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Prognostic nutritional index as outcome predictor in patients with iliopsoas abscess
Cases with iliopsoas abscess (IPA) in a single hospital-based cases were reviewed and compared with clinical profiles of published hospital-based IPA series. To verify usefulness of prognostic nutritional index (PNI) used to predict outcome and severity of IPA, this study was performed. This study c...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622649/ https://www.ncbi.nlm.nih.gov/pubmed/36316935 http://dx.doi.org/10.1097/MD.0000000000031256 |
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author | Matsuo, Tomomasa Fujita, Yasuhiko Amagai, Teruyoshi |
author_facet | Matsuo, Tomomasa Fujita, Yasuhiko Amagai, Teruyoshi |
author_sort | Matsuo, Tomomasa |
collection | PubMed |
description | Cases with iliopsoas abscess (IPA) in a single hospital-based cases were reviewed and compared with clinical profiles of published hospital-based IPA series. To verify usefulness of prognostic nutritional index (PNI) used to predict outcome and severity of IPA, this study was performed. This study consists of 2 parts: Study 1 – Case review of IPA series in a single hospital: 7 cases with IPA treated in a single hospital in sequential 5 years were collected (series 1) and their clinical profiles compared. Study 2 – Review of hospital-based literature: A search of the PubMed database from 1990 to the present was performed, using the Boolean expression ([Psoas OR iliopsoas] AND [abscess] AND [hospital-based]). Two hospital-based case series were collected. The clinical profiles of 2 series were compared with series 1 to draw predictive factors of outcome and deciding treatment modality, medical or surgical. Study 1 – Analyzing 7 IPA cases, average age was 76.7 years old (varying from 64 to 91) and the lifesaving rate was 86%. PNI < 45, calculated with serum albumin (Alb) and total lymphocyte count, and larger cumulative abscess volume (CAV) measured by computed tomography seem outcome predictors. Study 2 – Analyzing 2 hospital-based IPA series (series 2 and 3), series 2 reviewed isolated IPA cases without any comorbidities and series 3 reviewed IPA cases with cardiovascular disorders. Among 3 series including ours, series 1 showed oldest case and longer length of hospitalization. Series 3 showed the highest mortality among 3 because it collected IPA with cardiovascular comorbidities. PNI seems predictors of outcome and disease activity in patients with IPA and might indicate treated with surgical intervention. |
format | Online Article Text |
id | pubmed-9622649 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-96226492022-11-03 Prognostic nutritional index as outcome predictor in patients with iliopsoas abscess Matsuo, Tomomasa Fujita, Yasuhiko Amagai, Teruyoshi Medicine (Baltimore) 4900 Cases with iliopsoas abscess (IPA) in a single hospital-based cases were reviewed and compared with clinical profiles of published hospital-based IPA series. To verify usefulness of prognostic nutritional index (PNI) used to predict outcome and severity of IPA, this study was performed. This study consists of 2 parts: Study 1 – Case review of IPA series in a single hospital: 7 cases with IPA treated in a single hospital in sequential 5 years were collected (series 1) and their clinical profiles compared. Study 2 – Review of hospital-based literature: A search of the PubMed database from 1990 to the present was performed, using the Boolean expression ([Psoas OR iliopsoas] AND [abscess] AND [hospital-based]). Two hospital-based case series were collected. The clinical profiles of 2 series were compared with series 1 to draw predictive factors of outcome and deciding treatment modality, medical or surgical. Study 1 – Analyzing 7 IPA cases, average age was 76.7 years old (varying from 64 to 91) and the lifesaving rate was 86%. PNI < 45, calculated with serum albumin (Alb) and total lymphocyte count, and larger cumulative abscess volume (CAV) measured by computed tomography seem outcome predictors. Study 2 – Analyzing 2 hospital-based IPA series (series 2 and 3), series 2 reviewed isolated IPA cases without any comorbidities and series 3 reviewed IPA cases with cardiovascular disorders. Among 3 series including ours, series 1 showed oldest case and longer length of hospitalization. Series 3 showed the highest mortality among 3 because it collected IPA with cardiovascular comorbidities. PNI seems predictors of outcome and disease activity in patients with IPA and might indicate treated with surgical intervention. Lippincott Williams & Wilkins 2022-10-28 /pmc/articles/PMC9622649/ /pubmed/36316935 http://dx.doi.org/10.1097/MD.0000000000031256 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 4900 Matsuo, Tomomasa Fujita, Yasuhiko Amagai, Teruyoshi Prognostic nutritional index as outcome predictor in patients with iliopsoas abscess |
title | Prognostic nutritional index as outcome predictor in patients with iliopsoas abscess |
title_full | Prognostic nutritional index as outcome predictor in patients with iliopsoas abscess |
title_fullStr | Prognostic nutritional index as outcome predictor in patients with iliopsoas abscess |
title_full_unstemmed | Prognostic nutritional index as outcome predictor in patients with iliopsoas abscess |
title_short | Prognostic nutritional index as outcome predictor in patients with iliopsoas abscess |
title_sort | prognostic nutritional index as outcome predictor in patients with iliopsoas abscess |
topic | 4900 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622649/ https://www.ncbi.nlm.nih.gov/pubmed/36316935 http://dx.doi.org/10.1097/MD.0000000000031256 |
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