患有急性肠衰竭的老年患者的亲肠营养相关并发症:描述性队列研究
Garrett Kang1, Mark Chang Chuen Cheah1, Poh Bee Yen2
1Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore, Singapore.
JPEN. Journal of parenteral and enteral nutrition
|November 22, 2023
概括
与年轻成年人相比,患有急性肠衰竭的老年人通过肠道营养 (PN) 显示出类似的并发症率和临床结果. 这表明PN对于老年患者来说是安全的,尽管并发症增加了.
科学领域:
- 临床营养学 临床营养学
- 胃肠病学 胃肠病学
- 老年医学 老年医学
背景情况:
- 亲肠道营养 (PN) 对于治疗急性肠衰竭至关重要.
- 在患有急性肠衰竭的老年人中,PN的结果没有得到充分的记录.
- 这项研究解决了了解老年患者PN相关并发症的差距.
研究的目的:
- 为了比较患有急性肠道衰竭的老年人和年轻成年患者的亲肠营养相关并发症.
- 评估这些不同的年龄组中与PN相关的临床结果.
主要方法:
- 2019年1月至2019年12月接受PN的住院患者的回顾性描述性研究.
- 患者被分为老年人 (≥65岁) 和年轻人 (<65岁) 组.
- 人口统计数据,PN摄入量,停留时间和PN相关并发症的比较.
主要成果:
- 年长的成年人具有较高的并发症评分和较低的功能状态,但每公斤能量,乳糖和蛋白质的摄入量较低.
- 老年人的平均逗留时间明显较短.
- 两组之间在PN相关的并发症或临床结果 (感染,葡萄糖异常,死亡率) 中没有发现显著差异.
结论:
- 患有急性肠衰竭的老年人通过肠道营养与与年轻人相比的并发症率和临床结果有关.
- 在老年人中增加的并发症并没有转化为PN治疗的更糟糕结果.
- PN可以安全地给老年成人患有急性肠衰竭的患者使用.
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