Cited 15 times in
Impact of preoperative nutritional scores on 1-year postoperative mortality in patients undergoing valvular heart surgery
DC Field | Value | Language |
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dc.contributor.author | 김광섭 | - |
dc.contributor.author | 곽영란 | - |
dc.contributor.author | 심재광 | - |
dc.contributor.author | 조진선 | - |
dc.date.accessioned | 2022-12-22T04:50:48Z | - |
dc.date.available | 2022-12-22T04:50:48Z | - |
dc.date.issued | 2022-10 | - |
dc.identifier.issn | 0022-5223 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/192238 | - |
dc.description.abstract | Objective: Malnutrition is a well-recognized risk factor for poor prognosis and mortality. We investigated whether preoperative malnutrition diagnosed with objective nutritional scores affects 1-year mortality in patients undergoing valvular heart surgery. Methods: In this retrospective cohort observational study, we evaluated the association among the Controlling Nutritional Status score, Prognostic Nutritional Index, and Geriatric Nutritional Risk Index with 1-year mortality in 1927 patients undergoing valvular heart surgery. We identified factors for mortality using multivariable Cox proportional hazard analysis and investigated the utility of nutritional scores for risk stratification. Results: Malnutrition, as identified by a high Controlling Nutritional Status score and low Prognostic Nutritional Index and Geriatric Nutritional Risk Index, was significantly associated with higher 1-year mortality. Kaplan-Meier survival curve showed that mortality significantly increased as the severity of malnutrition increased (log-rank test, P < .001). The predicted discrimination (C-index) was 0.79 with the Controlling Nutritional Status score, 0.77 with the Prognostic Nutritional Index, and 0.73 with the Geriatric Nutritional Risk Index. Each nutritional index (Controlling Nutritional Status; hazard ratio, 1.31, 95% confidence interval, 1.21-1.42, P < .001), the European System for Cardiac Operative Risk Evaluation II (hazard ratio, 1.07, 95% confidence interval, 1.04-1.09, P < .001), and chronic kidney disease (hazard ratio, 2.26, 95% confidence interval, 1.31-3.90, P = .003) were independent risk factors for mortality. The Controlling Nutritional Status score added to the European System for Cardiac Operative Risk Evaluation II significantly increased the predictive discrimination ability for mortality (C-index 0.82, 95% confidence interval, 0.78-0.87, P = .014) compared with the Controlling Nutritional Status or European System for Cardiac Operative Risk Evaluation II alone. Conclusions: Preoperative malnutrition as assessed by objective nutritional scores was associated with 1-year mortality after valvular heart surgery. The Controlling Nutritional Status score had the highest predictive ability and, when added to the European System for Cardiac Operative Risk Evaluation II, provided more accurate risk stratification. Trial registration: ClinicalTrials.gov NCT04307732. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Mosby | - |
dc.relation.isPartOf | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cardiac Surgical Procedures* / adverse effects | - |
dc.subject.MESH | Geriatric Assessment | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Malnutrition* / complications | - |
dc.subject.MESH | Malnutrition* / diagnosis | - |
dc.subject.MESH | Nutrition Assessment | - |
dc.subject.MESH | Nutritional Status | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.title | Impact of preoperative nutritional scores on 1-year postoperative mortality in patients undergoing valvular heart surgery | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | Jin Sun Cho | - |
dc.contributor.googleauthor | Jae-Kwang Shim | - |
dc.contributor.googleauthor | Kwang-Sub Kim | - |
dc.contributor.googleauthor | Sugeun Lee | - |
dc.contributor.googleauthor | Young-Lan Kwak | - |
dc.identifier.doi | 10.1016/j.jtcvs.2020.12.099 | - |
dc.contributor.localId | A05895 | - |
dc.contributor.localId | A00172 | - |
dc.contributor.localId | A02205 | - |
dc.contributor.localId | A03914 | - |
dc.relation.journalcode | J01906 | - |
dc.identifier.eissn | 1097-685X | - |
dc.identifier.pmid | 33551075 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0022522320334541?via%3Dihub | - |
dc.subject.keyword | Controlling Nutritional Status score | - |
dc.subject.keyword | Geriatric Nutritional Risk Index | - |
dc.subject.keyword | Prognostic Nutritional Index | - |
dc.subject.keyword | malnutrition | - |
dc.subject.keyword | objective nutritional index | - |
dc.subject.keyword | valvular heart surgery | - |
dc.contributor.alternativeName | Kim, Kwang-Sub | - |
dc.contributor.affiliatedAuthor | 김광섭 | - |
dc.contributor.affiliatedAuthor | 곽영란 | - |
dc.contributor.affiliatedAuthor | 심재광 | - |
dc.contributor.affiliatedAuthor | 조진선 | - |
dc.citation.volume | 164 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 1140 | - |
dc.citation.endPage | 1149.e3 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, Vol.164(4) : 1140-1149.e3, 2022-10 | - |
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