Critical Care and Shock

Correlation of ARISCAT score and prognostic nutrition index with postoperative pulmonary complications in post-abdominal surgery patients in the Intensive Care Unit

Abstract

Objective: This study aimed to determine the relationship between the ARISCAT Score and Prognostic Nutrition Index with the incidence of Postoperative Pulmonary Complication (PPC) in post-abdominal surgery patients in the intensive care unit (ICU).

Design: This research is a study with observational analytical methodology using a retrospective cohort research design

Setting: The research was conducted from 24 October to 31 November 2023 in the ICU of Dr. Wahidin Sudirohusodo Hospital Makassar, South Sulawesi.

Patient and participants: Post-abdominal surgery patients treated in ICU.

Interventions: None.

Measurement and results: Data collected included demographic data (age, gender, and body mass index), ARISCAT Score, Prognostic Nutrition Index (PNI), PPC incidence, mortality incidence, and length of stay in the ICU. The ARISCAT Score is grouped into low, moderate, and high, while PNI is divided into normal and malnutrition PNI groups. There is a relationship between the ARISCAT Score and the incidence of PPC with a Likelihood Ratio of 6.915 with a p-value <0.05. There is a relationship between PNI and the incidence of PPC with an Odds Ratio of 5.642 with a p-value <0.05. There is a difference in the incidence of PPC and mortality in the combination of ARICAT Score + PNI with a p-value < 0.05. There is a difference in length of ICU stay, mechanical ventilation duration, and incidence of mortality in the sample with PPC with a p-value <0.05.

Conclusions: There is a significant relationship between the ARISCAT Score and the incidence of PPC as well as PNI in post-abdominal surgery patients treated in the ICU.