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密集护理中风患者的食时间指数和死亡率:一个探索性队列研究

Nevzat Mehmet Mutlu¹, Duygu Karaköse Çalişkan¹, Tülay Tunçer Peker²

¹Department of Critical Care, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Turkiye.

Turkish journal of medical sciences

|March 12, 2026

概括

食时间指数 (FTI) 可能有助于评估中风患者的营养,但不能预测死亡率. 临床因素,如APACHE II分数和口服养状况,是重症监护室 (ICU) 结果的更强有力的预测因素.

科学领域:

神经学神经学
关键护理医学关键护理医学
营养科学营养科学

背景情况:

在全球范围内,中风是导致死亡的主要原因,重症监护室 (ICU) 患者面临更高的死亡率.
缺食症,营养不良和吸血风险显著恶化了ICU中风患者的预后.
食时间指数 (FTI) 通过比较食日与ICU总停留时间来量化营养暴露.

研究的目的:

评估FTI和ICU患者患有缺血性中风 (IS) 或出血性中风 (HS) 的死亡率之间的关联.
探讨FTI在量化评估营养实践中的作用,以及APACHE II分数和口服养状态.

主要方法:

对239名入住ICU的中风患者进行了回顾性观察性研究.
收集的人口统计数据,临床特征,APACHE II分数,食开始时间,食路线和FTI值.
利用单变量和多变量考克斯回归分析来确定死亡率预测因素.

主要成果:

在239名ICU患者中,ICU死亡率为31% (56.9%IS,43.1%HS).
在单变量分析中,较高的FTI与较低的死亡风险有显著的关联 (HR=0.06),但在多变量分析中没有显著意义.
无法口服养 (HR=14.8) 和较高的APACHE II分数 (HR=1.07) 是死亡率的主要独立预测因素.

结论:

在ICU中风患者中,FTI是营养暴露和结果的有用探索性指标.
这些患者的死亡率预测与APACHE II分数和口服养状况等临床因素更为密切相关.
FTI可以作为监测营养习惯的辅助指标,但需要进一步的研究来澄清其预后价值.

关键词:

养时间指数 [非MeSH]重症监护病房是重症监护病房.死亡率死亡率口服养是指口服养.养日数与重症监护室停留时间总数的比率 [非MeSH]一次性中风中风中风中风中风

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