...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>JPEN. Journal of parenteral and enteral nutrition. >Malnutrition Identified by Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Is Associated With More 30‐Day Readmissions, Greater Hospital Mortality, and Longer Hospital Stays: A Retrospective Analysis of Nutrition Assessment Data in a Major Medical Center
【24h】

Malnutrition Identified by Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Is Associated With More 30‐Day Readmissions, Greater Hospital Mortality, and Longer Hospital Stays: A Retrospective Analysis of Nutrition Assessment Data in a Major Medical Center

机译：营养与营养研究院/美国肠胃外和肠内营养学会确定的营养不良与30天再入院，更高的医院死亡率和更长的住院时间相关：主要医疗中心的营养评估数据回顾性分析

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Few studies have compared malnutrition identified by the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition (AND/ASPEN) consensus criteria with clinical outcomes. Our goal was to compare 30‐day readmissions (primary outcome), hospital mortality, length of stay (LOS) in survivors, and time to discharge alive (TDA) in all patients assessed as malnourished or not malnourished using these criteria in fiscal year 2015. We hypothesized more frequent admissions, greater mortality, longer LOS, and less likely shorter TDA in the malnourished patients. Methods Demographic variables, clinical outcomes, and malnutrition diagnosis for all initial patient admissions were obtained retrospectively from the electronic medical record. Logistic regression was used to compare categorical and Cox proportional hazards for TDA in unadjusted and adjusted (age, sex, race, medical/surgical admission, Charlson Comorbidity Index) models. Results Of the 3907 patients referred for nutrition assessment, 66.88% met criteria for moderate or severe malnutrition. Malnourished patients were older (61 vs 58 years, P P = .0067) and were more likely to be readmitted within 30 days (40% vs 23%, P 2‐day stay. Conclusion The AND/ASPEN criteria identified malnourished patients in a high‐risk population who had more adverse clinical outcomes. Further studies are needed to determine whether optimal provision of nutrition support can improve these outcomes.
机译：背景很少有研究将营养与营养学会/美国肠胃外和肠内营养学会（AND / ASPEN）共识标准确定的营养不良与临床结果进行比较。我们的目标是比较在2015会计年度使用这些标准评估为营养不良或未营养不良的所有患者的30天再入院率（主要结局），医院死亡率，幸存者的住院时间（LOS）和存活时间（TDA）我们假设营养不良的患者入院频率更高，死亡率更高，LOS更长，TDA缩短的可能性更低。方法回顾性地从电子病历中获得所有首次入院患者的人口统计学变量，临床结局和营养不良诊断。使用Logistic回归比较未经调整和调整（年龄，性别，种族，医疗/手术入院，查尔森合并症指数）模型中TDA的分类风险和Cox比例风险。结果在3907名接受营养评估的患者中，有66.88％符合中度或重度营养不良的标准。营养不良的患者年龄较大（61岁vs 58岁，PP = .0067），并且更有可能在30天之内再次进入（40％vs 23％，P 2天）。结论AND / ASPEN标准确定营养不良的患者为高风险较高的临床结果人群，需要进一步研究以确定最佳的营养支持是否可以改善这些结果。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号