营养查对死亡率和重症监护室停留时间的影响
Blanca Cecilia Díaz Chavarro1,2, Manuel Romero-Saldaña3,4, Jorge Karim Assis Reveiz5
1Nursing Program, School of Health Research Group Genetics, Physiology and Metabolism (GEFIME), Universidad Santiago de Cali, Santiago de Cali, Colombia.
实施营养不良普遍查工具 (MUST) 显著降低了ICU患者的死亡率和住院时间. 这种营养查对于改善重症监护机构患者治疗结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 流行病学 流行病学
背景情况:
- 营养评估对于ICU患者的管理至关重要,并且可以积极影响结果.
- 营养不良风险是住院患者的可修改因素.
- 有效的营养策略对于改善患者康复和减少住院时间至关重要.
研究的目的:
- 评估纳入营养查和评估对ICU患者死亡率和停留时间的影响.
- 为了比较标准营养查与营养不良普遍查工具 (MUST) 的有效性.
主要方法:
- 一个历史上的队列流行病学研究,比较两组ICU患者.
- 一个队列 (n=114) 接受了标准的营养查.
- 另一组 (n=630) 用营养不良普遍查工具 (MUST) 进行查.
- 分析包括血液学,临床和营养变量,以及它们与不良事件的关联,停留时间和出院状态.
主要成果:
- 在队列之间观察到显著差异 (p < 0.001).
- 没有MUST接受标准查的患者死亡率增加,住院时间更长.
- 标准查组也显示了肠道支,腹,贫血,白细胞症和淋巴衰竭的更高发病率.
结论:
- 实施MUST查方法和有针对性的营养干预措施显著改善了患者的死亡率.
- 一个预测模型表明,吐和白血病与ICU患者的死亡风险增加有关.
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