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20240206232206.0 |
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240205s2024 xx |||||o 00| ||eng c |
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|a 10.1016/j.jseint.2023.08.023
|2 doi
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|a pubmed24n1282.xml
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|a eng
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| 100 |
1 |
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|a Liu, Steven H
|e verfasserin
|4 aut
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| 245 |
1 |
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|a Shoulder arthroscopy in elderly patients
|b malnutrition and early postoperative outcomes
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|c 2024
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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|a ƒa Online-Ressource
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|2 rdacarrier
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|a Date Revised 06.02.2024
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2023 The Author(s).
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|a Background: This study investigates the association between the Geriatric Nutritional Risk Index (GNRI), a simple, readily available malnutrition risk index, and 30-day postoperative complications following shoulder arthroscopy
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|a Methods: The American College of Surgeons National Surgical Quality Improvement Program database was used to identify all patients aged ≥65 years who underwent shoulder arthroscopy between 2015 and 2021. The study population was indexed into 3 cohorts of preoperative GNRI: normal/reference (GNRI >98), moderate malnutrition (92≤ GNRI ≤98), and severe malnutrition (GNRI <92). Multivariate logistic regression analysis was conducted to investigate the connection between preoperative GNRI and postoperative complications
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| 520 |
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|a Results: Severe malnutrition was independently significantly associated with a greater likelihood of any complication (odds ratio [OR]: 11.70, 95% confidence interval [CI]: 8.58-15.94; P < .001), sepsis (OR: 26.61, 95% CI: 10.86-65.21; P < .001), septic shock (OR: 7.53, 95% CI: 1.56-36.32; P = .012), blood transfusions (OR: 25.38, 95% CI: 6.40-100.59; P < .001), pulmonary embolism (OR: 7.25, 95% CI: 1.27-41.40; P = .026), surgical site infection (OR: 22.08, 95% CI: 7.51-64.97; P < .001), nonhome discharge (OR: 15.75, 95% CI: 9.83-25.23; P < .001), readmission (OR: 2.69, 95% CI: 1.52-4.74; P < .001), unplanned reoperation (OR: 6.32, 95% CI: 2.23-17.92; P < .001), length of stay >2 days (OR: 23.66, 95% CI: 16.25-34.45; P < .001), and mortality (OR: 14.25, 95% CI: 2.89-70.40; P = .001)
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|a Conclusion: GNRI-based malnutrition is strongly predictive of perioperative complications following shoulder arthroscopy in geriatric patients and has utility as an adjunctive risk stratification tool
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|a Journal Article
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|a Arthroscopy
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| 650 |
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4 |
|a Complications
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| 650 |
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4 |
|a Geriatric
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| 650 |
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4 |
|a Geriatric nutritional risk index
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| 650 |
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4 |
|a Malnutrition
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| 650 |
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4 |
|a Perioperative
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| 650 |
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4 |
|a Shoulder
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| 700 |
1 |
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|a Cerri-Droz, Patricia
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Loyst, Rachel A
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Komatsu, David E
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Wang, Edward D
|e verfasserin
|4 aut
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| 773 |
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|t JSES international
|d 2020
|g 8(2024), 1 vom: 15. Jan., Seite 41-46
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|g year:2024
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|g day:15
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|u http://dx.doi.org/10.1016/j.jseint.2023.08.023
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