通过不同的查和评估工具诊断的营养不良与临床结果之间的关联:一个总体审查
Zhinan Li1, Yueying Lin1, Yanmei Shi2
1Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical University, Kunming, China.
Frontiers in nutrition
|October 27, 2025
概括
准确的营养不良诊断对于住院患者至关重要. 预后营养指数 (PNI),BMI,老年营养风险指数 (GNRI) 和控制营养状况 (CONUT) 工具与临床结果有很强的相关性.
科学领域:
- 临床营养学 临床营养学
- 医学诊断 医学诊断 医学诊断
- 进行元分析分析.
背景情况:
- 营养不良显著影响住院患者的临床结果.
- 早期诊断和营养支持对于改善患者预后至关重要.
- 确定可靠的诊断工具对于有效的营养不良管理至关重要.
研究的目的:
- 评估各种营养不良诊断工具与患者临床结果之间的相关性.
- 为住院患者确定最有效的营养不良评估工具.
- 在临床实践中为营养不良诊断提供基于证据的建议.
主要方法:
- 对营养不良和临床结果的系统查和元分析的纳入.
- 应用固定和随机效应模型来评估关联.
- 评估异质性,小研究效应和偏见,以确保可靠的发现.
主要成果:
- 分析了138个元分析和407个关联.
- 对于瘤学患者,PNI,GNRI和CONUT显示了与生存相关的营养不良诊断的高证据 (II类).
- 对于非瘤患者,PNI,BMI<18.5 kg/m2,GNRI和CONUT显示了与不良结果相关的高证据 (II类).
结论:
- PNI,BMI <18.5 kg/m2,GNRI和CONUT是高度推的工具来诊断营养不良和预测临床结果 (II类).
- 其他诊断工具的进一步验证是必要的.
- 这些发现支持使用特定的,基于证据的工具来评估住院患者的营养不良.
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