综合营养查指数在预测心脏手术后死亡率方面的表现
Jaeyeon Chung1, Jinyoung Bae1, Seyong Park1
1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Scientific reports
|November 18, 2024
概括
营养不良在心脏手术后构成重大风险. 首尔国立大学医院营养查指数 (SNUH-NSI) 有效预测了这些患者的死亡风险,有助于手术前查.
科学领域:
- 心脏病学 心脏病学
- 营养科学 营养科学
- 外科手术的结果
背景情况:
- 营养不良是影响心脏手术患者术后结果的已知危险因素.
- 首尔国立大学医院营养查指数 (SNUH-NSI) 是用于营养不良风险评估的自动化工具.
- 需要验证SNUH-NSI的预测价值,特别是在心脏手术患者中.
研究的目的:
- 验证SNUH-NSI对成人心脏手术患者术后死亡率的预测能力.
- 将SNUH-NSI的表现与传统的营养指数进行比较.
- 评估使用SNUH-NSI的自动化术前营养不良查的效率和成本效益.
主要方法:
- 包括2008年5月至2019年12月期间接受心脏手术的成年患者.
- 用SNUH-NSI将患者分为低,中,高风险营养不良群体.
- 用多变量考克斯回归分析来评估营养不良风险与所有原因累积死亡率之间的关联.
主要成果:
- 与低风险组相比,中等风险 (aHR 1.54) 和高风险 (aHR 2.64) 营养不良组的累积全因死亡率显著增加.
- 与传统的营养指数相比,SNUH-NSI显示了适度但优异的预测性能.
- 由SNUH-NSI确定的手术前营养不良是心脏手术后死亡率的重要预测因素.
结论:
- SNUH-NSI是预测心脏手术患者死亡风险的一个有价值的工具.
- 使用SNUH-NSI进行自动化手术前营养不良查可以改善患者的治疗结果和资源利用.
- 实施SNUH-NSI查是心脏手术患者的高效和成本效益的策略.
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