[The prediction of postoperative septic complications by means of nutritional parameters. II. The verification of the predictive formula].
An assessment was made of the predictive capacity of the following predictive formulation named Nutritional Sepsis Risk: NSR = 14.26 - 1.76 (albumin) - 1.47 (risk area) This was done in a sample of 65 surgery patients with digestive pathology who were candidates for selective surgery. All had undergone a pre-operative nutritional evaluation program, based on anthropometric and analytical data and Retarded Hypersensitivity Cutaneous Tests (RHCT). NSR was calculated pre-operatively. Infections were assessed qualitatively and quantitatively using Elebeute and Stoner's sepsis index. There were a total of five post-operative infections (7.69%). The NSR intersection point was calculated with an ROC curve, situated in a score of 3. The NSR detected the five infections, so is 100% sensitive, with 70% specificity and, in the detection of the septic risk population, surpassed the other nutritional parameters, whether anthropometric or analytical, and the RHCTs, when they were studied individually.
Larrea
J
J
Servicio de Cirugía General y Digestiva, Hospital Insular de Gran Canaria, Las Palmas de Gran Canaria.
Betancor
P
P
Núñez
V
V
D000368:Aged; D000886:Anthropometry; D004066:Digestive System Diseases / Q000150:complications / Q000601:surgery; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D011379:Prognosis; D012372:ROC Curve; D012307:Risk Factors; D012680:Sensitivity and Specificity; D018805:Sepsis / Q000453:epidemiology*; D013530:Surgical Wound Infection / Q000453:epidemiology*
Predicción de las complicaciones sépticas posoperatorias mediante parámetros nutricionales: II. Comprobación de la fórmula predictiva.