心脏病住院患者的肠道接入结果:回顾性队列研究
Armaun D Rouhi1, Jeffrey L Roberson1, Angelika N Alberstadt1
1Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
The Journal of surgical research
|May 3, 2024
概括
接受肠道接入手术的主要心脏诊断 (PCD) 的患者更快地实现了养目标,并降低了重新手术和急性损伤风险. 这表明,尽管伴随性疾病负担更高,但结果仍然有利.
科学领域:
- 临床营养学 临床营养学
- 外科手术的结果
- 胃肠病学 胃肠病学
背景情况:
- 在住院期间,主要心脏病诊断 (PCD) 的患者经常出现营养不良.
- 肠道养可能会改善这些患者的营养状况.
- 选择性肠道接入程序用于营养支持.
研究的目的:
- 为了检查主心脏诊断 (PCD) 和选择性肠道接入程序后的术后结果之间的关联.
- 评估PCD和无PCD患者的营养状况,发病率,死亡率,住院时间和再入院率.
主要方法:
- 进行肠道接入手术的成年患者的回顾性审查 (2018-2020年).
- 用于调整PCD和非PCD组之间的基线特征的入平衡.
- 多变量后勤和线性回归分析了包括营养状况,外科手术后并发症和停留时间在内的结果.
主要成果:
- 在912名患者中,8.2%的患者患有主要心脏病诊断 (PCD),并呈现出更高的并发症负担.
- PCD与达到目标料的时间减少2.25天有关 (P=0.004).
- PCD与重新手术的几率降低相关 (aOR 0.28,P=0.026) 和急性损伤 (aOR 0.24,P=0.035).
结论:
- 接受肠道接触的主要心脏诊断 (PCD) 的成年患者经历了改善的营养和术后结果.
- 尽管伴随性疾病负担较高,但PCD患者的食目标实现速度更快,并降低了并发症风险.
- 肠道接入程序在心脏病患者的营养支持中似乎是安全和有效的.
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