在脊髓结核病手术后,老年患者的老年营养风险指数的预测值
Yong Huang1, Ruibang Wu1, Qinghong Xia2
1Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Frontiers in nutrition
|August 24, 2023
概括
老年营养风险指数 (GNRI) 预测了老年脊髓结核病患者的手术结果. 较低的GNRI得分表明STB患者的并发症风险更高,预后不佳.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
背景情况:
- 脊柱结核病 (STB) 是一个重大的健康挑战,特别是在老年人身上.
- 营养状况严重影响STB患者的预后.
- 老年营养风险指数 (GNRI) 是已知的不良结果的预测指标,但其在STB手术中的作用尚未研究.
研究的目的:
- 为了评估GNRI的预后价值在接受STB手术的老年患者中.
- 确定GNRI是否可以预测这一群体的外科结果和并发症.
主要方法:
- 对91名经过手术的老年性病患者 (≥65岁) 的回顾性分析.
- 使用血清白蛋白和体重计算的GNRI.
- 评估了术后并发症和1年的临床治愈状态.
主要成果:
- 一个GNRI切线<98.63g/dL预测不良的预后.
- 低GNRI与更高的并发症得分相关,红细胞输血增加,并发症增加,特别是肺炎.
- 多变量分析证实,GNRI是不良结果的独立预测因素.
结论:
- 在接受手术的老年性病患者中,GNRI是预测预后的有价值生物标志物.
- 较低的GNRI得分与更糟糕的临床结果和更高的并发症率有关.
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