老年人营养风险指数预测了患有关节骨折的老年患者的术后预后:元分析
1Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, West China School of Nursing, Sichuan University, Chengdu, People's Republic of China.
Medicine
|April 26, 2024
概括
老年营养风险指数 (GNRI) 可以预测老年关节骨折患者的结果. 较低的GNRI得分表明手术后死亡和并发症的风险更高.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 营养科学 营养科学
背景情况:
- 部骨折在老年人中很普遍,与高死亡率有关.
- 对老年关节骨折患者进行准确的术后预后仍然具有挑战性.
研究的目的:
- 为了评估老年营养风险指数 (GNRI) 的预后值,在接受关节骨折手术的患者中.
主要方法:
- 一个对发表到2023年9月19日的研究的元分析,来自Medline,EMBASE,Web of Science和CNKI.
- 主要结局:死亡率. 二次结果:并发症的发生率.
- 计算了 95% 置信区间的聚合危险比率和相对风险.
主要成果:
- 分析了包括3959名患者在内的9项研究.
- 较低的GNRI与术后死亡率的增加显著相关 (HR = 0.82,P = .001).
- GNRI预测了整体术后并发症的风险 (52%对35.5%,P = .04) 和肺炎 (33.3%对13.6%,P = .010).
结论:
- 该GNRI显示了作为老年关节骨折患者的新预后指标的潜力.
- 较低的GNRI意味着手术后死亡率和并发症的风险更高.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.6K
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
16.6K
相关概念视频
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
119
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
119
01:29Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K