实体瘤住院患者营养不良的查,鉴定和诊断:一项回顾性队列研究
Aynur Aktas1, Declan Walsh1,2, Danielle Boselli3
1Department of Supportive Oncology, Levine Cancer Institute, Atrium Health, Charlotte, NC, USA.
概括
在住院的癌症患者中,营养不良经常被诊断不足. 早期识别和干预对于改善患者的治疗结果和降低医疗保健成本至关重要.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 医疗保健结果的结果
背景情况:
- 在住院的癌症患者中,营养不良很普遍,对临床结果产生负面影响.
- 在入院时评估营养不良风险,营养师确定的营养不良 (DIMN) 和医生诊断的营养不良 (PDMN) 是至关重要的.
研究的目的:
- 评估住院癌症患者的营养不良风险,DIMN和PDMN在入院时的流行率.
- 确定与该人口中营养不良患病率相关的因素.
主要方法:
- 在2016年1月至2019年5月期间入院的I-IV阶段固体瘤成年患者的回顾性研究.
- 使用营养不良查工具 (MST) 评估营养不良风险.
- 通过注册营养师营养师 (RDN) 评估和ICD-10代码分别识别的DIMN和PDMN;用于分析的多变量逻辑回归.
主要成果:
- 在5143名患者中,25% (1005/4085) 基于MST得分的营养不良风险.
- 总体而言,11%的患者被RDN或医生确诊为营养不良.
- 营养不良仅由RDN (4%),医生 (3%) 或两者 (4%) 确定.
结论:
- 在住院癌症患者中,RDNs和医生都显著低估了营养不良的诊断.
- 诊断不足对癌症护理具有潜在的临床,运营和财务影响.
- 需要改善查和诊断实践,以有效解决营养不良问题.
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