在重症监护病房入院时,重症监护病房中获得的弱点和身体组成之间的关联:一项描述性研究
Yoshito Yabe1, Akira Komori2, Hiroki Iriyama2
1Department of Nutrition, Tsukuba Memorial Hospital, Tsukuba, Japan; Medical Sciences, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Journal of critical care
|October 19, 2024
概括
患有重症监护病房获得性虚弱 (ICU-AW) 的患者在ICU入院时表现出身体组成的变化,特别是细胞水分的减少. 然而,在这个早期阶段,在ICU-AW和非ICU-AW组之间,骨肌肉质量仍然可比.
科学领域:
- 关键护理医学 关键护理医学
- 身体生理学 身体生理学
- 营养科学 营养科学
背景情况:
- 在重症监护室获得的虚弱 (ICU-AW) 是影响患者康复的重大并发症.
- 早期识别导致ICU-AW的因素对于及时干预至关重要.
- 身体组成的变化可能为ICU-AW的发展提供了洞察力.
研究的目的:
- 为了比较在重症监护室 (ICU) 入院时的身体组成,在ICU-AW (ICU-AW) 获得软弱的患者和没有发展的患者之间.
- 识别与身体组成相关的ICU-AW的潜在早期指标.
主要方法:
- 一项回顾性队列研究,涉及282名入院于混合ICU的患者.
- 在接受ICU治疗时,使用生物电阻分析 (BIA) 评估身体成分.
- 患者被分为ICU-AW和非ICU-AW组进行比较分析.
主要成果:
- 发展为ICU-AW的患者年龄较大,SOFA分数较高.
- 强化护理-AW患者表现出更高的细胞外水与体内总水的比率,这表明水分状态发生了变化.
- 在ICU-AW组中观察到较低的相角,表明细胞完整性较差.
结论:
- 发展为ICU-AW的患者在ICU入院时存在较差的细胞营养状况.
- 在ICU入院时的骨肌肉质量在ICU-AW和没有ICU-AW的患者之间没有显著差异.
- 这些发现突出了与ICU-AW相关的早期细胞水平变化.
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