使用营养不良普遍查工具评估结肠直肠癌患者的结果:系统性审查
Calin Muntean1, Andiana Roxana Blidari2, Alaviana Monique Faur3
1Medical Informatics and Biostatistics, Department III-Functional Sciences, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania.
Journal of multidisciplinary healthcare
|September 9, 2024
概括
营养不良普遍查工具 (MUST) 有效地预测了结直肠癌患者更长的住院时间和更多的术后并发症. 将MUST整合到常规评估中可以改善患者的结果和生活质量.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 医疗保健管理的管理
背景情况:
- 结肠直肠癌 (CRC) 患者的结局受营养状况的影响.
- 早期识别营养不良风险对于有效的患者管理至关重要.
- 营养不良普遍查工具 (MUST) 是一个广泛使用的营养评估工具.
研究的目的:
- 系统地审查营养不良普遍查工具 (MUST) 在预测结直肠癌患者结果方面的有效性.
- 评估MUST的预后价值,涉及住院时间,术后并发症,感染率和CRC患者的存活率.
主要方法:
- 在PubMed,Scopus和Embase的综合文献搜索到2023年12月.
- 包括7项涉及1950名结直肠癌患者的研究.
- 遵守PRISMA系统审查方法指南.
主要成果:
- 高MUST风险得分与长时间住院 (长达26.6天而不是14天) 有显著的相关性.
- 患有高MUST分数的患者出现严重的术后并发症的发生率要高得多 (41.4%与8.5%相比).
- 在CRC患者中,MUST得分是增加并发症和延长住院时间的强有力的预测指标.
结论:
- 营养不良普遍查工具 (MUST) 证明了对结直肠癌患者结果的关键预测效用.
- 必须有效地识别那些可能经历更长时间住院和更多术后并发症的高风险患者.
- 建议将MUST整合到常规的手术前评估中,以加强临床决策和患者护理.
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