Value of geriatric nutritional risk index in predicting complications after hip replacement in elderly patients
Objective To explore the value of geriatric nutritional risk index (GNRI) in predicting complications after hip arthroplasty. Methods A total of 271 elderly patients undergoing hip arthroplasty in the Second Hospital of Tangshan from January 2020 to February 2022 were prospectively selected and divided into the occurrence group (n=28) and non-occurrence group (n=243) according to the occurrence of complications within one month after surgery. Multivariate logistic regression was used to analyze the risk factors leading to postoperative com-plications. Receiver operating characteristic curve (ROC) was plotted to analyze the predictive value of GNRI for postoperative complications. Results Age, proportion of intraoperative transfusion cases, intraoperative blood loss, operative time, leukocytes, creatinine, neutrophils and monocytes in the occurrence group were higher than those in the non-occurrence group; GNRI, lymphocyte, and hemoglobin levels were lower than those in the non-occurrence group (P < 0.05). Multivariate logistic regression analysis showed that intraoperative blood transfusion, high intraoperative blood loss, low GNRI, long operation time and low hemoglobin level were the risk factors for postoperative complications (P < 0.05). The ROC curve showed that GNRI predicted that the AUC of postoperative complications was 0.892. Conclusions GNRI is an indepen-dent risk factor for complications after hip replacement in elderly patients, which has high predictive value.
Hip replacementGeriatric nutritional risk indexNutritional statusComplications
万方数据
维普
