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老年人营养风险指数预测老年人手术后痴呆症:一个元分析

Siye Xie¹, Qi Wu¹

¹From the School of Nursing (Xie), Zhejiang Chinese Medical University; and from the Department of Nursing (Wu), The First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang, China.

Saudi medical journal

|September 1, 2024

概括

老年营养风险指数 (GNRI) 是老年患者手术后妄想症 (POD) 的重要预测指标. 中等至高的GNRI得分表明手术后患POD的风险增加.

科学领域:

老年医学老年医学
外科手术的结果
营养评估营养评估

背景情况:

手术后痴呆症 (POD) 是老年手术患者的常见并发症.
早期识别有POD风险的患者对于及时干预至关重要.
老年营养风险指数 (GNRI) 是评估老年人营养状况的验证工具.

研究的目的:

综合当前关于GNRI与老年人POD风险之间的关联的证据.
为了评估GNRI对术后妄想的预测值.
为临床实践提供有关手术患者营养查的信息.

主要方法:

在主要数据库中进行了全面的文献搜索.
纳入标准侧重于检查GNRI和POD风险的队列研究.
对6项涉及4242名患者的研究数据进行了元分析.

主要成果:

较高的GNRI得分 (中等和高) 与POD风险增加有显著的关联.
在中度/高GNRI患者中,POD的整体几率比为2.04 (95% CI [1.58, 2.64]).
这种关联在不同年龄小组 (60-75岁和75岁以上) 中仍然显著.

结论:

中等和高的GNRI得分是老年人患术后妄想症的重要危险因素.
在手术患者中,GNRI是预测POD风险的宝贵工具.
正如GNRI指出的营养状况,在术后认知结果中起着至关重要的作用.

关键词:

一般麻醉全身麻醉老年人的营养风险指数.营养不良营养不良营养不良在手术后出现妄症.

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