在接受外周血管干预的患者中,对比引起的脏病的营养预后值
Ahmet Karaduman1, Cemalettin Yılmaz2, Mustafa Ferhat Keten3
1Department of Cardiology, Bitlis State Hospital, Beş Minare, Selahattin Eyyübi Street, No: 160, 13000 Center, Bitlis, Turkey.
Biomarkers in medicine
|September 4, 2024
概括
营养不良,通过控制营养状况 (CONUT) 和预后营养指数 (PNI) 评分来确定,预测在外周血管干预 (PVI) 后与对比相关的急性损伤 (CA-AKI). 较低的PNI分数表明CA-AKI风险较高.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心血管医学 心血管医学
- 营养科学 营养科学
背景情况:
- 与对比相关的急性损伤 (CA-AKI) 是外周血管干预 (PVI) 后的并发症.
- 营养状况越来越被认为是影响临床结果的因素.
- 在CA-AKI开发中营养不良标志物的预测价值需要进一步调查.
研究的目的:
- 评估营养不良评分的预测能力,特别是控制营养状况 (CONUT) 和预后营养指数 (PNI),用于PVI后的CA-AKI.
- 在接受PVI的患者中确定CA-AKI的独立预测因子.
主要方法:
- 追溯的横截面观测研究.
- 包括243名连续接受PVI的患者.
- 根据CA-AKI发生情况和使用CONUT和PNI得分的评估对患者进行分类.
主要成果:
- 患有CA-AKI的患者表现出明显较低的PNI得分.
- 该PNI得分独立预测了CA-AKI的发展 (OR:0.518,95%CI:2.295-0.908,p=0.021).
- 与个人PNI和CONUT分数相比,一个名录显示出更高的区分能力,PNI和CONUT之间的能力相似.
结论:
- 根据CONUT和PNI得分显示的营养不良与PVI后CA-AKI的风险增加有关.
- PNI得分作为CA-AKI的独立预测指标.
- 营养评估可能有助于在接受PVI的患者中分层CA-AKI风险.
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