美国住院成人的营养不良,2016-2019年
Ajay Bhasin1,2, Lynn Huang3,4, Meng-Shoiu Shieh5,6
1Department of Medicine, Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Journal of hospital medicine
|July 9, 2024
概括
从2016年到2019年,医院营养不良的诊断增加了. 虽然严重营养不良的编码增加了,但患者死亡率显著下降,这表明改善了护理或编码实践.
科学领域:
- 临床营养学 临床营养学
- 医疗保健研究成果 研究成果
- 医院质量改善 医院质量改善
背景情况:
- 营养不良严重影响住院患者,增加住院时间,费用,再入院和死亡率.
- 缺乏关于营养不良患病率和住院患者的结果的最新数据.
- 了解营养不良编码和相关结果的趋势对于患者护理至关重要.
研究的目的:
- 调查2016年至2019年美国住院治疗中营养不良诊断代码的流行情况.
- 在此期间分析营养不良诊断和医院治疗结果之间的关联.
主要方法:
- 使用国家住院样本 (NIS) 数据库 (2016-2019) 进行了回顾性趋势分析.
- 使用直接标准化和后勤回归来调整结果 (胃口管安置,机械通风,死亡) 以年龄,并发症评分和性别为准.
- 线性回归分析了营养不良编码的趋势随着时间的推移.
主要成果:
- 营养不良的代码存在于3.7% (不严重) 和4.1% (严重) 的住院.
- 营养不良代码的总体流行率从2016年的6.6%增加到2018年的8.6%.
- 严重营养不良的住院病例显示,调整后的死亡率每年显著下降 (-0.54%/年).
结论:
- 在2016年至2019年期间,营养不良诊断代码的使用量显著增加.
- 在患有严重营养不良的患者中观察到与此同时的死亡率下降.
- 编码的增加可能反映了更好的识别,更低的编码值,或分配给不太严重的病人,以及潜在的护理改善.
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