通过计算机断层扫描确定营养状况和肌肉和脂肪组织的变化,作为住院患者死亡率的预测因素
Bruna Lúcia de Mendonça Soares1,2, Nataly Maria de Mendonça Soares3, Maria Goretti Pessoa de Araújo Burgos1
1Graduate Program in Nutrition, Department of Nutrition, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
Radiologia brasileira
|November 14, 2024
概括
营养不良和肌性肥胖预测住院患者的死亡率. 这项研究强调了评估营养状况和身体成分的重要性,以改善患者的治疗结果.
科学领域:
- 临床营养学 临床营养学
- 老年学是指老年学的学科.
- 医疗成像医学成像
背景情况:
- 营养状况和身体成分对于患者的健康至关重要.
- 有限的证据存在于他们对住院患者死亡率的预测价值.
研究的目的:
- 调查营养状况和身体组成的变化是否预测住院患者的死亡率.
- 确定与死亡风险增加相关的特定体质成分指标.
主要方法:
- 542名住院患者 (≥20年) 的前性队列研究.
- 通过主观的总体评估评估评估营养状况.
- 通过计算机断层扫描确定身体组成 (肌肉,脂肪组织),识别肌,骨髓炎和肌性肥胖症.
主要成果:
- 死亡率为10.7%,其中死亡率为10.7%.
- 营养不良 (HR: 4.18) 和肌性肥胖 (HR: 2.82) 是死亡率的独立预测因素.
- 主观的全球评估和计算机断层扫描衍生的身体组成是显著的.
结论:
- 营养状况和特定的身体成分指标,如肌性肥胖症,是住院患者死亡率的重要预测指标.
- 研究结果支持将身体成分分析纳入住院患者的常规临床评估.
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