Slow Gait Speed Is a Risk Factor for Complications After Hepatic Resection

shinji itoh, Tomoharu Yoshizumi, Kazuhisa Sakata, Takashi Motomura, Yohei Mano, Takeo Toshima, Norifumi Harimoto, Noboru Harada, Toru Ikegami, Yuji Soejima, Ryuichi Kusaba, Takahide Kamishima, Akihiro Nishie, Yoshihiko Maehara

Research output: Contribution to journalArticle

Abstract

Purpose: The aims of this study were to clarify the relationship of gait speed, hand grip strength, and skeletal muscle mass with complications after hepatic resection and to identify risk factors for complications in patients who underwent hepatic resection. Methods: We evaluated the risk factors for complications after hepatic resection in 154 consecutive patients. Preoperative factors included gait speed, hand grip strength, and skeletal muscle mass. The gait speed and hand grip strength of patients were measured by physical therapists, and skeletal muscle mass was measured by computed tomography. Multivariate logistic regression analyses using preoperative factors were performed to assess predictors of the development of complications after hepatic resection. Results: Thirty-three patients (21.4%) developed complications after hepatic resection. These patients had a significantly lower serum albumin level (p = 0.015), slower gait speed (p = 0.007), higher rate of hepatic resection ≥ 2 Couinaud segments (p = 0.014), and lower rate of laparoscopic hepatic resection (p = 0.017) than patients without complications. Multivariate analysis revealed that a gait speed ≤ 1.10 m/s and a serum albumin level of ≤ 4.0 g/dl were independent risk factors for complications after hepatic resection. Conclusions: Slow gait speed and low serum albumin level are significant risk factors for complications after hepatic resection. These data will be helpful for perioperative patient management.

Original languageEnglish
JournalJournal of Gastrointestinal Surgery
DOIs
Publication statusAccepted/In press - Jan 1 2018

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Hand Strength
Liver
Serum Albumin
Skeletal Muscle
Walking Speed
Physical Therapists
Multivariate Analysis
Logistic Models
Tomography
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Cite this

Slow Gait Speed Is a Risk Factor for Complications After Hepatic Resection. / itoh, shinji; Yoshizumi, Tomoharu; Sakata, Kazuhisa; Motomura, Takashi; Mano, Yohei; Toshima, Takeo; Harimoto, Norifumi; Harada, Noboru; Ikegami, Toru; Soejima, Yuji; Kusaba, Ryuichi; Kamishima, Takahide; Nishie, Akihiro; Maehara, Yoshihiko.

In: Journal of Gastrointestinal Surgery, 01.01.2018.

Research output: Contribution to journalArticle

itoh, shinji ; Yoshizumi, Tomoharu ; Sakata, Kazuhisa ; Motomura, Takashi ; Mano, Yohei ; Toshima, Takeo ; Harimoto, Norifumi ; Harada, Noboru ; Ikegami, Toru ; Soejima, Yuji ; Kusaba, Ryuichi ; Kamishima, Takahide ; Nishie, Akihiro ; Maehara, Yoshihiko. / Slow Gait Speed Is a Risk Factor for Complications After Hepatic Resection. In: Journal of Gastrointestinal Surgery. 2018.
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abstract = "Purpose: The aims of this study were to clarify the relationship of gait speed, hand grip strength, and skeletal muscle mass with complications after hepatic resection and to identify risk factors for complications in patients who underwent hepatic resection. Methods: We evaluated the risk factors for complications after hepatic resection in 154 consecutive patients. Preoperative factors included gait speed, hand grip strength, and skeletal muscle mass. The gait speed and hand grip strength of patients were measured by physical therapists, and skeletal muscle mass was measured by computed tomography. Multivariate logistic regression analyses using preoperative factors were performed to assess predictors of the development of complications after hepatic resection. Results: Thirty-three patients (21.4{\%}) developed complications after hepatic resection. These patients had a significantly lower serum albumin level (p = 0.015), slower gait speed (p = 0.007), higher rate of hepatic resection ≥ 2 Couinaud segments (p = 0.014), and lower rate of laparoscopic hepatic resection (p = 0.017) than patients without complications. Multivariate analysis revealed that a gait speed ≤ 1.10 m/s and a serum albumin level of ≤ 4.0 g/dl were independent risk factors for complications after hepatic resection. Conclusions: Slow gait speed and low serum albumin level are significant risk factors for complications after hepatic resection. These data will be helpful for perioperative patient management.",
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AU - Mano, Yohei

AU - Toshima, Takeo

AU - Harimoto, Norifumi

AU - Harada, Noboru

AU - Ikegami, Toru

AU - Soejima, Yuji

AU - Kusaba, Ryuichi

AU - Kamishima, Takahide

AU - Nishie, Akihiro

AU - Maehara, Yoshihiko

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AB - Purpose: The aims of this study were to clarify the relationship of gait speed, hand grip strength, and skeletal muscle mass with complications after hepatic resection and to identify risk factors for complications in patients who underwent hepatic resection. Methods: We evaluated the risk factors for complications after hepatic resection in 154 consecutive patients. Preoperative factors included gait speed, hand grip strength, and skeletal muscle mass. The gait speed and hand grip strength of patients were measured by physical therapists, and skeletal muscle mass was measured by computed tomography. Multivariate logistic regression analyses using preoperative factors were performed to assess predictors of the development of complications after hepatic resection. Results: Thirty-three patients (21.4%) developed complications after hepatic resection. These patients had a significantly lower serum albumin level (p = 0.015), slower gait speed (p = 0.007), higher rate of hepatic resection ≥ 2 Couinaud segments (p = 0.014), and lower rate of laparoscopic hepatic resection (p = 0.017) than patients without complications. Multivariate analysis revealed that a gait speed ≤ 1.10 m/s and a serum albumin level of ≤ 4.0 g/dl were independent risk factors for complications after hepatic resection. Conclusions: Slow gait speed and low serum albumin level are significant risk factors for complications after hepatic resection. These data will be helpful for perioperative patient management.

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