迷你营养评估简体形式作为急需住院的呼吸系统疾病患者死亡风险因素
Mayuko Ishiwari1, Yuta Kono2, Yuki Togashi2
1Department of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan. mayuko@tokyo-med.ac.jp.
营养不良,通过微型营养评估简短形式 (MNA-SF) 确定,是住院治疗呼吸系统疾病的老年患者死亡的重要风险因素. 早期营养评估可以帮助识别有风险的个体.
科学领域:
- 老年医学 老年医学
- 呼吸系统医学 呼吸系统医学
- 营养科学 营养科学
背景情况:
- 关于有呼吸系统疾病的老年患者营养状况的研究有限.
- 老年人急需住院治疗呼吸系统疾病,是健康评估的关键时刻.
研究的目的:
- 研究患有呼吸道疾病的老年患者的营养状况与住院死亡风险之间的关联.
- 确定这一脆弱人群中死亡率的关键预测因素.
主要方法:
- 对168名65岁以上的患者进行了回顾性研究,这些患者因呼吸系统疾病而紧急入院.
- 使用微型营养评估简单表格 (MNA-SF) 评估营养风险,得分<11表示营养不良风险.
- 分析了并发症 (查尔森并发症指数),虚弱 (临床虚弱度量表) 和生物标志物 (NLR,ROX指数,S/F比率) 作为潜在的风险因素.
主要成果:
- 23.2%的患者在住院期间死亡.
- 单变量分析显示,年龄,低S/F比,低ROX指数,高NLR,高CFS和低MNA-SF与死亡率有关.
- 多变量分析发现低MNA-SF得分 (<11) 是住院死亡率的独立预测因素.
结论:
- 迷你营养评估简单表格 (MNA-SF) 是因呼吸道疾病紧急住院的老年患者死亡的一个重要风险因素.
- 使用MNA-SF进行营养查对于识别患有呼吸系统疾病的高风险老年患者至关重要.
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