Prognostic Nutritional Index with Wound Complication After Laparotomy in Colorectal Cancer Patients at Dr. Zainoel Abidin General Hospital Banda Aceh
Colorectal cancer patients generally undergo laparotomy as part of the management. The earliest complications of laparotomy are bleeding, surgical wound infection, and anastomotic dehiscence. Albumin-lymphocytes are indicators of nutritional status and inflammation combined in the Prognostic Nutriti...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universitas Airlangga
2024-12-01
|
| Series: | Folia Medica Indonesiana |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/FMI/article/view/62693 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850276827928461312 |
|---|---|
| author | Amirul Hadi Muhammad Yusuf Iflan Naufal Muslim Imam Hidayat |
| author_facet | Amirul Hadi Muhammad Yusuf Iflan Naufal Muslim Imam Hidayat |
| author_sort | Amirul Hadi |
| collection | DOAJ |
| description | Colorectal cancer patients generally undergo laparotomy as part of the management. The earliest complications of laparotomy are bleeding, surgical wound infection, and anastomotic dehiscence. Albumin-lymphocytes are indicators of nutritional status and inflammation combined in the Prognostic Nutritional Index (PNI). Evaluation of PNI related to the degree of post-laparotomy wounds in colorectal cancer has not been widely explained. Objective: to find out the correlation of PNI for laparotomy wound complications in colorectal cancer patients at Dr. Zainoel Abidin General Hospital Banda Aceh. Method: A cross-sectional study will assess the correlation of PNI to the degree of post-operative wounds with the South Hampton Wound Scale. PNI values were determined by albumin and lymphocytes. The subjects were colorectal cancer patients, aged 18 years and underwent laparotomy. The assessment was carried out on the 7th day after laparotomy. The Spearman test was performed to determine the correlation. Results: 30 colorectal cancer patients as samples, with an average age of 49.43 years old (±11.06), male (56.7%), moderately differentiated adenocarcinoma (46.7%), average albumin 3.08 (±0.47) and lymphocytes 13.93 (±8.22). After evaluation, we found that patients with normal PNI values had South Hampton grade 1 (23.3%), while mild malnutrition was in grade 1 (6.7%) and 2 (6.7%), moderate malnutrition was in grade 3 (23.3%) and grade 4 (16.7%) and severe malnutrition were in grade 4 (16.7%) and grade 5 (13.3%). Conclusion: There was a very strong correlation between PNI and postoperative wound complications in colorectal cancer. |
| format | Article |
| id | doaj-art-9d8d450d098e44c0b87670054d84fa01 |
| institution | OA Journals |
| issn | 2355-8393 2599-056X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Folia Medica Indonesiana |
| spelling | doaj-art-9d8d450d098e44c0b87670054d84fa012025-08-20T01:50:06ZengUniversitas AirlanggaFolia Medica Indonesiana2355-83932599-056X2024-12-0160428829710.20473/fmi.v60i4.6269360860Prognostic Nutritional Index with Wound Complication After Laparotomy in Colorectal Cancer Patients at Dr. Zainoel Abidin General Hospital Banda AcehAmirul Hadi0https://orcid.org/0009-0002-2438-8073Muhammad Yusuf1Iflan Naufal2Muslim3Imam Hidayat4https://orcid.org/0009-0004-2743-771XSurgery Department Faculty of Medicine Universitas Syiah Kuala; dr. Zainoel Abidin General Hospital, AcehDigestive Surgery Division, Surgery Department Faculty of Medicine Universitas Syiah Kuala; dr. Zainoel Abidin General Hospital, AcehClinical Nutrition Department Faculty of Medicine Universitas Syiah Kuala; dr. Zainoel Abidin General Hospital, AcehDigestive Surgery Division, Surgery Department Faculty of Medicine Universitas Syiah Kuala/ dr. Zainoel Abidin General Hospital, AcehNeuro Surgery Division, Surgery Department Faculty of Medicine Universitas Syiah Kuala; dr. Zainoel Abidin General Hospital, AcehColorectal cancer patients generally undergo laparotomy as part