MP32-09 A PREDICTOR OF COMPLICATIONS AFTER RADICAL CYSTECTOMY: THE MODIFIED GLIM STATUS IN A PROPENSITY MATCHED ANALYSIS OF THE AMERICAN COLLEGE OF SURGEONS - NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM DATA

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You have accessJournal of UrologyCME1 Apr 2023MP32-09 A PREDICTOR OF COMPLICATIONS AFTER RADICAL CYSTECTOMY: THE MODIFIED GLIM STATUS IN A PROPENSITY MATCHED ANALYSIS OF THE AMERICAN COLLEGE OF SURGEONS - NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM DATA Elia Abou Chawareb, Christian Habib Ayoub, Christelle Lattouf, Albert El Hajj, and Jose M. El asmar Elia Abou ChawarebElia Abou Chawareb More articles by this author , Christian Habib AyoubChristian Habib Ayoub More articles by this author , Christelle LattoufChristelle Lattouf More articles by this author , Albert El HajjAlbert El Hajj More articles by this author , and Jose M. El asmarJose M. El asmar More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003265.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Nutritional status and malnutrition are important predictors of morbidity and mortality after surgery. For this reason, we aim to assess the modified Global Leadership Initiative on Malnutrition (mGLIM) status as a predictor of post-operative mortality and morbidity in patients undergoing Radical Cystectomy (RC). METHODS: Using the American College of Surgeons - National Surgical Quality Improvement Program (ACS-NSQIP) dataset, we selected patients who underwent RC between the years 2011-2020. A positive mGLIM status includes patients with preoperative albumin levels <3.5 g/L, or patients with ≥ 10% weight loss over 6 months or BMI ≤ 21 kg/m2. We compared prolonged length of stay, mortality, major morbidity and Clavien-Dindo complications between mGLIM positive and negative patients. We also performed multivariable logistic regression models and propensity score matching to control for possible confounders. RESULTS: The unmatched cohort consisted of 13,585 patients whereas the matched cohort yielded 5,610 matched patients who underwent RC. Patients with a positive mGLIM status were more likely to be older, with a higher ASA class, and with comorbidities (p<0.001). After multivariable analysis and propensity score matching, patients with a positive mGLIM status had higher odds of prolonged length of stay (OR=2.29), mortality (OR 1.97), major morbidity (OR=1.82), Clavien-Dindo class I and II (OR=1.90), and Clavien-Dindo class ≥ IV (OR=1.14) as compared to those with a negative mGLIM status (p<0.04). CONCLUSIONS: A positive mGLIM status is associated with prolonged hospital stay, morbidity, and mortality following RC. This highlights the importance of optimizing patient pre-operative nutritional counseling. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e443 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Elia Abou Chawareb More articles by this author Christian Habib Ayoub More articles by this author Christelle Lattouf More articles by this author Albert El Hajj More articles by this author Jose M. El asmar More articles by this author Expand All Advertisement PDF downloadLoading ...