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Subject

Clinical Significance of Prognostic Nutrition Index in Patients with Crohn's Disease after Primary Bowel Resection
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논문 기본 정보

Type
Academic journal
Author
CHO MIN SOO (연세대학교) Jae Hee Cheon (연세대학교) Hyeon Woo Bae (연세대학교) Yong Joon Lee (연세대학교) Min Young Park (연세대학교) Seung Yoon Yang (연세대학교) Yoon Dae Han (연세대학교) Hyuk Hur (연세대학교) Joseph C. Carmichael (University of California, USA) Byung Soh Min (연세대학교)
Journal
Yonsei University College of Medicine Yonsei Medical Journal Yonsei Medical Journal Vol.65 No.7 KCI Accredited Journals
Published
2024.7
Pages
380 - 388 (9page)
DOI
10.3349/ymj.2023.0279

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Clinical Significance of Prognostic Nutrition Index in Patients with Crohn's Disease after Primary Bowel Resection
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Purpose: Although advancements in medical treatments have been made, approximately half of patients with intestinal Crohn’s disease (CD) require intestinal resections during their lifetime. It is well-known that the nutritional status of CD patients can impact postoperative morbidity. The objective of this study was to evaluate the clinical significance of prognostic nutritional index (PNI) in patients with intestinal CD who underwent primary bowel resection. Materials and Methods: We retrospectively investigated patients who were diagnosed with CD and underwent intestinal surgery at Severance Hospital between January 2005 and October 2018. The patients were divided into two groups: PNI ≤40 (n=150) and PNI >40 (n=77). We assessed the clinical significance of PNI in terms of the incidence of postoperative infectious complications (PICs) and the postoperative recurrence of CD. Results: The low PNI group had significantly higher rates of infectious complications (32.0% vs. 10.4%, p=0.001) compared to the high PNI group. Multivariable analysis identified low PNI (≤40) and longer operation time (>180 min) as independent risk factors associated with PICs [odds ratio (OR)=2.754, 95% confidence interval (CI)=1.140–6.649, p=0.024; OR=2.986, 95% CI=1.451–6.143, p=0.003]. PICs were significantly associated with surgical recurrence (hazard ratio=2.217, 95% CI=1.064–4.617, p=0.034). Conclusion: Preoperative PNI could serve as a predictive factor for PICs in CD patients who undergo intestinal resection. Additionally, PICs are significantly associated with a higher risk of surgical recurrence in CD.

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