The predictive value of PNI for post-operative intra-abdominal infections in gerontal liver cancer patients
10.19538/j.cjps.issn1005-2208.2019.06.16
- Author:
Chao LI
1
;
Run-chen MIAO
;
Jing-yao ZHANG
Author Information
1. Department of General Surgery, the First Affiliated Hospital of Xi’an Jiaotong University Xi’an 710061, China
- Publication Type:Journal Article
- Keywords:
prognostic nutritional index;
gerontal patient;
primary liver cancer;
intra-abdominal infections(IAIs)
- From:
Chinese Journal of Practical Surgery
2019;39(06):590-593
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To investigate the predictive significance of prognostic nutritional index(PNI)for intraabdominal infections(IAIs)in gerontal liver cancer patients who received hepatectomy.METHODS: The clinical data of270 gerontal(age≥60 y)patients with primary liver cancer(PLC)who received hepatectomy in the First Affiliated Hospital of Xi' an Jiaotong University were retrospectively analyzed.Receiver operating characteristic curve(ROC),multivariate analysis and survival curve were used to conduct the predictive significance of preoperative PNI for IAIs.RESULTS: The incidence of IAIs was 12.59%(34/270)in this cohort.The cut-off value of preoperative PNI for the prediction of postoperative IAIs was 47.58(P<0.05).Patients with diabetes mellitus,anemia and PNI<47.58 were demonstrated as the independent risk factors for postoperative IAIs(P<0.05,respectively).Patients with PNI<47.58 suffered lower but not significantly short-term over-all and disease-free survival rate(P>0.05).CONCLUSION: Preoperative PNI determination has predictive value for postoperative IAIs in gerontal liver cancer patients who received hepatectomy.
