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Article

Global Leadership Initiative on Malnutrition Criteria Predict Pulmonary Complications and 90-Day Mortality after Major Abdominal Surgery in Cancer Patients

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1st Pulmonary Department, Evangelismos General Hospital of Athens, Ypsilantou 45-47, 10676 Athens, Greece
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Department of Clinical Nutrition, Evangelismos General Hospital of Athens, Ypsilantou 45-47, 10676 Athens, Greece
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Department of Nutrition and Dietetics, Laiko General Hospital, 11527 Athens, Greece
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Transplant Unit, 1st Department of Surgery, Evangelismos General Hospital of Athens, 10676 Athens, Greece
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Author to whom correspondence should be addressed.
Nutrients 2020, 12(12), 3726; https://doi.org/10.3390/nu12123726
Received: 13 November 2020 / Revised: 26 November 2020 / Accepted: 1 December 2020 / Published: 3 December 2020
(This article belongs to the Section Clinical Nutrition)
Although several studies have reported an association between malnutrition and the risk of severe complications after abdominal surgery, there have been no studies evaluating the use of Global Leadership Initiative on Malnutrition (GLIM) criteria for predicting postoperative pulmonary complications (PPCs) following major abdominal surgery in cancer patients. This study aimed to investigate the association among the diagnosis of malnutrition by GLIM criteria, PPCs risk and 90-day all-cause mortality rate following major abdominal surgery in cancer patients. We prospectively analyzed 218 patients (45% male, mean age 70.6 ± 11.2 years) with gastrointestinal cancer who underwent major abdominal surgery at our hospital between October 2018 and December 2019. Patients were assessed preoperatively using GLIM criteria of malnutrition, and 90-day all-cause mortality and PPCs were recorded. In total, 70 patients (32.1%) were identified as malnourished according to GLIM criteria, of whom 41.1% fulfilled the criteria for moderate and 12.6% for severe malnutrition. PPCs were detected in 48 of 218 patients (22%) who underwent major abdominal surgery. Univariate logistic regression analysis revealed that the diagnosis of malnutrition was significantly associated with the risk of PPCs. Furthermore, in multivariate model analysis adjusted for other clinical confounding factors, malnutrition remained an independent factor associated with the risk of PPCs (RR = 1.82; CI = 1.21–2.73) and 90-day all-cause mortality (RR = 1.97; CI = 1.28–2.63, for severely malnourished patients). In conclusion, preoperative presence of malnutrition, diagnosed by the use of GLIM criteria, is associated with the risk of PPCs and 90-day mortality rate in cancer patients undergoing major abdominal surgery. View Full-Text
Keywords: malnutrition; abdominal surgery; cancer; postoperative complications malnutrition; abdominal surgery; cancer; postoperative complications
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MDPI and ACS Style

Kakavas, S.; Karayiannis, D.; Bouloubasi, Z.; Poulia, K.A.; Kompogiorgas, S.; Konstantinou, D.; Vougas, V. Global Leadership Initiative on Malnutrition Criteria Predict Pulmonary Complications and 90-Day Mortality after Major Abdominal Surgery in Cancer Patients. Nutrients 2020, 12, 3726. https://doi.org/10.3390/nu12123726

AMA Style

Kakavas S, Karayiannis D, Bouloubasi Z, Poulia KA, Kompogiorgas S, Konstantinou D, Vougas V. Global Leadership Initiative on Malnutrition Criteria Predict Pulmonary Complications and 90-Day Mortality after Major Abdominal Surgery in Cancer Patients. Nutrients. 2020; 12(12):3726. https://doi.org/10.3390/nu12123726

Chicago/Turabian Style

Kakavas, Sotirios, Dimitrios Karayiannis, Zoi Bouloubasi, Kalliopi A. Poulia, Steven Kompogiorgas, Dimitrios Konstantinou, and Vasileios Vougas. 2020. "Global Leadership Initiative on Malnutrition Criteria Predict Pulmonary Complications and 90-Day Mortality after Major Abdominal Surgery in Cancer Patients" Nutrients 12, no. 12: 3726. https://doi.org/10.3390/nu12123726

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