与急性损伤患者的医院死亡率相关的营养参数
Fabiola Martín-Del-Campo1, Rosalba Sotelo-Anaya2, Pilar C Castro-Mata3
1Unidad de Investigación en Enfermedades Renales, Hospital de Especialidades, CMNO, IMSS, Guadalajara, México.
概括
在诊断时禁食显著增加了急性损伤 (AKI) 的住院患者的死亡风险. 早期营养评估和干预对于改善AKI患者的治疗结果至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 关键护理医学 关键护理医学
- 营养科学 营养科学
背景情况:
- 急性损伤 (AKI) 是住院患者患病和死亡的一个重要原因.
- 营养状况是AKI结果的一个潜在的可修改因素,但它对重症患者的影响还不清楚.
研究的目的:
- 研究AKI患者住院成人的营养状况与住院死亡率之间的关联.
- 确定特定的营养因素,如禁食,这可能预测AKI患者的死亡率.
主要方法:
- 对102名患有AKI的住院成年人进行前性,单中心研究.
- 基线营养评估包括饮食摄入量,人体测量和主观的全球评估.
- 后勤回归被用来确定住院死亡率的预测因素.
主要成果:
- 住院死亡率为36%.
- 在AKI诊断时,26%的患者正在禁食,中位蛋白质和能量摄入量低于推水平.
- 在AKI诊断时的禁食独立地与增加的住院死亡率有关 (OR = 3.53,P = .03).
结论:
- 住院AKI患者的营养摄入量往往不足,在诊断时,很大一部分人正在禁食.
- 禁食是AKI患者住院死亡的一个重要独立风险因素.
- 早期的营养评估和干预对于管理AKI患者至关重要.
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