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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...

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Autores principales: Matsuo, Tomomasa, Fujita, Yasuhiko, Amagai, Teruyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
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.
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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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