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Association Between Prognostic Nutrition Index, Geriatric Nutrition Risk Index and 28-Day Mortality in Critically Very Elderly Patients (≥85 Years)     
Yazarlar
Doç. Dr. Veysel Garani SOYLU
Kastamonu Üniversitesi, Türkiye
Funda Çatan İnan
Bilecik Şeyh Edebali Üniversitesi, Türkiye
Doç. Dr. Ayşe YILMAZ
Kastamonu Üniversitesi, Türkiye
Doç. Dr. Öztürk TAŞKIN
Kastamonu Üniversitesi, Türkiye
Doç. Dr. Ufuk DEMİR
Kastamonu Üniversitesi, Türkiye
Özet
Background/Purpose: The aim of this study is to association the Prognostic Nutrition Index(PNI) and Geriatric Nutrition Risk Index(GNRI) with 28-day mortality in critically very elderly patients and compare these indexes with APACHE II and SAPS II scores. Methods: This study is a observational and retrospective study. A total of 189 patients aged 85 years and older who were followed up in the intensive care unit between 2017 and 2021 were included in the study. Demographic data of the patients included in the study, length of stay in the intensive care unit, comorbidities, laboratory data of hospitalization in the intensive care unit, neutrophil/lymphocyte ratios, thrombocyte/lymphocyte ratios, APACHE II, SAPS II, PNI and GNRI index values of intensive care admissions were recorded. Results: In the statistical analysis performed for PNI and GNRI between Survival and Non-survival groups, a statistically significant difference was found between the groups (p=0.022 for PNI, p=0.010 for GNRI). The optimal threshold values of PNI and GNRI were 33.8 and 92.6, respectively. Sensitivity and specificity were 56.1% and 56.9% for PNI, 60.6% and 60.2% for the GNRI. Conclusion: The prognostic nutrition index and geriatric nutrition risk index are associated with 28-day mortality and malnutrition in very elderly patients treated in the intensive care unit. However, these scorings are not as sensitive and specific as APACHE II and SAPS II scores in predicting 28-day mortality.
Anahtar Kelimeler
28-day mortality | geriatric nutrition risk index | intensive care | prognostic nutrition index | Very elderly patient
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan tam makale
Dergi Adı Aging Medicine and Healthcare
Dergi ISSN 2663-8851
Dergi Tarandığı Indeksler ESCI
Makale Dili İngilizce
Basım Tarihi 06-2023
Cilt No 14
Sayı 2
Sayfalar 85 / 91
Doi Numarası 10.33879/AMH.142.2022.05045
Makale Linki https://www.agingmedhealthc.com/wp-content/uploads/2023/06/07-amh-2022-05-045_Volume-14-Issue-2_final.pdf