实施一个多学科的营养支持团队和临床结果在COVID-19的重症患者的临床结果
In-Ae Song1, Kyunghwa Lee2, Sunghee Lee2
1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, South Korea; Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, South Korea.
Clinical nutrition (Edinburgh, Scotland)
|December 24, 2023
概括
多学科营养支持团队 (NST) 改善了重症COVID-19患者的生存率. 在重症监护室 (ICU) 实施NST可将医院内死亡率降低40%.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 传染性疾病 传染性疾病
背景情况:
- 韩国成立了多学科营养支持团队 (NST),以改善风险患者的营养护理.
- 此前,NST对重症COVID-19患者临床结果的影响尚不清楚.
- 营养不良对重症患者,特别是COVID-19患者构成重大风险.
研究的目的:
- 调查NST实施对入住重症监护室 (ICU) 的重症COVID-19患者的生存结果的影响.
- 确定NST是否有助于在该患者群体中评估和提供足够的营养支持.
主要方法:
- 在2020年10月至2021年12月期间,韩国ICU接受治疗的成人COVID-19患者的回顾性分析.
- 用 (NST组) 和没有 (非NST组) 多学科营养支持小组系统的ICU患者之间的结果比较.
- 数据来源于国家健康保险服务和韩国疾病控制和预防机构.
主要成果:
- 总共有13,103名患者被分析;在NST组中有10,103名,在非NST组中有3,000名.
- 与非NST组相比,NST组的住院死亡率降低了40% (OR:0.60,95%CI:0.51至0.71).
- 亚组分析显示,NST组的急性呼吸困难患者和机械通风患者的死亡率明显较低.
结论:
- 实施NST与重症COVID-19患者的生存结果改善有关.
- 这些发现表明,NST可能有利于优化重症监护机构的营养支持和评估.
- 推NST可以提高患者护理,并降低严重COVID-19病例的死亡率.
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