简单的肌肉评估改善了基于GLIM的营养不良检测和住院患者的预后分层:一项全国性的研究
Kaijia Zhao1, Yan Liu2, Cheng Wang3
1School of public health, Hebei medical university, Shijiazhuang, China; Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China; Hebei Province Key Laboratory of Nutrition and Health, Shijiazhuang, Hebei, China; Department of Clinical Nutrition/Hebei Key Laboratory of Stomatology/Hebei Technology Innovation Center of Oral Health, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, China.
Nutrition (Burbank, Los Angeles County, Calif.)
|November 23, 2025
概括
2002年营养风险查 (NRS-2002) 工具错过了许多营养不良患者. 结合肌肉评估的增强查策略 (ESS) 改善了医院的营养不良检测和患者风险分层.
科学领域:
- 临床营养学 临床营养学
- 医学查 医学查
- 患者的治疗结果.
背景情况:
- 医院营养不良是很常见的,并与糟糕的结果有关.
- 在NRS-2002工具中,通常无法识别符合全球营养不良领导倡议 (GLIM) 标准的患者.
- 这导致许多住院患者的营养干预延迟.
研究的目的:
- 为了识别NRS-2002遗漏但根据GLIM标准识别的患者的特征.
- 评估一个增强的查策略 (ESS) 以改善营养不良的检测.
- 评估ESS在住院成人的预后价值.
主要方法:
- 分析2022年中国营养基本数据 (CNBD 2022) 队列.
- 将NRS-2002和GLIM标准与ESS标准进行比较,其中包括手柄强度和小腿周长.
- 后勤回归用于分析查结果与临床结果 (如停留时间和死亡率) 之间的关联.
主要成果:
- 在51,672名患者中,NRS-2002错过了8,776名营养不良患者,主要是肌肉质量低的人.
- 在ESS中,营养不良查的敏感度从54.9%提高到73.6%.
- 通过ESS认定为阳性,但根据GLIM标准认定为阴性的患者患有长时间住院的风险增加.
结论:
- 由于没有直接的肌肉评估,因此NRS-2002的敏感性有限.
- 将简单的肌肉测量整合到NRS-2002得分低于3的患者的查中,可以显著提高检测.
- 这种改进的查有助于改善成人住院患者的预后分层.
相关概念视频
01:15Myasthenia Gravis: Diagnostic Tests
1.9K
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
1.9K
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.6K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.6K