在使用营养支持的患者中,医院营养不良的发生率
Arimluz de Almeida Santos1, Luciana de Abreu Silva2, Gicele Mendes Chagas3
1Nutrition Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
在接受营养支持的住院患者中,营养不良非常普遍. 主观全球评估 (SGA) 显示,在识别营养不良方面,比全球营养不良领导倡议 (GLIM) 的敏感度更高,特别是在肥胖患者中.
科学领域:
- 临床营养学 临床营养学
- 医院 医院 医疗 医疗 医疗 医疗
- 营养支持营养支持
背景情况:
- 营养不良对住院患者构成重大风险,特别是那些需要营养支持的人.
- 实现营养目标可能具有挑战性,增加营养不良发展或恶化的风险.
研究的目的:
- 确定接受肠道和/或肠道营养治疗的住院患者中营养不良的患病率.
- 在这个人群中比较主观全球评估 (SGA) 和全球营养不良领导倡议 (GLIM) 标准的诊断绩效.
主要方法:
- 一项涉及102名接受营养支持的成年患者的横截面研究.
- 2021年12月至2022年8月期间从电子医疗记录中收集的数据.
- 研究人员使用SGA和GLIM标准诊断的营养不良.
主要成果:
- 由SGA (70.6%) 和GLIM (62.7%) 发现的营养不良的高患病率.
- 在SGA和GLIM之间观察到温和的协议 (0.46).
- 在26名超重或肥胖患者中,SGA在26名超重或肥胖患者中发现了比GLIM (1) 更多的营养不良患者 (6).
结论:
- SGA和GLIM都表明,在接受营养支持的患者中,营养不良的流行率很高.
- 在诊断肥胖患者的营养不良时,GLIM是实用的,但不那么敏感.
- 在接受营养支持的患者中,SGA对营养不良的敏感性更高.
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