{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T02:34:23Z","timestamp":1765506863743,"version":"3.40.5"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003While previous studies have investigated the association between the Geriatric Nutritional Risk Index (GNRI) and functional outcomes following distal radius fracture (DRF), no large-scale studies have investigated the associations between GNRI and postoperative outcomes following DRFs.<\/jats:p><jats:p>\n          Objectives\u2003The purpose of this study is to investigate the association between GNRI, a simple multifaceted measure of malnutrition risk, and 30-day postoperative complications following DRF open reduction internal fixation (ORIF).<\/jats:p><jats:p>\n          Materials and Methods\u2003The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients who underwent DRF ORIF from 2015 to 2021. Patients were organized into three groups based on preoperative GNRI: normal\/reference (GNRI\u2009&gt;\u200998), moderate malnutrition (92 \u2264 GNRI \u2264 98), and severe malnutrition (GNRI\u2009&lt;\u200992). Logistic regression analysis was conducted to investigate the relationship between preoperative GNRI and postoperative complications.<\/jats:p><jats:p>\n          Results\u2003Severe malnutrition was independently associated with a greater likelihood of any complication (odds ratio [OR]: 3.22, 95% confidence interval [CI]: 2.48\u20134.17; p\u2009&lt;\u20090.001), sepsis (OR: 15.41, 95% CI: 1.66\u2013143.32; p\u2009=\u20090.016), cardiac arrest or myocardial infarction (OR: 20.58, 95% CI: 1.62\u2013261.26; p\u2009=\u20090.020), pulmonary embolism (OR: 9.40, 95% CI: 1.76\u201350.11; p\u2009=\u20090.009), surgical site infection (OR: 7.73, 95% CI: 1.99\u201330.02; p\u2009=\u20090.003), nonhome discharge (OR: 2.55, 95% CI: 1.87\u20133.49; p\u2009&lt;\u20090.001), readmission (OR: 2.47, 95% CI: 1.47\u20134.14; p\u2009&lt;\u20090.001), and length of stay\u2009&gt;\u20092 days (OR: 3.51, 95% CI: 2.67\u20134.62; p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n          Conclusion\u2003Malnutrition is an independent significant predictor of early complications following DRF ORIF.<\/jats:p><jats:p>\n          Level of Evidence\u2003Level III; retrospective cohort comparison; prognosis study.<\/jats:p>","DOI":"10.1055\/s-0044-1782239","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T23:50:12Z","timestamp":1709941812000},"page":"239-245","source":"Crossref","is-referenced-by-count":2,"title":["Low Geriatric Nutritional Risk Index Predicts Early Complications following Distal Radius Fracture Open Reduction Internal Fixation"],"prefix":"10.1055","volume":"14","author":[{"given":"Steven H.","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Cerri-Droz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel A.","family":"Loyst","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary","family":"Warheit","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward D.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Stony Brook University, Stony Brook, New 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arthroplasty","volume":"25","author":"G H Garcia","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"issue":"05","key":"ref25","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1016\/S0272-6386(98)70148-9","article-title":"Malnutrition, cardiac disease, and mortality: an integrated point of view","volume":"32","author":"J Bergstr\u00f6m","year":"1998","journal-title":"Am J Kidney Dis"},{"issue":"12","key":"ref26","doi-asserted-by":"crossref","first-page":"2290","DOI":"10.1016\/j.arth.2015.06.003","article-title":"Hypoalbuminemia more than morbid obesity is an independent predictor of complications after total hip arthroplasty","volume":"30","author":"J D Walls","year":"2015","journal-title":"J Arthroplasty"},{"issue":"02","key":"ref27","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s00198-020-05609-4","article-title":"Incidence of subsequent osteoporotic fractures after distal radius fractures and mortality of the subsequent distal radius fractures: a retrospective analysis of claims data of the Korea National Health Insurance Service","volume":"32","author":"H S Jung","year":"2021","journal-title":"Osteoporos Int"}],"container-title":["Journal of Wrist 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