[Hand grip strength as a nutritional indicator of patients with oral and maxillofacial malignancies to predict post-operative complications]

ABSTRACT

The correlation between hand grip strength(HGS),arm muscle circumference(AMC) and creatinine-height index (CHI) were studied in 127 patients with oral and maxillofacial malignancies.Prediction of postoperative complications by using HGS was also attempted in the patients undergoing surgical treatment.The results showed(1)HGS correlated well with AMC and CHI,indicating that HGS can be used as a nutritional parameter to reflect the skeletal muscle condition(depletion or repletion);(2)comparison of the operative patients whose HGS<85% of the standard value(Group I)with those HGS>/=85% of the standard value(Group II)demonstrated that Group I hand a much higher incidence of postoperative complication(48.4%) than that of Group II (18.5%)(X=9.30;P<0.005),which means that HGS can be served as a nutritional prognostic indicator to predict postoperative complications.