老年人营养风险指数与急性大动脉剖析患者住院死亡率之间的关联:一项回顾性队列研究
Lingyu Lin1,2, Sailan Li1,2, Yanchun Peng3
1Department of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, Fujian Province, China.
BMC cardiovascular disorders
|August 2, 2025
概括
老年营养风险指数 (GNRI) 可以预测急性斯坦福A型大动脉剖析 (AAAD) 患者的死亡率. 较低的GNRI得分与显著更高的住院死亡风险有关,强调营养评估的重要性.
科学领域:
- 心血管外科心血管外科
- 老年医学 老年医学
- 营养科学 营养科学
背景情况:
- 老年营养风险指数 (GNRI) 在急性斯坦福A型大动脉剖析 (AAAD) 中的预后意义尚未得到充分证实.
- 这项研究调查了GNRI在AAAD患者的住院死亡率的预测能力.
研究的目的:
- 确定GNRI与AAAD手术患者住院死亡率之间的关联.
- 评估GNRI作为这个特定患者群体结果的预测指标.
主要方法:
- 在2014年1月至2022年12月期间接受AAAD手术的936名患者的回顾性分析.
- 根据中位数得分,患者被分为高GNRI (>103.7) 和低GNRI (≤103.7) 组.
- 使用多变量逻辑回归来确定住院死亡的独立风险因素.
主要成果:
- 低GNRI (≤103.7) 患者的住院死亡率 (23.1%) 与高GNRI (17.5%) 患者相比显著更高.
- 低GNRI (≤103.7) 被确定为住院死亡率的独立风险因素 (OR=2.037).
- 心肺绕道 (CPB) 时间和乳酸水平也是死亡的重要独立风险因素.
结论:
- 老年营养风险指数 (GNRI) 是评估AAAD患者的营养状况和预测结果的宝贵工具.
- 103.7或更低的GNRI得分与增加的住院死亡率有关.
- 术前营养评估和优化对于改善AAAD患者的治疗结果至关重要.
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