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Table 2 Short-term surgical outcomes of patients undergoing pancreatoduodenectomy according to GNRI categories (n = 144)

From: The impact of preoperative nutritional status on postoperative outcomes: an insight from Geriatric Nutritional Risk Index in elderly pancreaticoduodenectomy patients

Characteristic

Total

(N = 144)

High/moderate risk

GNRI ≤ 92

(N = 54)

Low risk

92 < GNRI ≤ 98

(N = 35)

No risk

GNRI > 98

(N = 55)

P-value

Operative time (minutes), median (IQR)

474.5 (210)

500 (223.75)

450 (182)

475 (230)

0.608

Operative blood loss (ml), median (IQR)

250 (300)

300 (325)

200 (250)

250 (250)

0.371

MIS approach, n (%)

28 (19.4%)

12 (22.2%)

6 (17.1%)

10 (18.2%)

0.832

Malignancy, n (%)

133 (92.4%)

50 (92.6%)

34 (97.1%)

49 (89.1%)

0.443

Tumor size (cm), median (IQR)

3 (2.15)

2.9 (2.275)

3 (1.325)

3.2 (2)

0.309

Mortality, n (%)

9 (6.3%)

6 (11.1%)a

3 (8.6%)

0 (0%)

0.024†

Readmission, n (%)

6 (4.2%)

3 (5.6%)

1 (2.9%)

2 (3.6%)

0.882†

Unplanned ICU Readmission, n (%)

29 (20.1%)

18 (33.3%) a

4 (11.4%)

7(12.7%)

0.009

Reoperation, n (%)

27 (18.8%)

14 (25.9%)

6 (17.1%)

7 (12.7%)

0.202

Post-operative stays (days), median (IQR)

25 (14.75)

29.5 (19.25)a

25 (11)

22 (11)

 < 0.001

Length of ICU stays (days), median (IQR)

4 (3)

5 (6)a

4 (3)

3 (3)

0.001

Soft diet (days), median (IQR)

8 (4)

8 (4)

8 (4)

7 (3)

0.097

Ambulation (days), median (IQR)

6 (3)

7 (6.5)a

6 (2)

5 (2)

0.006

TPN use (days), median (IQR)

9 (8)

12 (8.5)a

10 (9)a

7 (5)

0.001

Drain remove (days), median (IQR)

21 (11)

23 (17)a

21 (13)a

17 (9)

 < 0.001

 > Grade IIIb Complication, n (%)

30 (20.8%)

20 (37.0%)ab

5 (14.3%)

5 (9.1%)

0.001

Fistula Risk Score, median (IQR)

4 (4)

4 (3)

4 (3)

4 (3)

0.488

Pancreatic fistula, n (%)

B

14 (9.7%)

2 (3.7%)

3 (8.6%)

9 (16.4%)

0.082

 

C

9 (6.3%)

4 (7.4%)

3 (8.6%)

2 (3.6%)

0.627†

Pulmonary complication, n (%)

16 (11.1%)

11 (20.4%)a

4 (11.4%)

1 (1.8%)

0.009

Intra-abdominal infection, n (%)

47 (32.6%)

18 (33.3%)

16 (45.7%)

13 (23.6%)

0.097

Postoperative bleeding, n (%)

15 (10.4%)

6 (11.1%)

4 (11.4%)

5 (9.1%)

0.944

Delay gastric emptying, n (%)

32 (22.2%)

14 (25.9%)

7 (20%)

11 (20%)

0.764

  1. †P-values according to Fisher’s exact tests
  2. aSignificantly different versus No risk group by post-hoc comparison
  3. bSignificantly different versus Low risk group by post-hoc comparison
  4. GNRI Geriatric Nutritional Risk Index IQR Interquartile range, MIS minimally invasive surgery, ICU Intensive care unit, TPN Total parenteral nutrition