作为重症监护室的预后和质量指标的营养合规性:营养支持团队指导治疗的见解
Soo-Hyun Park1, Jung Hwan Lee2, Jongbeom Shin3
1Department of Neurology, Soonchunhyang University Hospital Seoul, Seoul, Republic of Korea.
Nutrition (Burbank, Los Angeles County, Calif.)
|October 31, 2025
概括
确保患者在ICU中获得足够的营养是至关重要的. 更高的营养合规性,即提供与处方相比的营养量,与较低的住院死亡率和更好的患者结果有关.
科学领域:
- 临界护理医学 临界护理医学
- 临床营养学 临床营养学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 对于重症患者来说,适当的营养支持至关重要.
- 处方和提供营养之间经常存在很大的差距.
- "营养合规"对患者结果的影响需要进一步评估.
研究的目的:
- 评估营养合规与重症监护室 (ICU) 患者的临床结果之间的关联.
- 确定营养合规性是否可以作为ICU营养护理的质量指标.
主要方法:
- 根据营养支持小组 (NST) 协议管理的79名ICU患者的回顾性分析.
- 营养合规性定义为给药量与规定的能量和蛋白质摄入量 (≥70%=好,<70%=差) 的比率.
- 主要结局:住院死亡率;次要结局:营养生物标志物,严重程度得分,住院时间.
主要成果:
- 53.2%的患者实现了良好的营养合规.
- 良好的遵守与更短的住院时间和更好的严重程度得分有关 (APACHE II,NRS 2002).
- 不良遵守独立预测了更高的住院死亡率 (调整后OR为3.84,P=0.041) 并与增加的死亡风险有关.
结论:
- 营养合规与ICU患者的住院死亡率密切相关.
- 营养合规可以成为ICU护理质量的实际和可衡量的指标.
- 优化营养供应对于改善重症监护机构的结果至关重要.
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