败血症患者的NUTRIC评分和ICU死亡率之间的关联:一个前性队列研究
Mingjie Xie1,2, Liuyun Huang1,2, Ling Li1,2
1Department of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Frontiers in nutrition
|August 18, 2025
概括
关键疾病中的营养风险 (NUTRIC) 评分强烈预测了败血症患者的ICU死亡率. 较高的分数表明风险增加,表明其用于早期干预和改善结果.
科学领域:
- 临界护理医学 临界护理医学
- 营养科学 营养科学
- 流行病学 流行病学
背景情况:
- 败血症是重症监护室 (ICU) 死亡的主要原因.
- 早期识别高风险败血症患者对于及时干预至关重要.
- 关键疾病营养风险评分 (NUTRIC) 是评估营养风险的一种工具.
研究的目的:
- 为了研究NUTRIC得分与热血病患者的ICU死亡率之间的关联.
- 评估NUTRIC评分对严重疾病结果的预测价值.
主要方法:
- 对245名败血症患者进行前性队列研究.
- 在ICU入院后24小时内评估NUTRIC评分.
- 使用了多变量逻辑回归,限制立方线 (RCS) 和卡普兰-梅尔生存分析.
主要成果:
- 在ICU的死亡率为17.1%.
- 每增加1点的NUTRIC得分都与92%的ICU死亡风险增加有关 (OR=1.92).
- 高营养风险 (NUTRICb) 患者的ICU存活率明显低于低风险患者 (p=0.00024).
结论:
- 该NUTRIC得分是一个重要的预测器ICU死亡率在败血症.
- 早期应用NUTRIC评分可以帮助风险分层.
- 将NUTRIC评分整合到ICU协议中,可以通过有针对性的营养和支持性护理改善患者的治疗结果.
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