Correlation of preoperative hand grip strength postoperative complications in liver transplant patients

1993 ◽  
Vol 93 (9) ◽  
pp. A33
Author(s):  
M McCafferty ◽  
K.A Stone ◽  
L.K Cashman ◽  
S Camel
Keyword(s):  
Postoperative Complications ◽  
Liver Transplant ◽  
Grip Strength ◽  
Hand Grip Strength ◽  
Transplant Patients ◽  
Hand Grip

295 PREDICTION OF MORBIDITY AND MORTALITY AFTER THORACOABDOMINAL ESOPHAGEAL SURGERY

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Erik Nilsson ◽  
Monika Fagervik Olsén ◽  
Ulrika Trölle ◽  
Frances Eriksson ◽  
Michael Hermansson
Keyword(s):  
Postoperative Complications ◽  
Grip Strength ◽  
Postoperative Mortality ◽  
Strength Test ◽  
Hand Grip Strength ◽  
Shoulder Abduction ◽  
Hand Grip ◽  
Physical Tests ◽  
The Individual ◽  
Minute Walk

Abstract   Complications after esophageal cancer surgery has been shown to decrease long-term quality-of-life and to increase the risk of postoperative mortality, making patient selection important. The physical strength of the individual patient is likely to affect the patient’s chance of withstanding a major surgical intervention. The aim of this study was to evaluate if validated physical tests can predict the risk of postoperative complications after a thoraco-abdominal esophagectomy. Methods All patients who had a thoraco-abdominal esophagectomy at three Swedish university hospitals from 2014–2017 were eligible for inclusion in this prospective study. In addition to a bicycle test, patients were evaluated preoperatively by a physiotherapist using eight validated physical tests. Data on postoperative complications were extracted from the Swedish National Registry for Esophageal and Gastric Cancer. Patients were divided into two groups according to Clavien Dindo (CD) classification of the most severe complication (CD 1–2 and CD 3–5). Tests results were compared between the groups. We also compared performance in each validated test to the risk of specific complications. Results A total of 114 patients were enrolled. 26 patients were excluded because of missing data leaving 88 patients for statistical analyses. Total 90-days mortality was 2.3%. Patients who suffered from an anastomotic leak after surgery had a significantly lower performance in the bicycle test. Performance in the preoperative shoulder abduction- and 6-minute-walk tests were significantly lower in patients who suffered from pneumonia or cardiovascular complications. Patients scoring in the lowest quartile in the hand grip-strength test had a higher frequency of complications rated as CD 3–5. No other significant differences could be shown between the CD groups. Conclusion In this prospective multicentre study, we found a connection between patient performance on four different preoperative physical tests (bicycle test, shoulder abduction test, 6-minute walk test and hand grip-strength test) and the risk of postoperative complications. We believe that these relatively simple tests can help the surgeon when evaluating the surgical risk for the individual patient.

scholarly journals Hand Grip Strength as a Predictor of Postoperative Complications Following Resection in Patients with Primary Liver Cancer: A Retrospective Cohort study

2020 ◽  
Author(s):  
Chunlei Li ◽  
Hongmei Wu ◽  
Yaqi Zeng ◽  
Jie Dong ◽  
Yajun Chen ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Liver Cancer ◽  
Grip Strength ◽  
Nutritional Assessment ◽  
Primary Liver Cancer ◽  
Incidence Rates ◽  
Hand Grip Strength ◽  
Assessment Tools ◽  
University Hospital ◽  
Hand Grip

Abstract Background: The incidence of complications after hepatectomy for primary liver cancer (PLC) remains high. In this regard, a rapid, simple and inexpensive method is needed to assess the nutritional status of patients before surgery. This study aimed to determine the predictive value of hand grip strength (HGS) for postoperative complications of PLC. Methods: This retrospective study was conducted at a university hospital. A total of 147 patients with PLC who underwent liver resection were enrolled. HGS was measured using an electronic hand dynamometer. According to Clavien–Dindo classification, grade 2 or higher was considered as postoperative complication. The correlations between HGS and age/nutritional assessment tools were analysed using Spearman correlation test. Logistic regression analysis was used to determine the risk factors for complications. Results: About 25.2% of the patients had low HGS. The incidence rates of postoperative complications were 35.14% in the low-HGS group and 21.82% in the high-HGS group. HGS was negatively correlated with age (P < 0.05) in both sexes. Multivariate analysis showed that low HGS [odd ratio (OR) = 2.97, 95% CI: 1.07-8.25, P = 0.04] was related to postoperative complications in the total population. Conclusion: HGS is a risk factor for postoperative complications. Additional long-term studies are needed to confirm HGS as a valuable indicator before surgery.