of the management. The earliest complications of laparotomy are bleeding, surgical wound infection, and anastomotic dehiscence. Albumin-lymphocytes are indicators of nutritional status and inflammation combined in the Prognostic Nutritional Index (PNI). Evaluation of PNI related to the degree of post-laparotomy wounds in colorectal cancer has not been widely explained. Objective: to find out the correlation of PNI for laparotomy wound complications in colorectal cancer patients at Dr. Zainoel Abidin General Hospital Banda Aceh. Method: A cross-sectional study will assess the correlation of PNI to the degree of post-operative wounds with the South Hampton Wound Scale. PNI values were determined by albumin and lymphocytes. The subjects were colorectal cancer patients, aged 18 years and underwent laparotomy. The assessment was carried out on the 7th day after laparotomy. The Spearman test was performed to determine the correlation. Results: 30 colorectal cancer patients as samples, with an average age of 49.43 years old (±11.06), male (56.7%), moderately differentiated adenocarcinoma (46.7%), average albumin 3.08 (±0.47) and lymphocytes 13.93 (±8.22). After evaluation, we found that patients with normal PNI values had South Hampton grade 1 (23.3%), while mild malnutrition was in grade 1 (6.7%) and 2 (6.7%), moderate malnutrition was in grade 3 (23.3%) and grade 4 (16.7%) and severe malnutrition were in grade 4 (16.7%) and grade 5 (13.3%). Conclusion: There was a very strong correlation between PNI and postoperative wound complications in colorectal cancer.https://e-journal.unair.ac.id/FMI/article/view/62693prognostic nutritional indexsouth hampton wound scalecolorectal cancerlaparotomy |
| spellingShingle | Amirul Hadi Muhammad Yusuf Iflan Naufal Muslim Imam Hidayat Prognostic Nutritional Index with Wound Complication After Laparotomy in Colorectal Cancer Patients at Dr. Zainoel Abidin General Hospital Banda Aceh Folia Medica Indonesiana prognostic nutritional index south hampton wound scale colorectal cancer laparotomy |
| title | Prognostic Nutritional Index with Wound Complication After Laparotomy in Colorectal Cancer Patients at Dr. Zainoel Abidin General Hospital Banda Aceh |
| title_full | Prognostic Nutritional Index with Wound Complication After Laparotomy in Colorectal Cancer Patients at Dr. Zainoel Abidin General Hospital Banda Aceh |
| title_fullStr | Prognostic Nutritional Index with Wound Complication After Laparotomy in Colorectal Cancer Patients at Dr. Zainoel Abidin General Hospital Banda Aceh |
| title_full_unstemmed | Prognostic Nutritional Index with Wound Complication After Laparotomy in Colorectal Cancer Patients at Dr. Zainoel Abidin General Hospital Banda Aceh |
| title_short | Prognostic Nutritional Index with Wound Complication After Laparotomy in Colorectal Cancer Patients at Dr. Zainoel Abidin General Hospital Banda Aceh |
| title_sort | prognostic nutritional index with wound complication after laparotomy in colorectal cancer patients at dr zainoel abidin general hospital banda aceh |
| topic | prognostic nutritional index south hampton wound scale colorectal cancer laparotomy |
| url | https://e-journal.unair.ac.id/FMI/article/view/62693 |
| work_keys_str_mv | AT amirulhadi prognosticnutritionalindexwithwoundcomplicationafterlaparotomyincolorectalcancerpatientsatdrzainoelabidingeneralhospitalbandaaceh AT muhammadyusuf prognosticnutritionalindexwithwoundcomplicationafterlaparotomyincolorectalcancerpatientsatdrzainoelabidingeneralhospitalbandaaceh AT iflannaufal prognosticnutritionalindexwithwoundcomplicationafterlaparotomyincolorectalcancerpatientsatdrzainoelabidingeneralhospitalbandaaceh AT muslim prognosticnutritionalindexwithwoundcomplicationafterlaparotomyincolorectalcancerpatientsatdrzainoelabidingeneralhospitalbandaaceh AT imamhidayat prognosticnutritionalindexwithwoundcomplicationafterlaparotomyincolorectalcancerpatientsatdrzainoelabidingeneralhospitalbandaaceh |