在最年长的老年危急病患者中重新养低血症
Leyla Ferlicolak1, Neriman Defne Altintas2
1Faculty of Medicine, Department of Internal Medicine, Division of Intensive Care Medicine, Ankara University, Ankara, Turkey. lferlicolak@gmail.com.
Irish journal of medical science
|August 17, 2023
概括
重新养严重病情的老年患者的低光血症并没有影响死亡率或ICU停留. 这种情况在患有急性疾病的老年人中很常见,无论是否存在或不存在,都显示出类似的结果.
科学领域:
- 老年医学 老年医学
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
背景情况:
- 重新养综合征涉及营养恢复后的代谢和电解质变化.
- 患有急性/慢性疾病的老年患者往往由于摄入量和代谢不良而营养不良.
- 这项研究的重点是重症重症老年患者的再食低酸血症.
研究的目的:
- 评估在最年长的老年重症患者中重新养的低酸血症.
- 评估重新食低酸血症对患者结局的影响.
- 为了确定这种高风险人群中再食低酸血的发生率.
主要方法:
- 追溯队列研究的设计.
- 包括80岁或以上的患者入住了重症监护室.
- 在开始食48小时后,根据低酸血症发生的情况将患者分组为组.
主要成果:
- 平均年龄为87岁; 73%是女性.
- 在30%的患者中发生了反的低度血症.
- 两组之间在ICU死亡率,医院死亡率,严重程度得分或并发症方面没有显著差异.
结论:
- 重新养低酸血的发生率与之前的研究一致,尽管高风险队列.
- 重新养的低酸血并没有显著影响死亡率或ICU停留时间.
- 临界病情严重的老年患者的结局类似,有或没有再食低度血症.
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