埃斯实用指南:为多病症医疗住院患者提供营养支持
Carla Wunderle1, Filomena Gomes2, Philipp Schuetz1
1Cantonal Hospital Aarau and University of Basel, Switzerland.
Clinical nutrition (Edinburgh, Scotland)
|February 3, 2024
概括
与疾病相关的营养不良在多病性住院患者中很常见,增加了风险和成本. 本更新的指南提供基于证据的营养支持建议,以改善患者的治疗结果和康复.
科学领域:
- 临床营养学 临床营养学
- 医疗住院患者 医疗住院患者
- 基于证据的医学基于证据的医学.
背景情况:
- 患有多种疾病的医疗住院患者经常经历与疾病相关的营养不良.
- 这种情况显著提高了发病率,死亡率和医疗保健费用.
研究的目的:
- 建立基于证据的推,用于医院治疗多病症患者的营养支持.
- 为了解决将疾病特定指南应用于复杂患者群体的不确定性.
主要方法:
- 在三个数据库 (Medline,Embase,Cochrane Library) 和二次来源中进行系统的文献搜索,直到2022年7月.
- 基于已识别的研究制定建议,包括SIGN分级和Delphi投票.
- 创建一个实用指南版本,包含患者护理流程图.
主要成果:
- 32条建议涵盖营养支持方面:指示,食路线,能源/蛋白质/微量营养素需求,时间,监测和干预程序.
- 根据证据的强度分类的建议 (A,B,O,GPP).
结论:
- 营养支持有效地减少多病症患者的发病率和并发症.
- 及时的营养不良查和个性化干预对于例行临床护理至关重要.
- 本更新的指导方针提供了基于证据的方法,以提高多病症医疗住院患者的治疗结果.
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