Association of Nutritional Risk Index With Continuous Flow Left Ventricular Assist Device Complications.

Autor: Balcioglu O; Department of Cardiovascular Surgery, Near East University Faculty of Medicine, Nicosia, Turkish Republic Northern Cyprus. Electronic address: ozlem.balcioglu@neu.edu.tr., Kahraman Ü; Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey., Ertugay S; Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey., Engin C; Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey., Yagdi T; Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey., Ozbaran M; Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey.
Jazyk: angličtina
Zdroj: Transplantation proceedings [Transplant Proc] 2023 Jun; Vol. 55 (5), pp. 1278-1282. Date of Electronic Publication: 2023 Jun 01.
DOI: 10.1016/j.transproceed.2023.05.003
Abstrakt: Background: Studies revealing the relationship between major surgery outcomes and nutritional parameters are increasing daily. Publications demonstrating the relationship between early postoperative success and surgical complications in patients with chronic heart failure and continuous flow left ventricular assist device (cf-LVAD) are limited. The vast majority of patients with advanced chronic heart failure are cachexic, and the reason for this is multifactorial. The aim of this study is to investigate the link between the modified nutritional risk index (NRI) and 6-month survival and complication rates in patients with a cf-LVAD.
Methods: This study included statistical analysis of NRI and postoperative parameters of 456 patients with advanced heart failure who had cf-LVAD implantation between 2010 and 2020.
Results: The results of this study showed a statistically significant difference between mean NRI values and postoperative parameters such as 6-month survival (P = .001), right ventricular failure (P = .003), infection (P = .001), driveline infection (P = .000), and sepsis (P = .000).
Conclusions: This study revealed that 6-month postoperative complications and mortality rates of patients with advanced heart failure in patients with cf-LVAD are closely related to malnutrition status. In these patients, nutrition specialist use would be beneficial both preoperatively and postoperatively to increase surveillance and reduce postoperative complications.
Competing Interests: Declaration of Competing Interest All the authors declare no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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