mean age: 82.12.4 years; range, 80-88 years who underwent open elective heart surgery for coronary bypass and heart valve replacement between July 2019 and September 2022 were retrospectively analyzed using the geriatric nutritional risk index. Based on this index, two distinct groups were formed. Values 98 and below were considered risky, and values 99 and above were considered risk-free. There were 6 patients in the risk group. The other 16 patients were in the risk-free group. All patient groups were compared on the basis of surgical procedures, age, gender, body mass index kgm2, diabetes, hypertension, atrial fibrillation, smoking, and operative characteristics. Results: In the study, 6 risky 27.3 and 16 risk-free 72.7 patients were examined according to the geriatric nutritional risk index and the mortality rate was found to be high 66.7 in the risky group. The patients in the risk group had lower body mass index and albumin values 25.01.8 and 30.12.4 compared with the risk-free group 28.12.4 and 36.73.1. In addition, the mean extubation values were high 11.24.2. No significant difference was found between the other parameters and the presence of risk. Conclusion: Before undergoing open heart surgery, the Geriatric Nutritional Risk Index can strongly predict postoperative mortality rates.

 Purpose: This retrospective study aimed to determine the predictive power of the geriatric nutritional risk index, calculated using the preoperative albumin value of patients over 80 years old who underwent open-heart surgery, in relation to the postoperative mortality rate. Materials and Methods: A total of 22 patients 13 males, 9 females; mean age: 82.12.4 years; range, 80-88 years who underwent open elective heart surgery for coronary bypass and heart valve replacement between July 2019 and September 2022 were retrospectively analyzed using the geriatric nutritional risk index. Based on this index, two distinct groups were formed. Values 98 and below were considered risky, and values 99 and above were considered risk-free. There were 6 patients in the risk group. The other 16 patients were in the risk-free group. All patient groups were compared on the basis of surgical procedures, age, gender, body mass index kgm2, diabetes, hypertension, atrial fibrillation, smoking, and operative characteristics. Results: In the study, 6 risky 27.3 and 16 risk-free 72.7 patients were examined according to the geriatric nutritional risk index and the mortality rate was found to be high 66.7 in the risky group. The patients in the risk group had lower body mass index and albumin values 25.01.8 and 30.12.4 compared with the risk-free group 28.12.4 and 36.73.1. In addition, the mean extubation values were high 11.24.2. No significant difference was found between the other parameters and the presence of risk. Conclusion: Before undergoing open heart surgery, the Geriatric Nutritional Risk Index can strongly predict postoperative mortality rates.

 Amaç: Bu retrospektif çalışmada açık kalp cerrahisi geçiren 80 yaş üstü hastaların operasyon öncesi albümin değeri kullanılarak hesaplanan geriatrik nutrisyonel risk indeksinin, ameliyat sonrası mortalite oranını tahmin edebilme gücü ortaya konulmaya çalışıldı. Gereç ve Yöntem: Temmuz 2019  Eylül 2022 tarihleri arasında koroner bypass ve kalp kapağı değişimi nedeniyle açık elektif kalp cerrahisi uygulanan toplam 22 hasta 13 erkek, 9 kadın; ortalama yaş: 82,12,4 yıl; dağılım, 80-88 yıl geriatrik nutrisyonel risk indeksi ile retrospektif olarak incelendi. Bu indekse göre iki grup oluşturuldu. 98 ve altındaki değerler riskli, 99 ve üstündeki değerler risksiz grup olarak belirlendi. Riskli grupta 6 hasta vardı. Diğer 16 hasta risksiz grupta bulunuyordu. Tüm hasta grubu cerrahi işlemler, cinsiyet, yaş, vücut kütle indeksi kgm2, atrial fibrilasyon, diyabet, hipertansiyon, sigara içiciliği ve operatif özellikler yönüyle karşılaştırıldı. Bulgular: Çalışmada geriatrik nutrisyonel risk indeksine göre 6 riskli 27,3 ve 16 risksiz 72,7 hasta incelendi ve risk varlığı tespit edilen hastalarda mortalite oranı yüksek 66,7 bulundu. Risk grubundaki hastalar, risk grubu olmayanlara kıyasla daha düşük vücut kitle indeksi ve albümin değerlerine sahipti sırasıyla 25,01,8 ve 30,12,4; 28,12,4 ve 36,73,1. Ayrıca, ortalama entübasyon değerlerinin yüksek bulunduğu belirlendi 11,24,2. Diğer parametreler ile risk varlığı arasında anlamlı bir farklılığa rastlanılmadı. Sonuç: Açık kalp cerrahisi öncesi değerlendirilen geriatrik nutrisyonel risk indeksi, operasyon sonrası mortalite oranını öngörmede güçlü bir belirleyici olarak kullanılabilir.

Makale detayları

Predictive power of the Geriatric Nutritional Risk Index for mortality in patients over 80 years of age undergoing open heart surgery

Yazarlar:

Özgür Çoban | Hacı Ali Uçak

Yayıncı:

Cukurova University

Ana Başlıklar:

Kalp ve Damar Cerrahisi

Dergi:

Cukurova Medical Journal Vol.48 Issue 4, pp.1374-1379

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286428

pISSN:

2602-3032

geriatric nutritional risk index

octogenarian

albumin

malnutrition

geriatrik nutrisyonel risk indeksi

oktogenarian

albümin

malnütrisyon

Sayı

Makale detayları

Yazarlar: Özgür Çoban | Hacı Ali Uçak

Yayıncı: Cukurova University

Ana Başlıklar: Kalp ve Damar Cerrahisi

Dergi: Cukurova Medical Journal Vol.48 Issue 4, pp.1374-1379

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001286428

pISSN: 2602-3032

Sayı

Yazarlar:

Özgür Çoban | Hacı Ali Uçak

Yayıncı:

Cukurova University

Ana Başlıklar:

Kalp ve Damar Cerrahisi

Dergi:

Cukurova Medical Journal Vol.48 Issue 4, pp.1374-1379

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286428

pISSN:

2602-3032