Cited by 98Clinical Nutrition and GastroenterologyNutrition and Health in AgingCardiac and Coronary Surgery Techniques

Impact of preoperative prealbumin on outcomes after cardiac surgery

Yu, Pey‐Jen, Cassiere, Hugh A., Dellis, Sophia L., Manetta, Frank, Kohn, Nina, Hartman, Alan R.·2015·Journal of Parenteral and Enteral Nutrition

Abstract

Background: Preoperative malnutrition is increasingly prevalent in patients undergoing cardiac surgery. Although prealbumin is a widely used indicator of nutrition status, its use in the preoperative assessment of patients undergoing cardiac surgery is not well defined. The purpose of this study is to determine the impact of preoperative prealbumin levels on outcomes after cardiac surgery. Materials and Methods: Data were prospectively gathered from February 2013 to July 2013 on 69 patients undergoing cardiac surgery. Prealbumin levels were obtained within 24 hours of surgery. Patients were divided into 2 groups based on a prealbumin cutoff value of 20 mg/dL. Results: Of the 69 patients, 32 (46.4%) had a preoperative prealbumin ≤20 mg/dL. There was no correlation between prealbumin levels and body mass index (r = −0.13, P = .28). Likewise, there was no correlation between preoperative albumin and prealbumin levels (r = 0.09, P = .44). Nine of 32 (28.1%) patients with low preoperative prealbumin levels had postoperative infections compared with 2 of 37 (5.4%) patients with high prealbumin levels (P = .010). Patients with low prealbumin levels also had increased risk of postoperative intubation for >12 hours (P = .010). Conclusions: Patients undergoing cardiac surgery with preoperative prealbumin levels of ≤20 mg/dL have an increased risk for postoperative infections and the need for longer mechanical ventilation. If feasible, nutrition optimization of such patients may be considered prior to cardiac surgery.

Integrity signals

Registry

Crossref · 10.1177/0148607114536735

Cites

27 of 27 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Yu, P., Cassiere, H. A., Dellis, S. L., Manetta, F., Kohn, N., & Hartman, A. R.
Affiliations
  • North Shore University Hospital (US)
  • Feinstein Institute for Medical Research (US)
Corresponding author
Yu, Pey‐Jen
Venue
Journal of Parenteral and Enteral Nutrition
Publisher
Wiley
Published
2014-06-04
Volume
39
Issue
7
Pages
870-874
ISSN
  • 0148-6071 (ISSN-L)
  • 1941-2444
OpenAlex
W2085377408
Cited by
98
References
27
Citations by year
2026: 6 · 2025: 11 · 2024: 5 · 2023: 6 · 2022: 10 · 2021: 7 · 2020: 13 · 2019: 9 · 2018: 8 · 2017: 5 · 2016: 11 · 2015: 5 · 2014: 2
FWCI
7.14
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Parenteral and Enteral Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
Keywords
prealbumin, cardiac surgery, preoperative malnutrition, nutritional assessment, postoperative infection, prolonged mechanical ventilation, preoperative albumin, diet optimization
MeSH terms
Aged, Aged, 80 and over, Female, Cardiac Surgical Procedures, Humans, Male, Middle Aged, Nutritional Status, Postoperative Complications, Prealbumin, Preoperative Care, Prospective Studies, Respiration, Artificial, Risk Factors, Nutrition Assessment, Body Mass Index, Malnutrition

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review