人类测量与死亡率之间的关联的新视角:小牛周长的作用
C Ceolin1, V Acunto, C Simonato
1Chiara Ceolin, Department of Medicine (DIMED), Geriatrics Division, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, Fax: +39 049 8211218; Phone: +39 049 8218949,
The Journal of frailty & aging
|April 15, 2024
概括
牛犊周长 (CC) 有效地预测住院后老年人死亡率,与既有措施相比. 这种简单的方法有助于老年患者的预后分层.
科学领域:
- 老年学是指老年学的学科.
- 临床营养学 临床营养学
- 生物统计学 生物统计学
背景情况:
- 肉类症显著影响老年人的死亡率.
- 在老年患者中评估身体成分存在挑战.
- 假设小牛周长 (CC) 是死亡率的实际预测指标.
研究的目的:
- 评估CC对老年人死亡率的预测作用.
- 为了评估CC的准确性,在医院出院后的3,6,12个月.
- 将CC的预测有效性与其他已确定的标记器进行比较.
主要方法:
- 对192名65岁以上的患者进行了回顾性研究 (2021年9月至2022年3月).
- 测量身体和身体组成特征 (BMI,MNA).
- 退院后3,6个月和12个月记录的死亡数据;根据2019年欧洲共识标准诊断的肉症.
主要成果:
- 在3个月和6个月的sarcopenic个体中,死亡率更高.
- CC表现出与MNA和ASMMI相当的有效性,表现优于BMI和专蛋白.
- 一个CC切线30.6厘米显示最佳的灵敏度和特异性预测死亡率在3个月和6个月.
结论:
- CC是出院后3,6个月和12个月死亡率的有效预测指标.
- CC是住院老年人中中期死亡率的独立预测因素.
- CC提供了一种简单,即时和有效的预后分层方法.
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