Article ; Online: Prognostic Nutritional Index and the Risk of Postoperative Complications After Spine Surgery: A Meta-Analysis.
2024
Abstract: Background: A low prognostic nutritional index (PNI) may reflect malnutrition, which has been associated with poor prognosis in patients with various clinical conditions. The aim of the systematic review and meta-analysis was to investigate the ... ...
Abstract | Background: A low prognostic nutritional index (PNI) may reflect malnutrition, which has been associated with poor prognosis in patients with various clinical conditions. The aim of the systematic review and meta-analysis was to investigate the association between preoperative PNI and risk of postoperative complications in adult patients after spine surgery. Methods: An extensive search was conducted on PubMed, Embase, and Web of Science to identify relevant cohort studies. Random-effects models were employed to combine the findings, taking into account the potential influence of heterogeneity. Results: Ten cohort studies involving 3,249 patients receiving spine surgeries were included. Pooled results showed that a low preoperative prognostic nutritional index (PNI) was associated with an increased risk of overall postoperative complications in these patients (odds ratio [OR]: 1.82, 95% confidence interval [CI]: 1.42 to 2.34, P < 0.001; I Conclusions: A preoperative low prognostic nutritional index (PNI) may be a risk factor of increased incidence of overall postoperative complications, postoperative delirium, and surgical site infection in adult patients after spine surgeries. |
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Language | English |
Publishing date | 2024-02-19 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2534351-8 |
ISSN | 1878-8769 ; 1878-8750 |
ISSN (online) | 1878-8769 |
ISSN | 1878-8750 |
DOI | 10.1016/j.wneu.2024.02.077 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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