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Geriatric nutritional risk index predicts prognosis after hepatectomy in elderly patients with hepatitis B virus-related hepatocellular carcinoma

机译:老年营养风险指数可预测老年乙型肝炎病毒相关肝细胞癌患者肝切除术后的预后

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Geriatric nutritional risk index (GNRI) is a novel and useful screening?tool for evaluating nutritional status in elderly in-patients. We aimed to investigate whether the preoperative GNRI could be a predictive factor for outcomes in patients over 65 years of age with a diagnosis of hepatocellular carcinoma (HCC). We retrospectively enrolled 261 consecutive HCC patients after hepatectomy and classified them into four risk groups based on the GNRI values: high risk (GNRI, 98). We found that the lower GNRI value was significantly associated with severe postoperative complications ( P
机译:老年营养风险指数(GNRI)是一种新颖且有用的筛查工具,可用于评估老年住院患者的营养状况。我们旨在调查术前GNRI是否可以作为诊断为肝细胞癌(HCC)的65岁以上患者预后的预测因素。我们回顾性研究了261例肝切除术后连续HCC患者,并根据GNRI值将其分为四个风险组:高风险(GNRI,98)。我们发现较低的GNRI值与严重的术后并发症(P <?0.001)和肝功能衰竭(P <?0.001)显着相关。通过多因素logistic回归分析,高风险和中风险GNRI组被确定为术后服务并发症和肝功能衰竭的独立危险因素。多元Cox回归分析显示术前GNRI(P <?0.001)对总体生存率产生不利影响。总之,术前GNRI可以预测严重的术后并发症,包括肝功能衰竭,而GNRI值较低与老年HCC肝切除术后总体生存期较差有关。

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