Hand grip strength as a predictor of postoperative complications in esophageal cancer patients undergoing esophagectomy

Esophagus ◽  
2017 ◽  
Vol 15 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Shinsuke Sato ◽  
Erina Nagai ◽  
Yusuke Taki ◽  
Masaya Watanabe ◽  
Yuki Watanabe ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Postoperative Complications ◽  
Grip Strength ◽  
Cancer Patients ◽  
Hand Grip Strength ◽  
Hand Grip

scholarly journals Combination of the G-8 Screening Tool and Hand-Grip Strength to Predict Long-Term Overall Survival in Non-Small Cell Lung Cancer Patients Undergoing Stereotactic Body Radiotherapy

Cancers ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 3363
Author(s):  
Kristian Kirkelund Bentsen ◽  
Olfred Hansen ◽  
Jesper Ryg ◽  
Ann-Kristine Weber Giger ◽  
Stefan Starup Jeppesen
Keyword(s):  
Overall Survival ◽  
Grip Strength ◽  
Cancer Patients ◽  
Stereotactic Body Radiotherapy ◽  
Statistical Significance ◽  
Multivariable Analysis ◽  
Hand Grip Strength ◽  
Physical Test ◽  
Hand Grip

The Geriatric 8 (G-8) is a known predictor of overall survival (OS) in older cancer patients, but is mainly based on nutritional aspects. This study aimed to assess if the G-8 combined with a hand-grip strength test (HGST) in patients with NSCLC treated with stereotactic body radiotherapy can predict long-term OS better than the G-8 alone. A total of 46 SBRT-treated patients with NSCLC of stage T1-T2N0M0 were included. Patients were divided into three groups: fit (normal G-8 and HGST), vulnerable (abnormal G-8 or HGST), or frail (abnormal G-8 and HGST). Statistically significant differences were found in 4-year OS between the fit, vulnerable, and frail groups (70% vs. 46% vs. 25%, p = 0.04), as well as between the normal and abnormal G-8 groups (69% vs. 39%, p = 0.02). In a multivariable analysis of OS, being vulnerable with a hazard ratio (HR) of 2.03 or frail with an HR of 3.80 indicated poorer OS, but this did not reach statistical significance. This study suggests that there might be a benefit of adding a physical test to the G-8 for more precisely predicting overall survival in SBRT-treated patients with localized NSCLC. However, this should be confirmed in a larger study population.

Clinical Outcomes After Aggressive Active Early Motion and Modified Kleinert Regimens: Comparison of 2 Consecutive Cohorts

Hand ◽  
2021 ◽  
pp. 155894472110172
Author(s):  
Kaisa Jokinen ◽  
Arja Häkkinen ◽  
Toni Luokkala ◽  
Teemu Karjalainen
Keyword(s):  
Quality Of Life ◽  
Range Of Motion ◽  
Grip Strength ◽  
Clinical Outcomes ◽  
Flexor Tendon ◽  
Hand Grip Strength ◽  
Active Motion ◽  
Hand Grip ◽  
Active Range Of Motion

Background Modern multistrand repairs can withstand forces present in active flexion exercises, and this may improve the outcomes of flexor tendon repairs. We developed a simple home-based exercise regimen with free wrist and intrinsic minus splint aimed at facilitating the gliding of the flexor tendons and compared the outcomes with the modified Kleinert regimen used previously in the same institution. Methods We searched the hospital database to identify flexor tendon repair performed before and after the new regimen was implemented and invited all patients to participate. The primary outcome was total active range of motion, and secondary outcomes were Disabilities of Arm, Shoulder, and Hand; grip strength; globally perceived function; and the quality of life. Results The active range of motion was comparable between the groups (mean difference = 14; 95% confidence interval [CI], −8 to 36; P = .22). Disabilities of Arm, Shoulder, and Hand; grip strength; global perceived function; and health-related quality of life were also comparable between the groups. There was 1 (5.3%) rupture in the modified Kleinert group and 4 (15.4%) in the early active motion group (relative risk = 0.3; 95% CI, 0.04-2.5; P = .3). Conclusions Increasing active gliding with a free wrist and intrinsic minus splint did not improve the clinical outcomes after flexor tendon injury at a mean of 38-month follow-up.

scholarly journals Gender Differences in Neuromuscular, Haematological and Urinary Responses during Padel Matches

2021 ◽  
Vol 18 (11) ◽  
pp. 5864
Author(s):  
Francisco Pradas ◽  
Alejandro García-Giménez ◽  
Víctor Toro-Román ◽  
Nicolae Ochiana ◽  
Carlos Castellar
Keyword(s):  
Gender Differences ◽  
Red Blood Cells ◽  
Grip Strength ◽  
Blood Cells ◽  
Temporal Structure ◽  
Hand Grip Strength ◽  
Squat Jump ◽  
Hand Grip ◽  
Before And After ◽  
High Level

Research on the acute physiological response to a padel match is limited. The present study aimed to: (a) evaluate neuromuscular, urinary, and hematological responses after simulated padel competition (SC) and (b) analyze possible gender differences. In this study, 28 high-level padel players participated (men = 13, age = 26.83 ± 6.57 years; women = 15, age = 30.07 ± 4.36 years). The following parameters were analyzed before and after SC: neuromuscular (hand grip strength, squat jump (SJ), countermovement jump (CMJ), and Abalakov jump (ABK)), hematological (red blood cells, hemoglobin, and hematocrit), and urinary (pH, specific gravity, microalbuminuria, and red blood cells). Significant gender differences were found in neuromuscular and hematological responses, with men obtaining higher values (p < 0.05). For the SC influence, changes were noted in ABK and microalbuminuria (p < 0.05). The percentages of change in hand grip strength, SJ (height and watts), CMJ (height), and ABK (height) were higher for men than women (p < 0.05). SC negatively influenced the neuromuscular parameters to a greater extent in women. Our results could be related to gender differences in game actions, the temporal structure, and anthropometric and physiological characteristics. Game dynamics and a different organic response between male and female padel playing were confirmed.

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