营养状况不佳对老年创伤患者的结果的影响
Hamidreza Hosseinpour1, Tanya Anand1, Sai Krishna Bhogadi1
1Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, AZ.
Surgery
|July 26, 2024
概括
营养不良严重影响老年创伤患者,导致入院期间和出院后最多3个月的情况更差. 早期的营养查对这一脆弱人群至关重要,以改善护理并降低死亡率.
科学领域:
- 老年人创伤护理 创伤护理
- 营养状况评估 营养状况评估
- 患者研究成果研究结果
背景情况:
- 营养不良与手术患者的不良结果有关,但它对老年创伤患者退院后的影响还不清楚.
- 老年创伤患者代表了潜在的营养脆弱性的重要人口.
- 了解营养状况是改善老年创伤幸存者的护理途径的关键.
研究的目的:
- 评估老年创伤患者的营养风险和住院和出院后的结果之间的关联.
- 在这个群体中确定与营养状况不佳相关的特定不良结果.
- 评估简化老年营养风险指数 (sGNRI) 在预测结果方面的有用性.
主要方法:
- 一项前性观察性试验的二次分析,涉及来自17个创伤中心的老年创伤患者 (≥65岁).
- 根据简化老年营养风险指数 (sGNRI) 对患者进行分层,分为严重,中度,轻度营养风险和良好的营养状况.
- 对营养风险组的结局进行比较,包括败血症,肺炎,出院处置和死亡率 (住院和3个月).
主要成果:
- 在1321名老年创伤患者中,22%的人被确定为营养风险 (13%,轻度7%,重度3%).
- 营养风险较高的患者表现出更高的败血症,肺炎,出院到熟练护理设施/康复,以及增加住院和3个月死亡率.
- 严重的营养风险是败血症,肺炎,住院死亡率和3个月死亡率的独立预测因素.
结论:
- 大约四分之一的老年创伤患者面临营养风险,与较差的结果显著相关.
- 营养状况是老年创伤患者不良事件和死亡率的关键,独立预测因素.
- 建议老年创伤患者在入院时进行常规的营养查,以确定有风险的个体并指导干预措施.
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