营养和新陈代谢干预措施的核心成果集和试验
Annika Reintam Blaser1,2, Thomas Davies3,4, Kaspar F Bachmann2,5
1Department of Intensive Care Medicine, Lucerne Cantonal Hospital, Lucerne.
Current opinion in clinical nutrition and metabolic care
|November 27, 2025
概括
关键护理营养研究现在专注于长期患者的结果. 像CONCISE这样的核心结果集 (COS) 标准化了基本措施,提高了试验解释性和以患者为中心的护理.
科学领域:
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
- 代谢研究研究的代谢研究.
背景情况:
- 关键护理营养研究正在将重点从短期指标转移到长期以患者为中心的结果.
- 最近的举措旨在在临床试验中标准化营养和新陈代谢的结果选择.
研究的目的:
- 审查当前的核心成果集 (COS) 在重症监护营养和新陈代谢方面的举措.
- 讨论该领域最近的临床试验中的结果选择.
主要方法:
- 审查最近的核心成果集 (COS) 倡议.
- 在当代重症监护营养试验中对结果选择的分析.
主要成果:
- 在CONCISE倡议中定义了危急疾病的基本结果 (生存,功能,感染,ADL,营养状况,肌肉/神经功能).
- 在重症患者中,COSMOGI标准化了每日胃肠道监测.
- 高蛋白质或早期攻击性能量的大规模试验并没有改善生存率或功能恢复.
结论:
- 标准化结果选择可以提高解释性和证据综合.
- 未来的试验必须优先考虑强大的功能和患者报告的结果.
- 核心结果集需要更新,使用新兴的评估工具,如生物标志物和超声波.
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