Predictive value of preoperative frailty combined with nutritional status for prolonged postoperative ileus in patients with gynecologic malignancies
10.3760/cma.j.cn131073.20231128.00405
- VernacularTitle:术前衰弱联合营养状况对妇科恶性肿瘤患者延迟性术后肠麻痹的预测价值
- Author:
Beiying SHAN
1
;
Yudan ZHOU
;
Lixue WU
;
Wenlan ZHU
;
Jiwen WANG
;
Meng ZHUANG
;
Haijian SUN
;
Jiru ZHANG
Author Information
1. 江南大学附属医院麻醉科，无锡 214125
- Keywords:
Frailty;
Nutritional status;
Postoperative complications;
Ileus;
Genital neoplasms, female
- From:
Chinese Journal of Anesthesiology
2024;44(4):406-411
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the predictive value of preoperative frailty combined with nutritional status for prolonged postoperative ileus (PPOI) in the patients with gynecological malignancies.Methods:Patients undergoing elective surgery for gynecological malignancies in the Affiliated Hospital of Jiangnan University from April 2022 to February 2023 were selected. The Frail scale was used to evaluate the frailty within 24 h of admission, and the nutritional status was evaluated by the Controlling Nutritional Status score. The general characteristics of patients and occurrence of PPOI were recorded, and the risk factors for PPOI were analyzed by multivariate logistic regression. The ability of frailty, nutritional status and their combination to predict PPOI was assessed by the receiver operating characteristic curve.Results:Two hundred and fourteen patients were finally included, 52 cases developed of PPOI, and 98 cases were frail patients. Preoperative frailty combined with moderate to severe malnutrition was an independent risk factor for PPOI in the patients with gynecological malignancies ( P<0.05), and the area under the curve in predicting the occurrence of PPOI was 0.796 (95% confidence interval 0.736-0.857) in the patients with gynecological malignancies. Conclusions:Preoperative frailty combined with moderate to severe malnutrition has a higher accuracy in predicting PPOI in the patients with gynecological malignancies.
