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首页> 外文期刊>JPEN. Journal of parenteral and enteral nutrition. >Use of Subjective Global Assessment and Clinical Outcomes in Critically Ill Geriatric Patients Receiving Nutrition Support.
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Use of Subjective Global Assessment and Clinical Outcomes in Critically Ill Geriatric Patients Receiving Nutrition Support.

机译：在获得营养支持的重症老年患者中使用主观全局评估和临床结果。

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The objective of this study is to examine the prevalence of malnutrition and evaluate the nutrition status and clinical outcome in hospitalized patients aged 65 years and older receiving enteral-parenteral nutrition. This retrospective study was carried out at Baskent University Hospital, Adana, Turkey. A total of 119 patients older than 65 years were recruited. Patients were classified into 3 groups: protein-energy malnutrition (PEM), moderate PEM, and well nourished according to subjective global assessment (SGA) at admission. All patients were fed by enteral or parenteral route. Acute physiological and chronic health evaluation (APACHE-2) and simplified acute physiology (SAPS 2) scores were recorded in patients followed in the intensive care unit (ICU). Nutrition status was assessed with biochemical (serum albumin, serum prealbumin) parameters. These results were compared with mortality rate and length of hospital stay (LOS). The subjects' mean (+/-SD) age was 73.1 +/- 5.4 years. Using SGA, 5.9% (n = 7) of the patients were classified as severely PEM, 27.7% (n = 33) were classified as moderately PEM, and 66.4% (n = 79) were classified as well nourished. Some 73.1% (n = 87) of the patients were followed in the ICU. Among all patients, 42.9% (n = 51) were fed by a combined enteral-parenteral route, 31.1% (n = 37) by an enteral route, 18.5% (n = 22) by a parenteral route, and 7.6% (n = 9) by an oral route. The average length of stay for the patients was 18.9 +/- 13.7 days. The mortality rate was 44.5% (n = 53). The mortality rate was 43% (n = 34) in well-nourished patients (n = 79), 48.5% (n = 16) in moderately PEM patients (n = 33), and 42.9% (n = 3) in severely PEM patients (n = 7) (P = .86). The authors observed no difference between well-nourished and malnourished patients with regard to the serum protein values on admission, LOS, and mortality rate. In this study, malnutrition as defined by SGA did not influence the mortality rate of critically ill geriatric patients receiving enteral or parenteral nutrition. Furthermore, no factor was found to be a good predictor of survival.
机译：这项研究的目的是检查营养不良的患病率并评估65岁及以上接受肠外肠外营养的住院患者的营养状况和临床结局。这项回顾性研究在土耳其阿达纳的巴斯肯特大学医院进行。总共招募了119位65岁以上的患者。根据入院时的主观整体评估（SGA），将患者分为3组：蛋白质能量营养不良（PEM），中度PEM和营养良好。所有患者均通过肠内或肠胃外途径进食。重症监护病房（ICU）的患者记录了急性生理和慢性健康评估（APACHE-2）和简化的急性生理学（SAPS 2）评分。通过生化指标（血清白蛋白，血清白蛋白）评估营养状况。将这些结果与死亡率和住院时间（LOS）进行比较。受试者的平均（+/- SD）年龄为73.1 +/- 5.4岁。使用SGA将5.9％（n = 7）的患者归为严重PEM，将27.7％（n = 33）的患者归为中度PEM，将66.4％（n = 79）的患者归为营养良好。在ICU中随访了约73.1％（n = 87）的患者。在所有患者中，通过肠胃外联合途径喂养的患者为42.9％（n = 51），通过肠胃外途径喂养的患者为31.1％（n = 37），通过肠胃外途径的喂养率为18.5％（n = 22），而患者为7.6％（n = 9）通过口头途径。患者的平均住院时间为18.9 +/- 13.7天。死亡率为44.5％（n = 53）。营养丰富的患者（n = 79）的死亡率为43％（n = 34），中度PEM患者（n = 33）的死亡率为48.5％（n = 16），重度PEM的死亡率为42.9％（n = 3）患者（n = 7）（P = .86）。作者观察到营养良好和营养不良的患者在入院时的血清蛋白值，LOS和死亡率方面无差异。在这项研究中，SGA所定义的营养不良并没有影响接受肠内或肠胃外营养的重症老年患者的死亡率。此外，没有发现任何因素可以很好地预测生存。

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