为了预测心脏手术患者的医院死亡率,NUTRIC评分和修改后的NUTRIC评分之间的比较:一项回顾性研究
Jing Xu1,2,3, Dandong Luo3, Ruibin Chi4
1Department of Critical Care Medicine, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China.
概括
营养风险评分,NUTRIC和mNUTRIC,准确预测心脏手术患者的医院死亡率. 修改后的NUTRIC评分为重症监护营养提供了一个潜在的更方便和更具成本效益的评估工具.
科学领域:
- 关键护理医学 关键护理医学
- 手术营养是指手术营养.
- 研究成果 研究成果 研究成果
背景情况:
- 对心脏手术患者来说,营养状况至关重要.
- 重症患者的营养风险 (NUTRIC) 和修改后的NUTRIC (mNUTRIC) 评分评估了ICU中的营养风险.
- 需要对这些评分进行验证,以预测心脏手术中的死亡率.
研究的目的:
- 验证和比较NUTRIC和mNUTRIC得分对成人心脏手术患者医院死亡率的预测准确性.
- 确定该人群中医院死亡率的独立风险因素.
主要方法:
- 对252名接受心肺旁路心脏手术的成年患者进行了回顾性研究.
- 在ICU入院后24小时内计算NUTRIC和mNUTRIC得分.
- 用于评估预测性能的物流回归和接收器运行特征曲线 (AUC-ROC) 下的区域分析.
主要成果:
- 营养和mNUTRIC分数是医院死亡率的独立预测指标.
- 对于NUTRIC得分的AUC-ROC为0.830;对于mNUTRIC得分是0.824,这是一个很好的结果.
- 两个评分之间的预测性表现没有显著差异 (P=0.492).
结论:
- 两种NUTRIC和mNUTRIC得分都显示出强大的预测能力,用于心脏手术后的医院死亡率.
- 在这种患者群体中,mNUTRIC评分可能是营养风险评估的更实用和更经济的选择.
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