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首页> 外文期刊>Acta Oto-Laryngologica >Low-phase angle in body composition measurements correlates with prolonged hospital stay in head and neck cancer patients
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Low-phase angle in body composition measurements correlates with prolonged hospital stay in head and neck cancer patients

机译：身体成分的低相角测量与头部和颈部癌症患者长期住院住院相关

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Background: Bioelectrical impedance analysis (BIA) is a method for estimating body composition. Clinically the most important parameter is the phase angle (PA), which decreases with progressing malnutrition and is highly predictive for impaired survival and mortality.Aim: To evaluate the association of low PA with the complication rate and length of hospital stay.Material and methods: A cohort of 61 head and neck cancer (HNC) patients underwent BIA prior to surgical treatment. Information on patient and tumour characteristics, treatment, and surgical complications were gathered from hospital records and correlated with BIA results.Results: The median PA was 4.5 (range, 2.7-6.5), and, in 67% of the patients, it was lower than reference values. Low PA was associated with longer hospital stay (p=.002) in the whole cohort and in the patient group with radical neck dissections it correlated with a higher surgical complication rate (p=.014), but not with Clavien-Dindo scoring for surgical complications.Conclusions and significance: BIA is a feasible instrument for analysing body composition that reflects nutritional status in cancer patients. Our results show that HNC patients have a low PA at diagnosis. Low PA is associated with a long hospital stay and an increase in the complication rate. BIA can be of clinical value in preoperative risk evaluation.
机译：背景：生物电阻抗分析（BIA）是一种估计体组成的方法。临床上最重要的参数是相位角（PA），随着营养不良的进展而降低，并且对于受损的存活和死亡率来说是高度预测的.aum：以评估低PA与医院住院的复杂性率和长度的关联。 ：在手术治疗之前，61头颈癌（HNC）患者的61个头颈癌（HNC）患者。关于患者和肿瘤特征，治疗和手术并发症的信息来自医院记录，与BIA结果相关。结果：中位数PA为4.5（范围，2.7-6.5），并且在67％的患者中，它较低而不是参考值。低PA与整个队列中的较长医院停留（P =，0.002）和患者组中的颈部剖检有关，它与更高的手术并发症率相关（P = .014），但不是克拉夫 - DINDO评分手术并发症。结论和意义：BIA是一种可行的仪器，用于分析反映癌症患者营养状况的身体组成。我们的研究结果表明，HNC患者在诊断中具有低PA。低PA与长期住院住宿和复杂率的增加有关。 BIA可以是术前风险评估的临床价值。

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