脊椎瘤学的营养不良:我们在哪里,我们在测量什么?
Rafael De la Garza Ramos1, Raphaële Charest-Morin2, C Rory Goodwin3
1Department of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Global spine journal
|January 16, 2025
概括
在转移性脊椎病中评估营养不良至关重要,但不一致. 这次审查发现白蛋白,体重和肌肉质量是常见的标记物,但需要达成共识的定义才能获得可靠的结果关联.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 转移性脊椎病患者中普遍存在营养不良,影响预后和治疗.
- 准确评估营养状况对于优化患者护理和脊柱瘤学的结果至关重要.
研究的目的:
- 为了确定转移性脊柱疾病中营养不良的替代标志物.
- 确定该患者群体中与营养不良相关的最频繁研究的结果.
主要方法:
- 进行了全面的范围审查.
- 在PubMed/Medline,EMBASE和Web of Science数据库中搜索到2022年7月.
- 包括研究探索营养标记 (例如,白蛋白,体重,BMI) 在脊椎瘤患者,其次是叙事合成.
主要成果:
- 分析了涉及31,385名患者的61篇文章.
- 确定了13种不同的营养标志物;白蛋白 (67%),体重/BMI (34%) 和肌肉质量 (28%) 是最常见的.
- 生存率 (82%) 和并发症 (28%) 是研究结果最多的结果,而生活质量和功能结果很少被评估 (分别为2%和3%).
- 18%的研究发现标志物与结果之间没有显著的关联.
结论:
- 缺乏一种标准化的方法来评估脊髓转移患者的营养不良.
- 不一致的评估方法导致理解营养不良和结果之间的关系的变化.
- 迫切需要就脊柱瘤患者营养不良的定义和评估达成共识.
相关概念视频
Assessment of Airway, Skin Color, and Use of Accessory Muscles
957
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
957
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
75
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
75
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
315
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
315
Enteral Nutrition I: Orogastric and Nasogastric Feeding
192
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
192
Nursing Assessment
7.4K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.4K
Anorexia Nervosa
43
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
43


