食欲预测了急性心肌梗塞患者的长期临床结果
Shun Ishibashi1, Kenichi Sakakura1, Tomoya Ikeda1
1Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya, Saitama City 330-8503, Japan.
Journal of clinical medicine
|October 14, 2023
概括
出院前的食欲是急性心肌梗塞 (AMI) 患者长期结果的关键指标. 胃口不佳预示着心脏重大不良事件的风险更高,需要仔细跟踪.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 营养科学 营养科学
背景情况:
- 营养状况越来越被认为是影响患者结果的因素,特别是在老年人群中.
- 以前的研究表明,急性心肌梗塞 (AMI) 患者的营养状况和长期预后之间存在联系.
- 评估AMI患者的营养状况可能是复杂的;食欲可能是更简单的预测因素.
研究的目的:
- 研究AMI患者出院时的食欲与长期不良心血管事件之间的关联.
- 确定食欲是否可以作为AMI后临床结果的预测标记.
主要方法:
- 一项回顾性研究,涉及1006名被诊断患有AMI的患者.
- 根据出院前饮食摄入的百分比,患者被分为食欲良好 (n=860) 和食欲不佳 (n=146) 组.
- 主要不良心脏事件 (MACE),包括全因死亡,非致命性心脏病发作和心力衰竭再入院,被追踪为主要结局.
主要成果:
- 这项研究追踪了1006名AMI患者,平均996天,记录了243名MACE.
- 胃口不佳组的MACE率 (42.5%) 与胃口良好组 (21.0%,p < 0.001) 相比显著更高.
- 多变量分析显示,食欲不佳是MACE的独立预测因子 (危险比1.698,p < 0.001).
结论:
- 出院后的食欲水平是AMI康复的患者长期临床结果的重要预测指标.
- 在AMI后食欲下降的患者需要警监测和随访护理以减轻风险.
- 这一发现强调了评估食欲的重要性,作为AMI管理中的简单但有效的预后工具.
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