Association of "Controlling Nutritional Status Index'' and "Prognostic Nutritional Index'' with intensive care unit survival in elderly patients

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dc.contributor.authorKöş, Mehmet
dc.contributor.authorTitiz, Hafize
dc.contributor.authorÖneç, Birgül
dc.contributor.authorSoysal, Tuba
dc.contributor.authorKutlucan, Ali
dc.contributor.authorEmen, S. Şahiner
dc.contributor.authorKutlucan, Leyla
dc.date.accessioned2020-04-30T22:39:52Z
dc.date.available2020-04-30T22:39:52Z
dc.date.issued2016
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000369751600004en_US
dc.description.abstractObjectives: Providing proper nutritional support for the intensive care unit (ICU) patients is only possible with assessment of malnutrition. In this study, we aimed to evaluate associations between nutritional indexes which were developed to assess malnutrition using blood parameters, and survival among elderly patients in the ICU. Patients and methods: Patients older than 65 years of age and monitored in the ICU, were retrospectively screened with nutritional indexes in order to assess the nutritional status. Each patient was evaluated with both "Controlling Nutritional Status Index'' (CONUT) which includes albumin, total cholesterol, total lymphocyte counts, and "Prognostic Nutritional Index'' (PNI) which includes only albumin beside total lymphocyte count. Results: Two hundred twenty five patients were enrolled in this study. Median age was 79 (range: 65100). One hundred and eleven (49.3%) patients died during intensive care follow-up. CONUT and PNI scores displayed significant differences between patients who died and who were discharged (P = 0.02 and P = 0.03, respectively). Kaplan-Meier analysis revealed that high CONUT (>= 5) and low PNI (<40) scores were associated with intensive care unit survival but statistical significance was not provided for PNI (P = 0.04 and P = 0.06, respectively). Conclusion: Both CONUT and PNI indexes seems associated with survival but only CONUT score provides statistically significant prognostic information and may serve as a cost-effective nutritional assessment tool in elderly patients. Because this association did not retain its significance on multivariate analysis, the validity of this index in elderly patients should be further evaluated by prospective studies including larger samples. (C) 2015 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.en_US
dc.identifier.doi10.1016/j.eurger.2015.07.007en_US
dc.identifier.endpage17en_US
dc.identifier.issn1878-7649
dc.identifier.issn1878-7657
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage13en_US
dc.identifier.urihttps://doi.org/10.1016/j.eurger.2015.07.007
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2847
dc.identifier.volume7en_US
dc.identifier.wosWOS:000369751600004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Geriatric Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectIntensive Care Uniten_US
dc.subjectElderly patienten_US
dc.subjectNutritional Indexen_US
dc.subjectSurvivalen_US
dc.titleAssociation of "Controlling Nutritional Status Index'' and "Prognostic Nutritional Index'' with intensive care unit survival in elderly patientsen_US
dc.typeArticleen_US

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