确定急诊患者的营养风险:什么是最合适的查工具?
Johnny Galhano Dos Santos1, Camila Saueressig2, Renata Wolf3
1Graduate Program in Food, Nutrition, and Health, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
概括
在急诊室 (ED) 早期营养风险查至关重要. 营养风险紧急情况2017 (NRE-2017) 工具证明了长时间住院和死亡率的预测有效性,使其成为ED设置的理想选择.
科学领域:
- 临床营养学 临床营养学
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 急诊室 (ED) 是医院的主要接入点.
- 通过营养风险查 (NR) 早期识别营养不良风险至关重要.
- 这项研究在ED环境中评估了五种NR查工具.
研究的目的:
- 评估五种NR查工具的可行性和预测有效性:NRS-2002,NRE-2017,RFH-NPT,MUST和MST.
- 确定在ED中对NR查最合适的工具.
主要方法:
- 431名患者在巴西一家公共医院接受了评估.
- 根据每个工具的特定分数来定义NR (NRS-2002 ≥3,NRE-2017 ≥1.5,MUST/RFH-NPT/MST ≥2).
- 评估的结果包括长时间停留 (LOS) 和1年死亡率.
主要成果:
- 根据工具的不同,NR的流行率有所不同:NRS-2002 (35%),MST (43%),NRE-2017和MUST (45%),RFH-NPT (49%).
- 患有NR的患者具有显著更高的长期LOS风险 (P < 0.001).
- 在所有测试工具中,NR与1年死亡风险增加有关 (HRs从2.60到5.43).
结论:
- 该NRE-2017工具不需要客观数据,并且显示了长期LOS和ED死亡率的强有力的预测有效性.
- 无论疾病的严重程度如何,NRE-2017似乎是最适合在急诊室进行NR查的工具.
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