老年人营养不良和脱水之间的关联进入老年病房:一项观察性研究
Camilla Balle Bech1, Jonas Anias Svendsen2, Anne Wilkens Knudsen1
1Dietetic and Nutritional Research Unit, EATEN, Copenhagen University Hospital - Herlev Gentofte, Denmark.
Clinical nutrition ESPEN
|September 22, 2023
概括
这项研究发现,老年住院患者的营养不良和脱水评估之间的一致性很低. 这两种情况都需要单独评估,以确保对老年患者的全面护理.
科学领域:
- 老年医学 老年医学
- 临床营养学 临床营养学
- 内部医学 内部医学
背景情况:
- 低水和营养摄入量的危险因素经常重叠.
- 老年住院患者容易出现脱水和营养不良.
- 早期发现这些疾病对于患者的治疗结果至关重要.
研究的目的:
- 研究老年住院患者的营养不良评估和低摄入量脱水之间的一致性.
- 确定脱水是否与该人口的营养不良有关.
- 为临床实践提供有关老年患者评估的信息.
主要方法:
- 114名65岁以上的老年病房住院患者进行了查.
- 通过血清度 (≥295 mmol/L) 评估脱水.
- 使用NRS-2002,MNA-SF,MNA-LF,MUST和GLIM标准进行评估的营养不良.
主要成果:
- 43%的患者脱水;脱水在男性中更为普遍.
- 脱水患者的体重和中上臂周长都更高.
- 脱水和非脱水组之间的营养不良患病率没有显著差异.
- 在营养不良和脱水评估之间观察到的低一致性 (卡帕值接近0).
结论:
- 在老年住院患者中,营养不良和低摄入量脱水评估之间的一致性很低.
- 老年患者需要同时评估脱水和营养不良.
- 进一步的研究可能会探索这种低协议的临床影响.
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