Cardiothoracic & vascular anesthesia

The Prognostic Value of Johns Hopkins Hospital Nutrition Support Score in Older Patients Undergoing Cardiovascular Surgery

J Cardiothorac Vasc AnesthPublished Retrospective observational study

Authors' conclusion

The JHHNS score was an independent predictor for postoperative complications but did not significantly affect short-term mortality in older patients undergoing cardiovascular surgery with CPB.

Study context

Population
Patients aged ≥65 undergoing cardiovascular surgery with cardiopulmonary bypass (CPB) in 2020
Participants
328 patients
Exposure
High vs low Johns Hopkins Hospital Nutrition Support (JHHNS) score
Outcome
Early morbidity (pneumonia, bacteremia, wound infection, cerebrovascular accident, GI bleeding, AKI, delirium, ECMO requirement, intensive care unit (ICU) readmission)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Postoperative complications (early morbidity)
  • JHHNS score independently predicted the risk of postoperative complications (multivariate logistic regression)
  • High-JHHNS vs Low-JHHNS: P < 0.001

Observational data: associations, not effects.

Secondary outcomes

Hospital LOS

P = 0.002

Duration of mechanical ventilation

P = 0.038

ICU stay >3 days

P = 0.036

Prevalence of malnutrition risk by JHHNS score

Patients at risk for malnutrition
21.0%

Short-term mortality

No significant intergroup difference

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The Prognostic Value of Johns Hopkins Hospital Nutrition Support Score in Older Patients Undergoing Cardiovascular Surgery. J Cardiothorac Vasc Anesth. Published 5 July 2023. doi:10.1053/j.jvca.2023.06.038

Composed by AI from the published abstract and checked against it. How Briefs are made →

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