预后营养指数有助于预测接受手术的感染性内心炎患者的预后:一项回顾性研究
Kadeyanmu Abulimiti1, Zheng Liu1, Maierhaba Dawuti2
1Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Ürümqi, Xinjiang, China.
Frontiers in nutrition
|October 30, 2025
概括
术前预后营养指数 (PNI) 有效地预测了接受手术的感染性内心炎 (IE) 患者的结果. 较低的PNI分数与更高的住院和1年死亡率有关,有助于早期风险识别和营养干预.
科学领域:
- 心脏病学 心脏病学
- 外科手术的结果
- 营养科学 营养科学
背景情况:
- 传染性内心炎 (IE) 对接受心脏手术的患者构成重大风险.
- 评估术前营养状况对于预测这些高风险患者的临床结果至关重要.
研究的目的:
- 在接受手术治疗的IE患者中,评估手术前预后营养指数 (PNI) 的预后值.
- 确定PNI是否可以预测术后住院死亡率和1年全因死亡率.
主要方法:
- 对373名经过心脏门手术的IE患者进行了回顾性分析.
- 患者被分为营养不良 (低PNI) 和营养良好 (高PNI) 的两组.
- 单变量和多变量逻辑回归分析,以评估PNI与死亡结果的关联.
主要成果:
- 35.4%的患者根据手术前的PNI被确定为营养不良.
- 较低的手术前PNI得分是住院死亡率 (OR=0.91) 和1年全因死亡率 (OR=0.95) 的独立预测指标.
- 对于住院死亡率 (AUC=0.74) 的预测能力比1年死亡率 (AUC=0.61) 的预测能力更好.
结论:
- 手术前的PNI是IE患者营养免疫状况的有价值指标.
- PNI作为术后死亡率的独立预测指标,为早期风险分层提供了洞察力.
- 研究结果支持使用PNI来识别高风险患者并指导营养干预策略.
更多相关视频
相关概念视频
Endocarditis IV: Nursing Management
312
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
312
Endocarditis III: Medical Management
206
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
206
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
626
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
626
Endocarditis II: Clinical Features of Infective Endocarditis
399
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
399
Endocarditis I: Introduction
380
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
380
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
800
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
800


