Predictive Value of Preoperative HALP Score for Postoperative Intestinal Obstruction in Elderly Patients Undergoing Radical Resection of Colorectal Cancer

Abstract

Objective To investigate the predictive value of preoperative HALP score for postoperative intestinal obstruction in elderly patients undergoing radical resection of colorectal cancer. Methods A total of 162 elderly patients with colorectal cancer who underwent radical resection in the 904th Hospital of the PLA Joint Logistic Support Force from 2020 to 2022 were selected for retrospective analysis. The patients were divided into an intestinal obstruction group (30 cases) and a control group (132 cases) according to whether intestinal obstruction occurred 4 d after operation. The clinical data of the two groups were compared, logistic regression was used to analyze the influencing factors of intestinal obstruction after colorectal cancer surgery, and ROC curve was used to analyze the predictive value of preoperative HALP score for intestinal obstruction after colorectal cancer surgery. Results The preoperative HALP score and preoperative globulin (Glb) level in the intestinal obstruction group were lower than those in the control group (P < 0.05) . Multivariate logistic regression analysis showed that the preoperative HALP score and preoperative Glb level were independent risk factors of intestinal obstruction after colorectal cancer surgery (P < 0.05) . ROC curve analysis showed that, the AUC of preoperative HALP score for the prediction of intestinal obstruction after colorectal cancer surgery was 0.901 (95% CI: 0.842 - 0.976), the optimal cut-off value was 35.5 scores, the sensitivity was 92.2% , and the specificity was 87.6% . Conclusion Preoperative HALP score is a risk factor of postoperative intestinal obstruction in elderly patients with colorectal cancer, and has a high predictive value for postoperative intestinal obstruction.

Keywords

• hemoglobin
• albumin
• lymphocyte
• platelets
• intestinal obstruction