营养风险状况评估与中国老年住院患者医院死亡率之间的关联:一项回顾性研究
Jie-Qiong Liu1, Meng-Jun He2, Xue-Qing Zhang2
1Department of Orthopedics, Changde Hospital, Xiangya School of Medicine, Central South University(The first people's hospital of Changde city), Changde, Hunan Province, China.
Journal of health, population, and nutrition
|December 28, 2024
概括
使用NRS2002工具进行营养风险评估是中国老年患者医院死亡率的独立预测指标. 2002年营养风险状况查 (NRS2002) 评分的最佳门值为3.5,可以比3.0更好地预测死亡率.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 公共卫生 公共卫生
背景情况:
- 在老年患者中,营养风险和医院死亡率之间的关联受到辩论.
- 早期识别营养风险对于改善患者结果至关重要.
研究的目的:
- 评估中国老年住院患者住院时的营养风险和住院死亡率之间的关系.
- 确定营养风险状况查2002 (NRS2002) 工具用于预测住院死亡率的最佳值.
主要方法:
- 中国的老年住院患者使用NRS2002.2.进行了评估.
- 使用了后勤回归和接收器操作特征 (ROC) 曲线分析.
- 500个引导式重新采样被用于ROC分析.
主要成果:
- 较高的NRS2002得分与增加的住院死亡率 (OR > 1.6) 有关.
- 年龄和住院时间也影响了死亡率.
- 一个NRS2002的3.5的门显示了最高的预测准确性 (ROC面积=0.84).
结论:
- 通过NRS2002评估的营养风险是老年人住院死亡率的独立预测因素.
- 对于NRS2002来说,3.5的截止值更适合预测这一群体的死亡率,而3.0则更适合.
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