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Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis

Background and Objectives: It has been demonstrated that parameters such as the Controlled Nutrition Status (CONUT) score and Prognostic Nutrition Index (PNI) are beneficial for the assessment of patients’ nutrition. In this study, our objective was to investigate the potential benefits of CONUT and...

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Autores principales: Akkuzu, Mustafa Zanyar, Altıntaş, Engin, Yaraş, Serkan, Sezgin, Orhan, Ateş, Fehmi, Üçbilek, Enver, Özdoğan, Osman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9861209/
https://www.ncbi.nlm.nih.gov/pubmed/36676694
http://dx.doi.org/10.3390/medicina59010070
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author Akkuzu, Mustafa Zanyar
Altıntaş, Engin
Yaraş, Serkan
Sezgin, Orhan
Ateş, Fehmi
Üçbilek, Enver
Özdoğan, Osman
author_facet Akkuzu, Mustafa Zanyar
Altıntaş, Engin
Yaraş, Serkan
Sezgin, Orhan
Ateş, Fehmi
Üçbilek, Enver
Özdoğan, Osman
author_sort Akkuzu, Mustafa Zanyar
collection PubMed
description Background and Objectives: It has been demonstrated that parameters such as the Controlled Nutrition Status (CONUT) score and Prognostic Nutrition Index (PNI) are beneficial for the assessment of patients’ nutrition. In this study, our objective was to investigate the potential benefits of CONUT and, as a prognostic marker of acute pancreatitis, the PNI. Materials and Methods: The data of 361 patients were analysed retrospectively. The PNI and CONUT scores of these patients were retrospectively calculated. They were categorised as CONUT-high (≥3) and CONUT-low (≤2). A PNI ≥ 45 was considered high and a PNI < 45 low. The AP severity and organ failure due to disease were evaluated based on Atlanta 2012. Results: According to the CONUT score, it was found that 209 patients had normal to mild, whereas 152 patients had severe malnutrition. A total of 293 patients had mild AP and 68 thereof had severe AP. The patients with a high CONUT score used more antibiotics, were hospitalised more in intensive care units and experienced organ failure more frequently. There were no intensive care hospitalisations, mortalities, surgical needs and local complications among the patients with a higher PNI score. Conclusions: CONUT and the PNI have proven to be useful prognostic markers not only for predicting nutritional status but also for estimating the severity and results of AP.
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spelling pubmed-98612092023-01-22 Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis Akkuzu, Mustafa Zanyar Altıntaş, Engin Yaraş, Serkan Sezgin, Orhan Ateş, Fehmi Üçbilek, Enver Özdoğan, Osman Medicina (Kaunas) Article Background and Objectives: It has been demonstrated that parameters such as the Controlled Nutrition Status (CONUT) score and Prognostic Nutrition Index (PNI) are beneficial for the assessment of patients’ nutrition. In this study, our objective was to investigate the potential benefits of CONUT and, as a prognostic marker of acute pancreatitis, the PNI. Materials and Methods: The data of 361 patients were analysed retrospectively. The PNI and CONUT scores of these patients were retrospectively calculated. They were categorised as CONUT-high (≥3) and CONUT-low (≤2). A PNI ≥ 45 was considered high and a PNI < 45 low. The AP severity and organ failure due to disease were evaluated based on Atlanta 2012. Results: According to the CONUT score, it was found that 209 patients had normal to mild, whereas 152 patients had severe malnutrition. A total of 293 patients had mild AP and 68 thereof had severe AP. The patients with a high CONUT score used more antibiotics, were hospitalised more in intensive care units and experienced organ failure more frequently. There were no intensive care hospitalisations, mortalities, surgical needs and local complications among the patients with a higher PNI score. Conclusions: CONUT and the PNI have proven to be useful prognostic markers not only for predicting nutritional status but also for estimating the severity and results of AP. MDPI 2022-12-28 /pmc/articles/PMC9861209/ /pubmed/36676694 http://dx.doi.org/10.3390/medicina59010070 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Akkuzu, Mustafa Zanyar
Altıntaş, Engin
Yaraş, Serkan
Sezgin, Orhan
Ateş, Fehmi
Üçbilek, Enver
Özdoğan, Osman
Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis
title Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis
title_full Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis
title_fullStr Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis
title_full_unstemmed Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis
title_short Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis
title_sort controlling nutritional status (conut) score and prognostic nutritional index (pni) are good candidates for prognostic markers for acute pancreatitis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9861209/
https://www.ncbi.nlm.nih.gov/pubmed/36676694
http://dx.doi.org/10.3390/medicina59010070
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