在重症监护室的新冠肺炎患者的营养风险和发病率和死亡率2019年新冠肺炎病 2019年新冠肺炎病 2019年新冠肺炎病 2019年新冠肺炎病 2019年新冠肺炎病 2019年新冠肺炎 2019年新冠肺炎 2019年新冠肺炎
Julia Braga-da-Silveira1, Miriam Viviane Baron2, Greiciane Gonçalves Carati-da-Rocha3
1Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
患有2019年新冠肺炎 (COVID-19) 的重症监护室 (ICU) 患者的高营养风险与急性损伤 (AKI) 和死亡率增加有关. mNUTRIC-S评分可以帮助预测这些重症患者的预后.
科学领域:
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
背景情况:
- 新冠病毒病2019 (COVID-19) 与重症监护室 (ICU) 患者急性损伤 (AKI) 的高率有关.
- 严重病情严重的COVID-19患者中有很大一部分具有高营养风险,这是已知的死亡率预测因素.
研究的目的:
- 研究COVID-19的ICU患者的营养风险,AKI和结果 (发病率和死亡率) 之间的关联.
- 确定mNUTRIC-S得分在评估COVID-19患者预后方面的有用性.
主要方法:
- 追溯的队列研究,包括接受了ICU的成年患者.
- 暴露:COVID-19的诊断. 暴露:COVID-19的诊断. 暴露:COVID-19的诊断. 暴露:COVID-19的诊断. 暴露:COVID-19的诊断. 结果:死亡率,AKI,透析,机械通风,血管压缩器的使用.
- 使用mNUTRIC-S评分评估营养风险;确定高风险的切断值.
主要成果:
- 这项研究包括192名患者 (101名COVID-19阳性,91名对照).
- 在体重,BMI,营养风险,mNUTRIC-S得分和ICU停留时间方面观察到群体之间的显著差异.
- 一个mNUTRIC-S分数切线<5分被确定为最佳预测营养风险.
结论:
- COVID-19显著影响功能,增加死亡风险.
- 营养风险是影响COVID-19患者死亡率的关键因素.
- 该mNUTRIC-S尺度可以帮助在ICU的COVID-19患者的预后评估.
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