营养评估工具,预后因素和危重病老年创伤患者的结果:系统性审查
Zackary Yates1, Brian Chin2, Brevin O'Connor3
1University of Central Florida College of Medicine, Orlando, Florida.
对重症老年创伤患者的有效营养管理包括使用老年营养风险指数和监测负面预后因素. 最佳的营养成分包括高蛋白和特定能量计算.
科学领域:
- 老年人创伤护理 创伤护理
- 营养科学 营养科学
- 关键护理医学 关键护理医学
背景情况:
- 严重患病的老年创伤患者面临着独特的营养挑战.
- 营养不良严重影响了这一脆弱群体的结果.
- 营养状况和风险的全面评估至关重要.
研究的目的:
- 系统地审查严重疾病老年创伤患者的营养不良风险评估,营养状况,预后因素和营养成分.
- 确定有效的营养策略,以改善患者的治疗结果.
主要方法:
- 对五个数据库 (PubMed,谷歌学者,ProQuest,Embase,Cochrane) 的系统审查.
- 包括评估营养评估工具,预后因素和营养成分的研究.
- 专注于诸如死亡率,ICU停留时间 (LOS) 和并发症等结果.
主要成果:
- 老年人营养风险指数预测死亡率,医院LOS,以及诸如败血症和肺炎等并发症.
- 营养评估工具预测认知能力下降,妄想症和医院获得的感染.
- 建议高蛋白摄入量 (> 2 g/kg/d) 和特定能量计算 (间接热量计或ASPEN-SCCM方程).
结论:
- 老年人营养风险指数对于重症老年人创伤患者的营养评估有价值.
- 持续监测负面预后因素是必不可少的.
- 具体的营养成分 (高蛋白,控制碳水化合物) 和能源需求对于有效的管理至关重要.
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