The Predictive role of Geriatric Nutritional risk index on postoperative outcomes in cardiac surgical patients-A Prospective Observational study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 350
- 试验地点
- 1
- 主要终点
- Evaluation of relationship between preoperative malnutrition as predicted by geriatric nutritional risk index(GNRI) on postoperative atrial fibrillation after cardiac surgery between no risk,low risk ,moderate risk and high risk groups
研究概览
简要总结
The preoperative nutritional status will be evaluated using GNRI within 48 hours of admission. GNRI was calculated using the following formula:
GNRI = [1.489 * albumin (g/dL)] + [41.7 * body weight (kg)/ideal body weight (kg)].
According to previously described cutoffs for GNRI, the patients will be stratified into 4 groups according to malnutrition risk as:
No-risk (GNRI > 98) ,
Low-risk (GNRI 92 to ≤ 98)
Moderate risk (GNRI 82 to <92)
High risk (GNRI < 82)
GENERAL data such as age ,Sex,BMI,Smoking and comorbidities like Hypertension,Diabetesmellitus,Heart failure and COPD will be recorded.
LVEF in % and type of surgical procedure will be documented.Then patient will be followed up for post op atrial fibrillation.
POAF will be determined based on the documentation of 12-lead electrocardiogram, or Holter monitoring of atrial fibrillation (AF) episodes (duration ≥ 30 seconds) during hospitalization.The duration of ICU stay, hospitalisation period , local Infection, bleeding, AKI, stroke, pneumonia, heart failure will be recorded.The patients will be followed upfor 90 days through telephonic interview to document all cause readmission and all cause mortality.Comparison will be done between the low, moderate, major risk groups and the no risk group for the occurrence of post operative AF, duration of ICU stay, hospitalisation period , local Infection, bleeding, AKI, stroke, pneumonia, heart failure and 90 day all cause readmission and mortality
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Elective cardiac surgery 2.Isolated CABG 3.Isolated valve surgery 4.CABG plus vaLVE SURGERY.
排除标准
- •1.History of AF 2.Emergency surgery 3.Terminal illness 4.Death during hospitalisation.
结局指标
主要结局
Evaluation of relationship between preoperative malnutrition as predicted by geriatric nutritional risk index(GNRI) on postoperative atrial fibrillation after cardiac surgery between no risk,low risk ,moderate risk and high risk groups
时间窗: 1.Postoperative day 1 | 2.30 days | 3.60 days | 3.90 days
次要结局
- To compare the 3 months outcome between the low, moderate, major risk groups and the no risk group namely duration of ICU stay, hospitalisation period , local Infection, bleeding, AKI, stroke, pneumonia, heart failure and 90 day all cause readmission and 90 day all cause mortality
研究者
Sanjana S
The Madras medical mission