老年住院患者中的蛋白质能量营养不良:一项前性研究
D H Sullivan1, S Sun, R C Walls
1Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock 72205, USA. sullivandennish@Exchange.UAMS.edu
JAMA
|June 8, 1999
概括
许多住院的老年患者的营养摄入不足,增加了他们的死亡风险. 在住院期间预防营养缺陷的早期干预对于改善患者的治疗结果至关重要.
科学领域:
- 老年学是指老年学的学科.
- 临床营养学 临床营养学
- 医院 医院 医疗 医疗 医疗 医疗
背景情况:
- 住院的老年患者经常经历营养不足,与增加的发病率有关.
- 医院内营养摄入量对这些缺陷和不良结果的贡献仍然不清楚.
研究的目的:
- 为了确定非绝症住院的老年患者的平均每日营养摄入量.
- 确定与持续低营养摄入量相关的因素.
- 评估营养摄入量充足度与死亡风险之间的相关性.
主要方法:
- 在大学附属的退伍军人医院进行前性队列研究 (1994-1997).
- 涉及497名老年患者 (≥65岁) 停留时间≥4天.
- 测量每日医院内营养摄入量,医院内死亡率和90天死亡率.
主要成果:
- 21%的患者营养摄入量低于估计需求的50%.
- 营养摄入量低与血清胆固醇,白蛋白和前白蛋白水平的降低有关.
- 营养摄入量低的患者在医院住院 (RR 8.0) 和90天死亡率 (RR 2.9) 显著增加.
- 摄入量不足是由于"没有口服"的订单和补充剂/食途径的不足利用.
结论:
- 许多老年患者在住院期间无法获得足够的营养,这可能会增加死亡率.
- 医院住院期间预防营养缺陷是必不可少的,因为以后扭转营养缺陷的挑战很大.
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