SCI REP:新的ESPEN诊断标准可以预测老年住院患者长期死亡率!

2017-06-22 xing.T MedSci原创

总之,根据ESPEN新的诊断标准确定的营养不良是老年住院患者3年全因死亡率的可靠预测因子。

欧洲临床营养和代谢学会(ESPEN)最近公布了新的营养不良的诊断标准。近日,Scientific reports 杂志上发表了一篇研究文章,该研究的目的是评估由ESPEN新的诊断标准诊断的营养不良是否可以预测老年住院患者的长期死亡率。

研究人员在急性老年病房内进行了一项前瞻性研究。研究人员分别根据ESPEN新的诊断标准和微型营养评定(MNA)来分别诊断营养不良患者。通过电话访谈来确定受试者的3年生存状态。

该研究共纳入了437名老年人。根据ESPEN新的诊断标准,有66名(15.1%)参与者被诊断为营养不良。根据MNA,有45名(10.3%)参与者被确定为营养不良。在经ESPEN新的诊断标准确定的营养不良患者中,其3年死亡率为41.7%,而没有营养不良的参与者3年死亡率为15.3%(P<0.001)。对相关混杂因素进行调整后,根据ESPEN新的诊断标准确定的营养不良是3年全因死亡率的重要预测因子(风险比[HR]为2.98,95%可信区间[CI]为1.87-4.86)。然而,根据MNA确定的营养不良不是3年全因死亡率的显著预测因子(HR为1.67,95%CI为0.89-2.31)。

总之,根据ESPEN新的诊断标准确定的营养不良是老年住院患者3年全因死亡率的可靠预测因子。

原始出处:

Jiaojiao Jiang,et al. Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition.Scientific reports. 2017. https://www.nature.com/articles/s41598-017-04483-1

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    2018-01-15 shenxlcyp
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    2018-04-09 feather89
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