| 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
Watanabe, Jun
Akai, Tatsuya
Makino, Tomomi
Ito, Midori
Yamato, Yu
Hasegawa, Tomohiko
Yoshida, Go
Banno, Tomohiro
Arima, Hideyuki
Mihara, Yuki
Ushirozako, Hiroki
Yamada, Tomohiro
Ide, Koichiro
Watanabe, Yuh
Kurosu, Kenta
Nakai, Keiichi
Matsuyama, Yukihiro
|
| 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 |
Spine-47-387.pdf (1012 KB)
