在成人心脏手术前查萨科佩尼亚的营养指数
Seok In Lee1, Chang Hyu Choi1, Chul-Hyun Park1
1Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Journal of thoracic disease
|July 10, 2023
概括
营养指数可以预测心脏手术患者的肉症. 营养风险指数 (NRI) 是比传统方法更快,更可靠的查工具,用于在手术前识别.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 营养科学 营养科学
背景情况:
- 营养不良加剧了萨尔科佩尼亚,一种影响肌肉质量和力量的疾病.
- 术前营养指数可以作为各种患者群体中 Sarcopenia 的查工具.
- 传统的查方法 (如握力) 是耗时的,不适用于所有人.
研究的目的:
- 评估手术前的营养指数对成人心脏手术患者的萨尔科佩尼亚的预测能力.
- 为了比较不同营养指数的有效性,识别肉症.
- 为了建立营养指数作为可行的查工具,在这个患者队伍中发现肉类.
主要方法:
- 对499名接受心肺旁路术的成年心脏手术患者进行了回顾性分析.
- 通过腹部计算机断层扫描测量psoas肌肉质量面积.
- 使用控制营养状况 (CONUT) 评分,预后营养指数 (PNI) 和营养风险指数 (NRI) 评估手术前的营养状况.
- 接收器运行特征 (ROC) 曲线分析,以确定对肉类的最佳预测性营养指数.
主要成果:
- 麻症患者 (124/499,24.8%) 年龄较大,体重较轻,BMI较低,营养状况较差.
- 与CONUT (AUC 0.607) 和PNI (AUC 0.574) 相比,营养风险指数 (NRI) 显示出更高的预测性能 (AUC 0.716).
- 在105.25的NRI切线值下,达到了67.7%的灵敏度和65.1%的特异性,用于检测肉症.
结论:
- 营养风险指数 (NRI) 是一种更高效,更快速,更可重复的查工具,用于成人心脏手术患者的肉症.
- NRI提供了一种有效的替代方案,用于评估,特别是在移动能力有限的患者.
- 使用NRI可以帮助在手术前的环境中早期识别和管理.
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