控制营养状况 (CONUT) 评分作为住院虚弱老年患者的预测标记
Aurelio Lo Buglio1, Francesco Bellanti1, Cristiano Capurso1
1Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.
Journal of personalized medicine
|July 29, 2023
概括
控制营养状况 (CONUT) 评分预测虚弱老年患者的住院时间更长,但不能准确预测死亡率. 这种工具有助于管理营养状况,并预测这个弱势群体的结果.
科学领域:
- 老年学是指老年学的学科.
- 内部医学 内部医学
- 营养科学 营养科学
背景情况:
- 控制营养状况 (CONUT) 评分是评估营养状况和预测不良结果的验证工具.
- 关于CONUT得分在入院内科病房的脆弱老年患者的预测效益的数据有限.
研究的目的:
- 评估CONUT得分对65岁及以上脆弱患者死亡率和停留时间 (LOS) 的预测作用.
- 根据他们的CONUT分数,比较虚弱和非虚弱患者之间的结果.
主要方法:
- 连续246名65岁以上的患者被录取并按脆弱状态分类.
- 患者进一步划分为低 (<5) 和高 (≥5) CONUT评分组.
- 进行了统计分析,包括多重线性回归和生存曲线分析.
主要成果:
- 在脆弱患者和具有高CONUT分数的脆弱患者中,停留时间 (LOS) 显着更高.
- 每增加1分的CONUT得分与额外的2.1天的LOS相关.
- 脆弱患者的住院死亡率较高,但在脆弱人群中的CONUT得分组之间没有显著差异.
- 生存分析表明,高CONUT得分的脆弱患者的30天死亡率高于低CONUT得分的非脆弱患者.
结论:
- 该CONUT得分显示了显著的预后价值,用于预测在内部医学机构内,脆弱的老年患者停留时间的延长.
- 在这个特定人群中,CONUT评分对死亡率的预测准确性需要进一步调查.
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