营养不良和老年人全因死亡率之间的长期关联:一项为期10年的随访研究
Lisa Söderström1, Andreas Rosenblad2
1Centre for Clinical Research Västerås, Uppsala University, Västerås, Sweden.
Clinical nutrition (Edinburgh, Scotland)
|November 9, 2023
概括
老年医院患者的营养不良,通过迷你营养评估 (MNA) 确定,显著预测长期死亡率长达10年. 这个工具可以帮助识别需要营养支持的高风险个体.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 流行病学 流行病学
背景情况:
- 营养不良与死亡率的增加有关.
- 迷你营养评估 (MNA) 对住院老年人长期死亡的预后价值仍然不清楚.
研究的目的:
- 为了确定MNA评估的营养不良是否预测住院老年人的长期死亡率.
- 评估这种联系在10年后续期间的持续时间.
主要方法:
- 接受瑞典医院住院的1768名老年人 (≥65岁) 使用MNA进行了评估.
- 参与者被跟踪了10年,以追踪所有原因的死亡率 (ACM).
- 调整为混因素的考克斯回归模型被用于分析五个随访期间的死亡率.
主要成果:
- 10年后,营养不良患者的死亡率为94.1%,风险患者为75.9%,营养良好患者为50.7%.
- 在所有随访期间,营养不良和有风险的患者的调整后死亡风险显著更高 (P < 0.05).
- 即使在8年后,营养不良患者在随后的两年内死亡的风险比营养良好患者高2.7倍.
结论:
- 经MNA评估的营养不良是住院老年人长期死亡率的独立预测因素,在10年内有着一致的关联.
- 该MNA可以识别低死亡风险的个体,允许针对性的营养支持干预措施.
- 这种预后信息有助于在老年医院人口中为营养护理分配资源.
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