緊急治療室の患者の死亡率と長期入院の予測因子としての栄養不良に関するグローバル・リーダーシップ・イニシアティブ:前向きなコホート研究
Renata Wolf1, Larissa Farinha Maffini2,3, Johnny Galhano Dos Santos2
1Nutrition Department, Faculty of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
まとめ
栄養不良に関するグローバル・リーダーシップ・イニシアチブ (GLIM) の基準は,緊急治療室 (ED) の患者の栄養不良を効果的に特定し,より長い入院期間とより高い死亡リスクを予測します. この標準化されたアプローチは 早期の栄養介入を助長します
科学分野:
- 臨床栄養について
- 高齢者医療
- 緊急 医療
背景:
- 栄養失調の早期診断は 適切な栄養介入と 患者の改善のために不可欠です
- 栄養不良に関するグローバル・リーダーシップ・イニシアティブ (GLIM) の基準は,栄養不良の評価のための標準化された枠組みを提供します.
- 緊急治療室でのGLIM基準の評価は,臨床実務において不可欠です.
研究 の 目的:
- 栄養不良患者のGLIM基準を用いて栄養不良の流行を決定する.
- GLIMで定義された栄養失調と1年間の死亡率との関連性を評価する.
- GLIM基準と入院期間 (LOS) の相関性を評価する.
主な方法:
- 大学病院のEDにおける前向きなコホート研究
- 栄養評価には,人体測定,主観的総合評価 (SGA),およびGLIM基準が含まれていました.
- 統計分析では,受信機の動作特性曲線とロジスティック回帰を用いた.
主要な成果:
- 栄養不良の罹患率はSGAで53. 9%,GLIMで50. 9%でした.
- GLIM基準は,SGAと比較して高い精度 (86. 8% AUC) を示した.
- SGAとGLIMの両方による栄養不良は, LOSと1年間の死亡率を大幅に予測しました.
結論:
- GLIM基準とSGAは,ED患者のLOSと1年死亡率を予測する貴重なツールです.
- GLIM基準は,この集団における栄養失調を診断するためのより客観的で再現可能な方法を提供します.
- GLIMの基準をEDに導入することで,早期に効果的な栄養ケアができるようになります.
関連する概念動画
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
279
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
279
01:28International Nursing Organizations II
1.1K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.1K
01:26Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
407
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
407
01:30Pneumonia V: Nursing management and Prevention
2.4K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.4K
01:22Nursing Diagnosis
2.9K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
2.9K