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Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: a multicenter study
http://hdl.handle.net/10271/0002000109
http://hdl.handle.net/10271/00020001094effc99d-eb5e-4823-a199-7badbce0b453
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
DT_941ronbun.pdf (173 KB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||||||||
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| 公開日 | 2024-03-11 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: a multicenter study | |||||||||||
| 言語 | en | |||||||||||
| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| キーワード | ||||||||||||
| 主題 | cervical posterior surgery | |||||||||||
| キーワード | ||||||||||||
| 主題 | malnutrition | |||||||||||
| キーワード | ||||||||||||
| 主題 | medical complications | |||||||||||
| キーワード | ||||||||||||
| 主題 | prognostic nutritional index | |||||||||||
| キーワード | ||||||||||||
| 主題 | risk factors of medical complications | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||||
| 資源タイプ | doctoral thesis | |||||||||||
| アクセス権 | ||||||||||||
| アクセス権 | open access | |||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||
| その他のタイトル | ||||||||||||
| その他のタイトル | 頸椎後方除圧術後の内科的合併症の予測因子としての術前予後推定栄養指数: 多施設共同研究 | |||||||||||
| 著者 |
黒須, 健太
× 黒須, 健太
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| 書誌情報 |
en : Journal of Orthopaedic Surgery 巻 29, 号 1, ページ数 6, 発行日 2021-04-09 |
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| 出版者 | ||||||||||||
| 出版者 | SAGE Publications | |||||||||||
| 言語 | en | |||||||||||
| 権利 | ||||||||||||
| 言語 | en | |||||||||||
| 権利情報 | (C) The Author(s) 2021. | |||||||||||
| 権利 | ||||||||||||
| 言語 | en | |||||||||||
| 権利情報 | This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). | |||||||||||
| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Study design: Retrospective longitudinal cohort study. Objective: To investigate postoperative medical complications in patients with malnutrition after cervical posterior surgery. Methods: A total of 256 patients were participated and divided into PNI<50 group (group L) or PNI≥50 (group H). Patient data, preoperative laboratory data, surgical data, hospitalization data, JOA score, complication data were measured. Results: Group L and group H were 127 and 129 patients, each PNI was L: 44.8±4.3, H: 54.6±4.0, P<0.01. There was significant difference in mean age (L: 72.2 years vs H: 64.8 years, P<0.01), BMI (23.1 vs 24.7, P<0.01), serum albumin (L: 3.9±0.4 g/dl vs H: 4.4±0.3 g/dl, P<0.01), total lymphocyte count (L: 1.3±0.5 10³/μL vs H: 2.1±0.7 103/μL, P<0.01), hospital stay (L: 25.0 days vs H: 18.8 days, P<0.05), discharge to home (87.5% vs 57.5%, P<0.01), delirium (L: 15.9% vs H: 3.9%, P<0.01), medical complications (L: 25.2% vs H: 7.0%, P<0.01), pre- and post- operative JOA score (L: 11.3±2.8 vs H: 12.4±2.6, P<0.01; L: 13.3±3.0 vs H: 14.1±2.4, P=0.02). Multiple logistic regression analysis showed that significant risk factors for medical complications were PNI<50 (P=0.024, odds ratio [OR] 2.746, 95% confidence interval [CI] 1.143–6.600) and age (P=0.005, odds ratio [OR] 1.064, 95% confidence interval [CI] 1.020–1.111). Conclusion: Medical complications are significantly higher in patients with PNI<50 and higher age. The results showed that PNI is a good indicator for perioperative medical complications in cervical posterior surgery. Improvement of preoperative nutritional status is important to avoid medical complications. | |||||||||||
| 言語 | en | |||||||||||
| 学位名 | ||||||||||||
| 学位名 | 博士（医学） | |||||||||||
| 学位の区分 | ||||||||||||
| 内容記述 | dotoral | |||||||||||
| 学位の分野 | ||||||||||||
| 内容記述 | 医学系研究科 | |||||||||||
| 学位授与機関 | ||||||||||||
| 学位授与機関識別子Scheme | kakenhi | |||||||||||
| 学位授与機関識別子 | 13802 | |||||||||||
| 学位授与機関名 | 浜松医科大学 | |||||||||||
| 学位授与年月日 | ||||||||||||
| 学位授与年月日 | 2023-03-16 | |||||||||||
| 学位授与番号 | ||||||||||||
| 学位授与番号 | 甲第941号 | |||||||||||
| ISSN | ||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||
| 収録物識別子 | 1022-5536 | |||||||||||
| EISSN | ||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||
| 収録物識別子 | 2309-4990 | |||||||||||
| NII書誌ID | ||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||
| 収録物識別子 | AA11004541 | |||||||||||
| PubMed番号 | ||||||||||||
| 関連タイプ | isIdenticalTo | |||||||||||
| 識別子タイプ | PMID | |||||||||||
| 関連識別子 | 33832377 | |||||||||||
| 出版社DOI | ||||||||||||
| 関連タイプ | isIdenticalTo | |||||||||||
| 識別子タイプ | DOI | |||||||||||
| 関連識別子 | https://doi.org/10.1177/23094990211006869 | |||||||||||
| 著者版フラグ | ||||||||||||
| 出版タイプ | VoR | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
