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在外科创伤后发生的粮食不安全和相关风险因素
Annabelle Jones1, Anam N Ehsan2, Shivangi Saha3
1Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts; Department of Surgery, Center for Surgery and Public Health, Brigham & Women's Hospital, Boston, Massachusetts; Brigham & Women's Hospital, Boston, Massachusetts.
许多外科创伤患者在住院后经历新的粮食不安全. 识别风险因素,如更长的住院时间和财务毒性,可以帮助患者连接至关重要的营养支持计划.
科学领域:
- 手术创伤护理 手术创伤护理
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 粮食不安全影响全球30%的人口,影响健康状况.
- 在以前食物安全的外科患者中,食物不安全的发生率基本上是未知的.
- 适当的营养对于手术恢复和临床结果至关重要.
研究的目的:
- 为了量化术后外科创伤患者的新出现的粮食不安全性.
- 确定与发生的粮食不安全相关的临床和社会人口风险因素.
- 为脆弱的外科患者群体提供有针对性的干预信息.
主要方法:
- 一个多中心,前性,纵向研究设计.
- 包括印度公立和私立医院的成年外科创伤患者.
- 考克斯的比例危险模型分析了6个月内与发生的粮食不安全事件的关联.
主要成果:
- 21%的粮食安全患者在出院后出现了新的粮食不安全.
- 事件粮食不安全与更长的住院时间,ICU入院和每日工资就业有关.
- 与住院相关的财务毒性显著增加了粮食不安全的风险.
结论:
- 在外科创伤患者中观察到新的粮食不安全率高.
- 建议在出院后进行连续评估.
- 利用已识别的风险因素可以主动将高风险患者与食品处方和财政援助等干预措施联系起来.
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