营养不良的严重程度与急性心肌梗塞患者的结果更差有关
Mohamad Alhoda Mohamad Alahmad1, Kamal Gupta2
1Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas.
The American journal of cardiology
|June 23, 2023
概括
急性心肌梗塞 (AMI) 患者的营养不良与更糟糕的结果有关. 该研究发现,营养不良的严重程度与住院患者死亡率和再入院率的增加直接相关.
科学领域:
- 心脏病学 心脏病学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 营养不良被认为是影响患者结果的一个因素.
- 关于急性心肌梗塞 (AMI) 患者营养不良程度与结果严重程度之间的相关性,数据有限.
研究的目的:
- 调查营养不良及其严重程度与AMI住院患者的结果之间的关联.
- 为了确定营养不良的程度是否与AMI患者的结局严重程度相关.
主要方法:
- 使用全国再接收数据库 (2016-2019年) 进行横截面研究.
- 包括初级诊断为AMI的成年患者 (年龄大于18岁).
- 统计分析以估计国家患病率和结果,包括住院患者死亡率,住院时间长度和30天再接收率.
主要成果:
- 确定了2,280,393名AMI出院者;4% (89,490) 的人有营养不良.
- 营养不良患者年轻,女性更常见,并患有更高的并发症 (心力衰竭,痴呆症,慢性疾病).
- 营养不良显著增加了住院患者的死亡率 (12.5%vs4.6%),住院时间 (13vs7天) 和30天的再入院 (19%vs13%). 营养不良的严重程度与较高的死亡率相关 (OR 1.20-1.69).
结论:
- 营养不良与住院AMI患者的不良结果独立相关.
- 营养不良的严重程度是更糟糕的结果的重要预测因素,包括更高的住院死亡率.
- 这些发现强调了营养评估和干预在AMI管理中的重要性.
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