Preoperative prognostic nutritional index predicts postoperative surgical site infectious in gastrointestinal fistula patients
10.3760/cma.j.issn.1007-631X.2018.04.004
- VernacularTitle:预后营养指数对肠瘘患者术后手术部位感染的预测价值
- Author:
Huajian REN
1
;
Qiongyuan HU
;
Gefei WANG
;
Zhiwu HONG
;
Guosheng GU
;
Guanwei LI
;
Xiuwen WU
;
Jian'an REN
Author Information
1. 210002,解放军南京总医院全军普通外科研究所
- Keywords:
Intestinal fistula;
Nutritional assessment;
Surgical wound infection
- From:
Chinese Journal of General Surgery
2018;33(4):284-287
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the predictive value of prognostic nutritional index (PNI) in surgical site infections (SSIs) for intestinal fistula patients undergoing bowel resections.Methods Clinical data of 290 gastrointestinal fistula patients who underwent intestinal resections between 2012 and 2015 were retrospectively reviewed.Univariate and multivariate analyses were conducted to identify risk factors for SSIs,and receiver operating characteristic (ROC) curve was used to quantify the effectiveness of PNI.Results SSIs were diagnosed in 99 (34.1％) patients.ROC curve analysis defined a PNI cut-off level of 45 corresponding to postoperative SSIs (area under the curve =0.72,76％ sensitivity,55％ specificity).Furthermore,a multivariate analysis indicated that the PNI ＜ 45 (OR:2.24,95％ CI:1.09-4.61,P =0.029) and preoperative leukocytosis (OR:3.70,95 ％ CI:1.02-13.42,P =0.046) were independently associated with postoperative SSIs.Conclusions Preoperative PNI is useful to predict SSIs in intestinal fistulae patients after enterectomies.
