Grip strength is an important predictor for nutritional risk and early postoperative ambulation in gastrointestinal tumors undergoing laparoscopic surgery: a prospective multicenter clinical study

World Journal of Surgical Oncology

Research

Weinan Liu¹  Xiaonan Ma¹  Xiao Liu²  Xin Guo²  Jing Zhou²  Xiuxiu Yang³ 

[1]Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, 100730, Beijing, China

[2]Department of General Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China

[3]The Sixth Medical Center, Chinese PLA General Hospital, Beijing, China

关键词: Gastrointestinal tumor;    Early postoperative ambulation;    Grip strength measurement;    Nutritional risk;   

DOI  :  10.1186/s12957-023-03163-x

 received in 2023-06-10, accepted in 2023-08-24,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundUsing grip strength as a predictor of nutritional risk and early ambulation for gastrointestinal tumor surgery and determining its critical value have not been reported. This study was designed to explore the influencing factors of early postoperative ambulation ability for patients with gastrointestinal tumors who underwent laparoscopic surgery.MethodsFour-hundred twenty-seven patients with gastrointestinal tumors who underwent laparoscopic surgery at three tertiary A hospitals in Beijing were prospectively enrolled. Subsequently, logistic regression analysis was conducted to determine the independent predictors of early postoperative ambulation. Logistic regression analyses for the different gender were also performed. In addition, the effectiveness of preoperative grip strength measurement in nutritional risk assessment was analyzed by using nutritional risk score 2002 (NRS 2002) as a control.ResultsThe included cases were comprised of 283 male and 144 female patients, with an age of 59.35 ± 11.70 years. Gender, preoperative grip strength, operative time, and number of indwelling tubes were independent predictors of early postoperative ambulation. In the male group, lower preoperative grip strength and more indwelling tubes were independent risk factors for early postoperative ambulation. In the female group, lower preoperative grip strength and extended operating time were independent risk factors. Moreover, preoperative grip strength (male < 32 kg, female < 21 kg) can be used as a risk predictor for both preoperative nutritional risk and early postoperative ambulation.ConclusionsAs a simple and objective measure of muscle strength, grip strength measurement is expected to be an effective predictor for both early postoperative ambulation ability and nutritional status of patients.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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