ArticleThe Journal of international medical research2025
Analysis of the predictive value of three nutritional risk screening methods for surgical prognosis and recurrence of chronic subdural hematoma: A retrospective study.
Article in The Journal of international medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
ObjectivePatient nutritional status is an independent and crucial prognostic predictor; however, it is often overlooked in clinical practice. This study aimed to evaluate the value of three nutritional risk screening tools-Geriatric Nutritional Risk Index, Prognostic Nutritional Index, and Nutritional Risk Screening 2002-in predicting postoperative prognosis and recurrence in patients with chronic subdural hematoma.MethodAccording to the inclusion and exclusion criteria, a total of 153 patients with chronic subdural hematoma who were hospitalized and underwent surgical treatment at our hospital between December 2017 and October 2022 were retrospectively enrolled. General clinical data and laboratory test results were collected. The Nutritional Risk Screening 2002, Geriatric Nutritional Risk Index, and Prognostic Nutritional Index scores were assessed. Based on the modified Rankin scale scores, patients were divided into poor prognosis (score ≥3) and good prognosis (score <3) groups. According to the presence or absence of recurrence within 6 months of surgery, patients were classified into recurrence and nonrecurrence groups. General clinical data, laboratory results, and scores of three nutritional risk screening tools were evaluated. Receiver operating characteristic curves were plotted, and multivariate logistic regression analysis was performed.ResultsAmong the 153 patients, 13 (8.5%) had a poor prognosis. Compared with the good prognosis group, patients in the poor prognosis group were older, had higher fibrinogen levels, and had lower serum albumin and hemoglobin levels (
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