在正常体重范围,超重或肥胖的住院成年人中对营养风险查工具的预后评估:比较分析
Victória Silva Chites1, Camila Ferri Burgel2, Jussara Carnevale de Almeida1,3,4
1Medical Sciences Graduate Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
JPEN. Journal of parenteral and enteral nutrition
|January 6, 2025
概括
营养风险查工具 营养风险查工具
科学领域:
- 临床营养学 临床营养学
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 低体重指数 (BMI) 是营养风险查工具中常见的标准.
- 这些工具在超重或肥胖患者中的有效性尚不清楚.
- 这项研究调查了营养不良风险及其对不同BMI分类中的住院时间的影响.
研究的目的:
- 为了确定各种BMI类别的住院成年人营养不良风险的频率.
- 评估营养不良风险与住院时间,死亡率和再接收之间的关联.
- 评估基于BMI的营养风险查工具的差异性表现.
主要方法:
- 对582名住院成人住院患者的二次分析,BMI≥18.5kg/m2.
- 使用了五种营养风险查工具:NRS-2002,MST,MNA,SNQ和NRE-2017. 这些工具包括:
- 结果包括住院时间,住院死亡率,再入院和6个月死亡率.
主要成果:
- 营养不良的风险因BMI而异:正常体重为34.549.7%,超重为20.833.9%,肥胖为5.322.1%.
- 2002年营养风险查 (NRS-2002) 与长时间住院 (所有BMI) 和6个月再入院 (正常体重/肥胖) 相关.
- 营养不良查工具 (MST) 与长期停留和死亡率 (正常体重) 和长期停留 (超重) 相关.
结论:
- 营养风险查工具的预后价值因患者的BMI而异.
- MST更适合正常体重和超重个体.
- 对于肥胖患者来说,NRS-2002可能更适合.
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