Department of Public Health, Adama Hospital Medical College, Baltimore, MD, USA.
BMC Cardiovasc Disord. 2024 Sep 27;24(1):515. doi: 10.1186/s12872-024-04182-6.
Postoperative problems are a major danger for patients after heart surgery. Predicting postoperative outcomes for cardiac surgery is limited by current preoperative evaluations. Handgrip strength (HGS) testing and bioelectrical impedance analysis (BIA) may provide extra ways to identify individuals at risk of surgical problems, enhancing risk assessment and results.
The purpose of this systematic review is to assess the utility of measured phase angle (PA), HGS, and bioelectrical impedance as perioperative risk markers in adult patients undergoing elective heart surgery.
The PRISMA principles were followed in this review. We searched all available electronic databases, including the Science Direct search engine and PubMed, MEDLINE, EMBASE, Cochrane Library, Web of Science, PsycINFO, CINAHL, Google Scholar, Scopus, and the Science Direct search engine, from their creation to the present, as well as the medRxiv pre-print site. We considered studies with adult subjects undergoing elective heart surgery who were monitored for problems after surgery and had perioperative BIA and HGS testing.
As a result, out of the 1544 pieces of research that were discovered, eight studies were deemed suitable for inclusion in the review and supplied data from 2781 people. The findings demonstrated a substantial correlation between poor preoperative PA and a higher risk of serious postoperative morbidity, as well as prolonged hospital stays. Furthermore, poor HGS and low PA were linked to greater death rates. Additionally, there was a strong correlation found between low PA and HGS and longer stays in the ICU, as well as an increased chance of dying from all causes in a year. In conclusion these results imply that preoperative HGS and PA may be significant indicators of postoperative results and may assist in identifying patients who are more vulnerable to problems and death.
术后问题是心脏手术后患者的主要危险。目前的术前评估限制了对心脏手术术后结果的预测。握力（HGS）测试和生物电阻抗分析（BIA）可能提供额外的方法来识别手术问题风险增加的个体，从而增强风险评估和结果。
本系统评价旨在评估测量相位角（PA）、HGS 和生物电阻抗作为接受择期心脏手术的成年患者围手术期风险标志物的效用。
本综述遵循 PRISMA 原则。我们搜索了所有可用的电子数据库，包括 Science Direct 搜索引擎和 PubMed、MEDLINE、EMBASE、Cochrane 图书馆、Web of Science、PsycINFO、CINAHL、Google Scholar、Scopus 和 Science Direct 搜索引擎，从创建到现在，以及 medRxiv 预印本网站。我们考虑了对接受择期心脏手术的成年患者进行监测以发现术后问题并进行围手术期 BIA 和 HGS 测试的研究。
结果，在发现的 1544 篇研究中，有 8 项研究被认为适合纳入综述，并提供了来自 2781 人的数据。研究结果表明，术前 PA 较差与严重术后发病率较高以及住院时间延长之间存在显著相关性。此外，HGS 和低 PA 较差与更高的死亡率相关。此外，还发现低 PA 和 HGS 与 ICU 停留时间较长以及一年内因各种原因死亡的几率增加之间存在很强的相关性。总之，这些结果表明术前 HGS 和 PA 可能是术后结果的重要指标，并可能有助于识别更容易出现问题和死亡的患者。
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