营养状况预测了老年人的功能恢复和不良结果:一个前性队列研究
Ludiane Alves do Nascimento1, Marlon Juliano Romero Aliberti2,3,4, Natalia Golin1
1Department of Nutrition, Hospital Sírio-Libanês, Sao Paulo, Brazil.
Journal of cachexia, sarcopenia and muscle
|April 15, 2025
概括
老年急诊室患者的营养风险和营养不良与功能恢复较差和死亡率增加有关. 早期营养评估和干预对于改善这个脆弱群体的结果至关重要.
科学领域:
- 老年医学 老年医学
- 临床营养学 临床营养学
- 紧急医疗 紧急医疗
背景情况:
- 营养不良在急性疾病的老年人中很普遍,但在急诊室 (ED) 经常被忽视.
- 营养风险查对该群体功能恢复的影响尚不清楚.
研究的目的:
- 调查通过ED入院的老年患者的营养参数和各种结果之间的关联.
主要方法:
- 对65岁以上通过ED入院的患者进行前性队列研究.
- 收集有关人口统计,临床因素,营养状况 (NRS-2002,GLIM) 和老年评估的数据.
- 使用回归模型分析了与功能恢复,感染,停留时间 (LoS),死亡率和再录取的关联.
主要成果:
- 780名患者中有32.2%的人面临营养风险;22.1%的人营养不良.
- 营养风险与较低的功能恢复和较高的住院/出院后死亡率有关.
- 营养不良独立预测了医院感染,长期的LoS和出院后的死亡率.
结论:
- 营养状况显著预测了老年ED患者的功能恢复,感染,LoS和死亡率.
- 建议对营养不足进行早期识别和干预,以提高结果.
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