The geriatric nutritional risk index as a strong predictor of adverse outcomes following total shoulder arthroplasty

Autor: Steven H. Liu, BS, Patricia Cerri-Droz, BS, Rachel A. Loyst, BS, Brandon Lung, MD, Kevin Kashanchi, MD, David E. Komatsu, PhD, Edward D. Wang, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: JSES International, Vol 8, Iss 1, Pp 152-158 (2024)
Druh dokumentu: article
ISSN: 2666-6383
DOI: 10.1016/j.jseint.2023.08.022
Popis: Background: This study investigates the association between the Geriatric Nutritional Risk Index (GNRI), a simple readily available measure of malnutrition risk, and 30-day postoperative complications following total shoulder arthroplasty (TSA). Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for all patients who underwent TSA between 2015 and 2021. The study population was divided into 3 groups based on preoperative GNRI: normal/reference (GNRI > 98), moderate malnutrition (92 ≤ GNRI ≤ 98), and severe malnutrition (GNRI < 92). Logistic regression analysis was conducted to investigate the connection between preoperative GNRI and postoperative complications. Results: Compared to normal nutrition, moderate malnutrition was independently significantly associated with a greater likelihood of any complications (odds ratio [OR]: 1.74, 95% confidence interval [CI]: 1.54-1.96; P 2 days (OR: 1.85, 95% CI: 1.63-2.12; P 2 days (OR: 3.27, 95% CI: 2.73-3.92; P
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