重新养综合征的风险在重症监护室的住院患者的营养治疗:系统性审查
Larissa de Oliveira Alencar1, Jorge Ery Farias Neto2, Eliane Albuquerque Beserra3
1Programa de Residência Multiprofissional em Rede: Terapia Intensiva, Escola Superior de Ciências da Saúde, Brasília, Brazil..
Nutrition (Burbank, Los Angeles County, Calif.)
|September 24, 2024
概括
危急病的ICU患者面临着高的再养综合征 (RS) 风险. 目前关于养方法和热量摄入量的证据不足以推预防RS和降低死亡率的最佳方案.
科学领域:
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
- 基于证据的实践.
背景情况:
- 重症重症监护室 (ICU) 的住院患者具有独特的器官功能障碍,增加了再养综合征 (RS) 风险.
- 了解养方法和热量摄入量对死亡率和RS的影响对于这一群体至关重要.
研究的目的:
- 在成年ICU住院患者中系统审查RS发生的干预和实验研究.
- 分析养方法和热量摄入量对死亡率和RS发病率的影响.
主要方法:
- 在多个数据库 (PubMed,Scopus等) 中按照PRISMA指南进行系统的文献搜索. ) 的情况.
- 包括对RS风险的成年ICU患者进行的干预和实验研究.
- 使用苏格兰大学间指南网络 (SIGN) 工具进行方法质量评估.
主要成果:
- 包括20项研究,显示出相当大的异质性.
- 肠道养是常见的,但热量进展往往偏离了ASPEN/NICE指南.
- RS发病率达到52.5%,死亡率从15.6%到83.3%不等.
结论:
- 证据薄弱和高异质性排除了强有力的推养方法和热量进展在ICU患者RS的风险.
- 需要进一步进行高质量的研究,以建立安全有效的协议.
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