我们是否需要评估危重症患者的营养风险？
Do we need an assessment of the nutrition risk in the critically ill patient?
机构信息
Department of Intensive Care, Erasme University Hospital, 808 route de Lennik, 1070 Brussels, Belgium.
出版信息
Crit Care. 2012 Jan 9;16(1):101. doi: 10.1186/cc10572.
Abstract
The description of a new score of nutrition risk in critically ill patients in the previous issue of Critical Care is very appropriate and timely. However, the use of this score will probably not help the clinician to improve the prescription of nutrition therapy, especially when major uncertainties are raised about the definition of adequate nutrition. The validation of the score will require the use of outcome variables susceptible to influence by nutrition, such as surrogate markers of muscle function. Meanwhile the educational value of a score of nutrition risk is undisputed in settings where the use of scores is incorporated into the usual practice.
摘要
上一期《重症监护》中描述的新的危重症患者营养风险评分非常恰当和及时。然而，使用该评分可能无助于临床医生改善营养治疗的处方，尤其是当营养充足的定义存在重大不确定性时。评分的验证需要使用可能受营养影响的结果变量，例如肌肉功能的替代标志物。同时，在将评分纳入常规实践的情况下，营养风险评分的教育价值是无可争议的。
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