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  1. 学術雑誌論文
  2. 各雑誌掲載論文

The effect of preoperative nutritional intervention for adult spinal deformity patients

http://hdl.handle.net/10271/0002000309
http://hdl.handle.net/10271/0002000309
551c6e2b-3096-45a5-b116-7bc59519f758
名前 / ファイル ライセンス アクション
Spine-47-387.pdf Spine-47-387.pdf (1012 KB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2025-02-17
タイトル
タイトル The effect of preoperative nutritional intervention for adult spinal deformity patients
言語 en
言語
言語 eng
キーワード
主題 Adult spinal deformity
キーワード
主題 Nutritional intervention
キーワード
主題 Medical complications
キーワード
主題 Adverse event
キーワード
主題 Nutritional status
キーワード
主題 Prognostic nutritional index
キーワード
主題 Malnutrition
キーワード
主題 Controlling nutrition status
キーワード
主題 Enhanced Recovery After Surgery protocol
キーワード
主題 autologous blood transfusion
キーワード
主題 Postoperative complications
キーワード
主題 Preoperative intervention
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
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
著者 Oe, Shin

× Oe, Shin

en Oe, Shin

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Watanabe, Jun

× Watanabe, Jun

en Watanabe, Jun

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Akai, Tatsuya

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en Akai, Tatsuya

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Makino, Tomomi

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en Makino, Tomomi

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Ito, Midori

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en Ito, Midori

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Yamato, Yu

× Yamato, Yu

en Yamato, Yu

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Hasegawa, Tomohiko

× Hasegawa, Tomohiko

en Hasegawa, Tomohiko

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Yoshida, Go

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en Yoshida, Go

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Banno, Tomohiro

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en Banno, Tomohiro

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Arima, Hideyuki

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en Arima, Hideyuki

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Mihara, Yuki

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en Mihara, Yuki

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Ushirozako, Hiroki

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en Ushirozako, Hiroki

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Yamada, Tomohiro

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en Yamada, Tomohiro

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Ide, Koichiro

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en Ide, Koichiro

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Watanabe, Yuh

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Kurosu, Kenta

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Nakai, Keiichi

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Matsuyama, Yukihiro

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書誌情報 en : Spine

巻 47, 号 5, p. 387-395, 発行日 2022-03-01
出版者
出版者 Wolters Kluwer Health
言語 en
権利
権利情報 (C) 2021 Wolters Kluwer Health, Inc. All rights reserved.
権利
権利情報 This is a non-final version of an article published in final form in "Spine,Vol.48 Issue.12, pp843-852".
抄録
内容記述タイプ Abstract
内容記述 Study Design: A prospective nutritional intervention study for adult spinal deformity (ASD) patients.
Objective: To investigate how a nutritional intervention affects the incidence of postoperative medical complications and the nutritional status.
Summary of Background Data: The medical complication rate in ASD surgery is very high, and one risk factor is malnutrition. Nutritional intervention may improve the patient’s nutritional status and reduce risk, but this is unexplored regarding ASD surgery.
Methods: Malnourished patients (i.e., a Prognostic Nutritional Index (PNI) score of <50) scheduled for surgery after November 2018 (Group I) received nutritional intervention consisting of nutritional guidance and supplements on the surgery day. The medical complication rates between Group I and Group NI (malnourished patients who underwent surgery between January 2014 and October 2018; historical controls) were evaluated. The nutritional status courses of Group I and Group NI2 (patients who did not participate in nutritional intervention after November 2018) were assessed.
Results: Group I had 24 patients in (mean age, 70 years), and Group NI had 69 patients (mean age, 68 years). The mean intervention duration was 41 days. The preoperative PNI score did not differ between the groups, but there was a significant difference in medical complications incidences (Group I: 25%; Group NI: 53.6%; P=0.015). The 19 nutritional status significantly deteriorated in Group I (PNI: 47 to 45; P=0.011) and Group NI2 (61 patients; mean age, 68 years; PNI: 52 to 48; P=0.000), but the PNI changes were significantly smaller in Group I (ΔPNI: Group I: −1.9, Group NI 2: −3.5; P=0.027).
Conclusion: Nutritional intervention with guidance and supplements reduced postoperative medical complications in malnourished patients. The nutritional status of ASD patients requiring surgery also naturally worsened, suggesting that ASD may contribute to malnutrition. Nutritional intervention may reduce the nutritional status deterioration.
ISSN
収録物識別子タイプ PISSN
収録物識別子 0362-2436
EISSN
収録物識別子タイプ EISSN
収録物識別子 1528-1159
NII書誌ID
収録物識別子タイプ NCID
収録物識別子 AA0084801X
PubMed番号
関連タイプ isVersionOf
識別子タイプ PMID
関連識別子 34545048
出版社DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1097/BRS.0000000000004227
著者版フラグ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
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