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不同营养风险查工具在预测机械通风重症儿童营养不良方面的表现:一项比较研究
Ning Li1,2, Jing Chen1, Xiuxiu Lu1
1Department of Critical Care Medicine, Capital Institute of Pediatrics, Capital Center for Children's Health, Capital Medical University, Beijing, China.
JPEN. Journal of parenteral and enteral nutrition
|February 9, 2026
概括
在机械通风的重症儿童中,营养风险查至关重要. 强大儿童和PYMS工具有效预测营养不良和死亡率,指导更好的临床结果.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 营养科学 营养科学
- 临床流行病学临床流行病学
背景情况:
- 接受机械通风的重症儿童面临着重大的营养挑战.
- 了解营养状况和风险对于改善这一群体的结果至关重要.
- 营养风险评估的现有工具需要在这个特定的队列中进行评估.
研究的目的:
- 描述机械通风儿童的营养状况和风险.
- 评估不同营养风险查工具的预测准确度.
- 评估营养风险与临床结果之间的关联.
主要方法:
- 一项比较研究包括375名需要机械通风 (≥24小时) 的重症儿童.
- 用BMI z-score评估营养状况;使用儿科约克希尔营养不良评分 (PYMS),儿童营养不良评估查工具 (STAMP) 和STRONGkids评估风险.
- 从电子健康记录中提取了包括结果在内的临床数据.
主要成果:
- 20.6%的儿童患有中度至严重的营养不良,侵袭性通风系统的儿童的营养不良率更高.
- 强儿童和PYMS在预测营养不良方面表现出高准确度 (AUC分别为0.90和0.86).
- 更高的营养风险与更长的通风,更长的ICU停留,更高的成本和更糟糕的结果相关.
结论:
- 强大儿童和PYMS工具在儿童机械通风中显示出营养不良和死亡率的显著预测价值.
- 这些经过验证的工具可以帮助早期识别和管理处于危险的儿童.
- 基于风险分层优化营养干预措施可能会改善临床结果.
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