老年住院患者的再综合征:发生率,管理和结果
Kevin Terlisten1, Rainer Wirth1, Diana Daubert1
1Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, 44625 Herne, Germany.
Nutrients
|September 28, 2023
概括
再养综合征 (RFS) 在营养不良的老年患者中可能会发生,尽管他们遵守了指南. 在这个人群中,早期诊断和治疗RFS并没有增加死亡率或再入院率.
科学领域:
- 老年病的医生 老年病的医生
- 内部医学 内部医学
- 临床营养学 临床营养学
背景情况:
- 再养综合征 (RFS) 是营养不良患者的一个关键代谢并发症.
- 老年人特别容易受到营养不良和RFS的影响,但发生率数据有限.
研究的目的:
- 确定营养不良的老年住院患者中RFS的发生和管理.
- 评估RFS对这一人口群的死亡率和再入院的影响.
主要方法:
- 对156名营养不良的老年患者进行前性研究 (迷你营养评估-简短形式).
- 生物化学参数的评估和RFS风险分层.
- 使用基于证据的指导方针来管理和评估RFS.
- 追踪出院后6个月的死亡率和再接收情况.
主要成果:
- 23%的低酸血,31%的低磁血,6%的低血在入院时.
- 被归类为低风险 (64%),高风险 (30%) 或非常高风险 (6%) 的RFS.患者.
- 14%的人患有即将发生的RFS,5%的人在营养治疗后患有明显的RFS.
- 在RFS和非RFS组之间,在6个月死亡率或再入院方面没有显著差异.
结论:
- 再养综合征可以在老年营养不良患者中持续存在,即使是基于指导方针的管理.
- 在老年人中早期诊断和治疗RFS可以防止死亡率增加和重入院.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
191
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
191
Heart Failure VI: Adjunct Therapies
16
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
16
Mitral Regurgitation IV: Nursing Management
41
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
41
Pneumonia V: Nursing management and Prevention
2.1K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.1K
Rheumatic Heart Disease IV: Nursing Management
18
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
18
Nephrotic Syndrome III : Nursing Management
19
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
19


