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January 1, 2025OTO OpenOpen Access

Bioelectrical‐Impedance‐Analysis in the Perioperative Nutritional Assessment and Prediction of Complications in Head‐and‐Neck Malignancies

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Authors

YLYi Ting LaiHPHui Yee PehHKHanis Abdul Kadir

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Overview

Cohort study demonstrates that bioelectrical impedance parameters correlate with perioperative pneumonia in head and neck cancer surgery, suggesting utility in preoperative risk stratification.

Key Points

  • To correlate bioelectrical impedance analysis parameters with Subjective Global Assessment scores and evaluate their association with perioperative complications in patients undergoing head and neck cancer surgery.
  • Cohort study conducted in a tertiary hospital in Singapore involving 61 patients with head-and-neck malignancies admitted for elective surgery between 2018 and 2019.
  • Patients underwent preoperative Subjective Global Assessment (SGA) and bioelectrical impedance analysis (BIA) via the Bodystat Quadscan 4000.
  • Associations were analyzed using Kruskal-Wallis tests, Wilcoxon rank-sum tests, Firth multivariable logistic regression, and ROC curve analyses for phase angle and Wellness marker cut-offs.
  • A preoperative bioelectrical impedance analysis parameter demonstrated a statistically significant association with perioperative pneumonia in univariate analysis (p = 0.02).
  • No statistically significant associations were identified between bioelectrical impedance analysis parameters and other perioperative surgical complications.

Cite This Study

Lai et al. (2025) studied this question.

synapsesocial.com/papers/6a83fdf66de9cd8ef3ee827chttps://doi.org/10.1002/oto2.70046
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Bioelectrical Impedance Analysis in the nutritional assessment and prediction of complications in patients undergoing surgery for head and neck malignancies, A pilot observational study2022
  2. 2Bioelectrical Impedance Analysis in Patients Undergoing Major Head and Neck Surgery: A Prospective Observational Pilot Study2021 · 6 citations
  3. 3Preoperative Bioelectrical Impedance Analysis Identifies Altered Body Composition, Which Is Associated with Severe Postoperative Complications in Major Hepatopancreaticobiliary Surgery2026
  4. 4Prognostic value of bioelectrical impedance analysis in head and neck cancer patients undergoing radiotherapy: a VALOR® study2024 · 17 citations
  5. 5Predicting the Risk of Morbidity by GLIM-Based Nutritional Assessment and Body Composition Analysis in Oncologic Abdominal Surgery in the Context of Enhanced Recovery Programs2024 · 13 citations