Preoperative nutritional evaluation, surgical site infection, and prognosis in patients with oral cancer

• DOI: 10.1016/j.oooo.2022.01.009
• Publication Date: 2022-01-16T14:23:00Z
• Authors: Shin-ichiro Hiraoka; Yasuyuki Shimada; Yohei Kawasaki; Maiko Akutagawa; Susumu Tanaka
• Keywords: 2. Zero hunger; Nutritional Status; Prognosis; 3. Good health; 03 medical and health sciences; Nutrition Assessment; 0302 clinical medicine; Albumins; Humans; Surgical Wound Infection; Mouth Neoplasms; Retrospective Studies

The risk of postoperative infection after reconstructive oral cancer surgery is high and poses a problem in perioperative management. The objective of this study was to verify the association between preoperative nutritional indicators, surgical site infection (SSI), and long-term prognosis after reconstruction for oral cancer.Sixty-seven patients admitted to a dental hospital were enrolled. The following nutritional indicators were examined: serum albumin level, modified Glasgow Prognostic Score, Miki's Glasgow Prognostic Score, prognostic nutritional index, platelet/lymphocyte ratio, neutrophil/lymphocyte ratio, lymphocyte/monocyte ratio, and the Controlling Nutritional Status tool. Statistical analyses were conducted to determine potential risk factors for SSI.The Cox proportional hazards model demonstrated that SSI and platelet/lymphocyte ratio ≥211.4 were independent prognostic factors affecting survival. The results demonstrated that albumin <4.0 and platelet/lymphocyte ratio ≥211.4 were risk factors for SSI. Furthermore, albumin <4.0, platelet/lymphocyte ratio ≥211.4, and SSI were correlated with prognosis. Preoperative nutritional indicators were associated with SSI and prognosis in patients with oral cancer after reconstructive surgery.Preoperative nutritional therapy is crucial for improving therapeutic outcomes in patients with oral cancer who require reconstructive surgery.