营养状况与重症患者临床结果之间的关系:在前性队列调查中强调营养查工具
Omid Moradi Moghaddam1,2, Masoumeh Hosseinzadeh Emam2, Pardis Irandoost3
1Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran.
在ICU患者中,营养不良很常见. 重症患者的修改营养风险 (m-NUTRIC) 和营养风险查 (NRS-2002) 工具对于预测重症患者的死亡率和器官衰竭等结果最有效.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 临床结果研究研究
背景情况:
- 营养不良在成人重症监护室 (ICU) 患者中构成了重大挑战.
- 目前,没有普遍接受的黄金标准来评估这个弱势群体的营养状况.
- 这强调了需要有效的工具来识别处于风险中的个人.
研究的目的:
- 评估ICU患者的营养状况和临床结果之间的关联.
- 为了比较各种营养风险评估工具的预测性能.
- 确定最有效的工具来评估营养不良风险和预测严重疾病成年人的结果.
主要方法:
- 一个单中心前性队列研究与165名成年ICU患者进行.
- 营养风险使用营养风险查 (NRS-2002),重症患者的修改营养风险 (m-NUTRIC),迷你营养评估简短形式 (MNA-SF),控制营养状况 (CONUT) 和预后营养指数 (PNI) 来评估.
- 分析了这些工具对死亡率,器官衰竭,住院时间和机械通风 (MV) 的预测准确性.
主要成果:
- 与其他评估工具相比,m-NUTRIC和NRS-2002工具与死亡率,器官衰竭和MV的关联更强.
- 具体来说,m-NUTRIC显示死亡率的危险比率为1.72和器官衰竭的危险比率为1.69.
- NRS-2002还显示了与死亡率 (RR=1.37),器官衰竭 (RR=1.22) 和MV (RR=1.21) 的显著关联.
- 在大多数工具中,除了NRS-2002外,营养不良水平和住院时间之间没有显著的相关性.
结论:
- 有相当数量的ICU患者被确定为营养不良的高风险患者.
- m-NUTRIC和NRS-2002工具在预测重症患者的临床结果方面优越.
- 其他营养评估工具可能会高估ICU中的营养不良风险,导致结果预测不那么准确.
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