严重疾病幸存者的营养不良和长期生存结果:一个队列研究
1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Journal of critical care
|September 26, 2024
概括
营养不良影响了8.1%的重症监护室 (ICU) 幸存者. 在ICU入院后出现营养不良会显著增加这些患者的长期死亡风险.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 流行病学 流行病学
背景情况:
- 营养不良是重症监护室 (ICU) 幸存者的一个重大问题.
- 了解ICU后营养不良的流行率和长期影响对于改善患者的治疗结果至关重要.
研究的目的:
- 确定ICU幸存者中营养不良的患病率.
- 确定与该人口营养不良相关的风险因素.
- 调查ICU后营养不良和长期存活之间的关联.
主要方法:
- 分析了来自韩国国家健康保险服务数据库的数据.
- 包括在2017年1月1日至2017年12月31日期间入院于ICU的成年人,生存时间超过一年.
- 使用多变量考克斯回归建模来评估死亡风险.
主要成果:
- 总共有228,702名ICU幸存者被分析.
- 在ICU入院前,5.5%的人被诊断为营养不良,在ICU入院后,8.1%的人被诊断为营养不良.
- 新发育的营养不良在ICU后与1至5年后的ICU死亡风险增加1.49倍 (HR: 1.49,95%CI: 1.46-1.52) 相关.
结论:
- 大约8.1%的ICU幸存者在入院一年内出现营养不良.
- 在ICU入院后出现的营养不良是ICU幸存者长期死亡率增加的重要预测因素.
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