通过体重指数测量的营养状况与儿科重症监护病房的结果之间的关联
Zahra Pournasiri1, Mahsa Bakhtiary2, Ali Nikparast3,4
1Pediatric Nehrology Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Frontiers in pediatrics
|October 2, 2024
概括
进入儿科重症监护室 (PICU) 的体重不足儿童面临更高的长期住院和死亡风险. 密切监测重症儿童的营养状况对于改善结果至关重要.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 临床营养学 临床营养学
- 儿科健康结果的结果
背景情况:
- 进入儿科重症监护室 (PICU) 时的营养状况是影响临床结果的潜在因素.
- 根据年龄的体重指数 (BMI-for-age) 与延长PICU停留和死亡率等结果之间的关联需要进一步调查.
研究的目的:
- 检查营养状况,特别是BMI-for-age,和临床结果之间的关系,在临重病的儿童和青少年入院PICU.
- 为了确定体重不足或超重/肥胖状态是否与长时间停留在PICU或PICU死亡率有关.
主要方法:
- 一项回顾性研究包括1,015名重症儿童和青少年 (1个月至18岁),具有可用的人体识别数据.
- 营养状况使用BMI-for-age z-score进行分类:体重不足 (< -2),正常体重 (-2 到 +1),超重/肥胖 (> +1).
- 多变量逻辑回归分析了营养状况与长时间PICU停留 (≥7天) 或PICU死亡率之间的关联,控制了混因素.
主要成果:
- 34.2%的患者体重不足,45.8%的患者体重正常,20%的患者超重/肥胖.
- 与体重正常的患者相比,体重不足的患者在PICU停留时间 (OR: 1.52) 和PICU死亡率 (OR: 2.12) 的几率明显更高.
- 超重/肥胖状态在总样本或子组中与长时间的PICU停留或死亡率没有显著的关联.
结论:
- 在PICU入院的体重不足状态与延长PICU停留和死亡率的可能性增加有关.
- 这些发现强调了评估和监测重症儿童的营养状况的重要性,以优化临床结果.
- 针对体重不足的儿科患者的有针对性的营养干预措施可能有助于减少不良结果.
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