慢性心力衰竭的老年患者中CONUT评分的预后影响
Danfeng Xu1, Renrui Shen1,2, Ming Hu1
1Department of Clinical Nutrition, Huadong Hospital affiliated to Fudan University, Shanghai, China.
BMC geriatrics
|September 5, 2024
概括
在老年心力衰竭 (HF) 患者中,营养不良很普遍. 控制营养状况 (CONUT) 评分可以预测这些人的长时间住院.
科学领域:
- 老年病的医生 老年病的医生
- 心脏病学 心脏病学
- 营养科学 营养科学
背景情况:
- 在慢性心力衰竭 (HF) 的老年患者中,营养不良很常见.
- 控制营养状况 (CONUT) 评分是营养状况的客观指标.
- 有限的研究存在于营养不良的患病率和住院HF患者的结果.
研究的目的:
- 确定患有慢性HF的住院老年患者中营养不良的患病率.
- 在这个人群中确定营养不良的临床相关性.
- 调查营养不良与临床结果之间的关联.
主要方法:
- 在2021年1月至2022年12月期间入院的165名高温患者的回顾性分析.
- 根据CONUT分数,患者被分为正常,轻度和中度至重度营养不良风险组.
- 检查了营养状况和临床结果之间的关系.
主要成果:
- 82%的患者存在营养不良;28%的患者有中度至严重的风险.
- 营养状况不佳与更长的住院时间和增加的死亡率 (住院和1年再入院) 相关联.
- 中度至严重的营养不良 (CONUT评分5-12) 显著预测了长时间住院治疗 (aOR:9.17).
结论:
- 根据CONUT评分评估的营养不良,在老年HF患者中非常普遍.
- CONUT分数是预测入院后长时间住院的有价值工具.
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