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Cited by 9Nutrition and Health in AgingFrailty in Older AdultsClinical Nutrition and Gastroenterology

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Prognostic implications of Global Leadership Initiative on Malnutrition–defined malnutrition in older patients who underwent cardiac surgery in China

Liu, Zhang, Zang, Wangfu, Zhang, Peng, Shen, Zile·2023·Surgery
DOI 10.1016/j.surg.2022.11.008
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Abstract

Background The proportion of older patients who are candidates for cardiac surgery is increasing. Growing evidence has shown that malnutrition is associated with a poor prognosis after cardiac surgery. The present study aimed to investigate the prognostic implications of malnutrition defined by the Global Leadership Initiative on Malnutrition in older patients who underwent cardiac surgery. Methods From November 2015 to January 2021, 401 older patients who underwent cardiac surgery were retrospectively enrolled and evaluated using the Global Leadership Initiative on Malnutrition criteria. The perioperative characteristics and clinical outcomes were collected. The independent risk factors for postoperative complications and overall survival were analyzed. Results The prevalence of Global Leadership Initiative on Malnutrition-defined malnutrition was 22.7% in this study. Patients with Global Leadership Initiative on Malnutrition-defined malnutrition had higher risks of postoperative complications (65.9% vs 49.7%, P = .006) and poor overall survival (68.1% vs 83.9%, P = .0019). Global Leadership Initiative on Malnutrition-defined malnutrition was also related to a longer postoperative hospital stay and prolonged intensive care stay. Five factors were identified as independent risk factors for overall survival: Global Leadership Initiative on Malnutrition-defined malnutrition (P = .009), chronic heart failure (P = .007), atrial fibrillation (P = .029), operative time (P Conclusio…

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Metadata

Authors
Liu, Z., Zang, W., Zhang, P., & Shen, Z.
Affiliations
Tongji University (CN)
Corresponding author
Zhang, Peng
ORCID
Venue
Surgery
Publisher
Elsevier BV
Published
2023-02
Volume
173
Issue
2
Pages
472-478
ISSN
0039-6060 (ISSN-L)
DOI
10.1016/j.surg.2022.11.008
OpenAlex
W4311022746
Cited by
8
References
0
Citations by year
2026: 3 · 2025: 1 · 2024: 3 · 2023: 1
FWCI
0.77
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Surgery (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Science and Technology Commission of Shanghai Municipality (16140901600, 2018SYPDRC065)
  • Health and Family Planning Commission of Sichuan Province
  • Shanghai Municipal Commission of Health and Family Planning (201640203)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Keywords
malnutrition, GLIM, elderly patients, cardiac surgery, postoperative complications, overall survival, preoperative risk assessment, chronic heart failure, atrial fibrillation, hemoglobin, ICU length of stay, perioperative outcomes
MeSH terms
Aged, Cardiac Surgical Procedures, Humans, Leadership, Nutritional Status, Postoperative Complications, Prognosis, Retrospective Studies, Malnutrition

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