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患有严重创伤的患者,受伤严重度评分为24及以上,会发展出营养障碍
Minori Mizuochi1, Junko Yamaguchi1, Nobutaka Chiba1
1Division of Emergency and Critical Care Medicine, Department of Acute Medicine, Nihon University School of Medicine, Tokyo 173-8610, Japan.
Diagnostics (Basel, Switzerland)
|June 27, 2024
概括
严重的创伤,以24或更高的伤害严重性评分 (ISS) 表示,与住院患者的营养状况恶化有关. 早期识别和营养管理对于改善创伤护理结果至关重要.
科学领域:
- 创伤护理 创伤护理
- 营养科学 营养科学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 创伤患者经常出现代谢障碍,影响营养状况.
- 控制营养状况 (CONUT) 评分是营养状况的关键指标.
- 评估受伤严重程度与营养下降之间的关系至关重要.
研究的目的:
- 评估与CONUT分数恶化相关的创伤严重程度值.
- 确定创伤患者营养状况不佳的预测因素.
- 为创伤幸存者提供营养管理策略的信息.
主要方法:
- 对住院至少一周的成年创伤患者进行了回顾性观察性研究.
- 在入院时计算伤害严重性得分 (ISS),并在第7天计算CONUT得分.
- 相关性分析,国际空间站切线的ROC曲线分析,以及后勤回归.
主要成果:
- 在ISS和第7天CONUT得分之间发现了显著的相关性 (r=0.373,p=0.008).
- 国际空间站切线为23.5,预测在第7天的CONUT得分为5或更高.
- 较高的ISS (OR=1.158) 和年龄较大 (OR=1.094) 预测营养状况更差.
结论:
- 创伤患者的ISS为24或更高,经历营养状况下降.
- 年龄较大和伤害严重程度较高与营养不良结果有关.
- 对于严重受伤的创伤患者,积极的营养支持是必不可少的.
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