Impact of preoperative nutritional risk on complications after radical cystectomy
10.3969/j.issn.1671-167X.2015.05.013
- VernacularTitle:术前营养风险对根治性全膀胱切除术后并发症发生率的影响
- Author:
Kun LIU
;
Zongyuan XU
;
Junsong MENG
;
Guangbo FU
;
Suo GU
;
Min GU
- Publication Type:Journal Article
- Keywords:
Nutritional status;
Cystectomy;
Postoperative complications
- From:
Journal of Peking University(Health Sciences)
2015;(5):800-803
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate whether urological patients at nutritional risk are at higher risk for complications after radical cystectomy than those not at nutritional risk .Methods:We performed a retro-spective observational study in the consecutive patients undergoing radical cystectomy between 2010 and 2013 .A total of 147 patients were enrolled in this study .The nutritional risk score was assessed preoper-atively by a specialized study nurse .The patients with NRS ( nutritional risk screening ,NRS2002) scores≥3 were considered to have nutritional deficiency .Postoperative complications were defined using the standardized Clavien-Dindo classification .Univariate and multivariate analyses were performed to identify the predictors of complications.Results:The patients aged ≥70 years(50.57%) were more prone to nutritional risk than those aged <70 years (31.67%, P=0.023).Of the 63 patients at nutritional risk, 39 (61.90%) presented with at least 1 complication compared with 29 of the 84 controls (34.52%, P=0 .001 ) .The patients at nutritional risk were at threefold risk for complications on binary Logistic analysis (OR=3.128,95%CI 1.538-6.361,P=0.002).The length of hospital stay of the patients at higher nutritional risk was longer than that of those without nutritional risk [(12.9 ±5.7) d vs.(10.4 ± 4.3) d, P=0.003].Conclusion:The patients aged ≥70 years are at higher nutritional risk than that of those aged <70 years .Patients at nutritional risk are more prone to complications after radical cystectomy .
