血红蛋白-老年人营养风险指数在患有心力衰竭的患者中的预测值
Momoko Tohyama1, Yuka Shirai1,2, Miho Shimizu3
1Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu 514-8507, Japan.
Nutrients
|November 25, 2023
概括
心力衰竭 (HF) 患者的营养不良预示着不良结果. 血红蛋白-老年人营养风险指数 (H-GNRI) 有效地识别高风险个体,有助于预测预后,以便更好地管理患者.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 营养科学 营养科学
背景情况:
- 在心力衰竭 (HF) 患者中,营养不良很常见,导致功能衰退.
- 评估营养状况对于预测老年HF患者的预后至关重要.
研究的目的:
- 评估血红蛋白 - 老年营养风险指数 (H-GNRI) 的预测价值,用于老年心力衰竭患者的预后.
- 探索营养不良风险 (使用H-GNRI) 和各种临床结果之间的关联.
主要方法:
- 使用JMDC多中心数据库进行分析.
- 根据H-GNRI得分,将3532名高烧率患者分为低风险,中风险和高风险组.
- 评估结果包括巴特尔指数 (BI) 收益,出院时的BI,BI效率,住院,死亡率,出院目的地和住院相关的残疾.
主要成果:
- 与低风险患者相比,高风险患者 (H-GNRI得分 = 0) 在出院时表现出明显较低的BI,减少了BI收益,并降低了BI效率.
- 高风险个人经历了长时间的住院,更高的住院死亡率,并增加了住院相关残疾率.
- 较少的高风险患者被送回家或护理机构.
结论:
- 血红蛋白-老年人营养风险指数 (H-GNRI) 是预测老年心力衰竭患者预后的宝贵工具.
- H-GNRI可以帮助识别患有不良结果高风险的患者,从而实现有针对性的干预.
- 使用H-GNRI进行营养状况评估对于有效管理心力衰竭患者至关重要.
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