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在日本,控制营养状况得分和老年患者的死亡率之间的关联: a回顾性队列研究: a
Yan Wang1, Caihong Sun1, Xiuqing Tian2
1Department of Intensive Care Unit, Rizhao People's Hospital, Rizhao, China.
Frontiers in nutrition
|December 4, 2025
概括
控制营养状况 (CONUT) 评分有效预测了日本老年患者的死亡风险. 较高的CONUT分数与死亡率的增加相关,突出显示了它在这个人群中的预后价值.
科学领域:
- 老年医学 老年医学
- 营养科学 营养科学
- 临床流行病学临床流行病学
背景情况:
- 缺食症与不良结果有关,包括死亡率.
- 控制营养状况 (CONUT) 评分预测了重症患者的死亡率.
- 它的预后效用在日本老年患者的功能障碍是不确定的.
研究的目的:
- 调查日本老年患者诊断出缺食症的死亡风险的CONUT得分的预后价值.
- 评估该特定患者队列中CONUT评分严重程度和死亡率之间的关联.
主要方法:
- 对236名日本老年患者进行了回顾性队列研究.
- 使用CONUT评分进行营养风险分层.
- 用多变量Cox比例危险模型和Kaplan-Meier生存分析来评估死亡率关联.
主要成果:
- 观察到CONUT评分严重程度和死亡率之间存在剂量依赖的关系.
- 每个单位的CONUT得分增加都与15%的死亡风险增加有关 (aHR 1.15).
- 康得分显示出对死亡率的有效预测能力 (AUC 0.714).
结论:
- CONUT评分独立地预测了日本老年患有食障碍的患者的全因死亡率.
- 该研究证实了营养严重性类别的单调风险梯度.
- 该CONUT得分作为一个有价值的预后工具,为这个患者群体.
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