内科住院患者的营养管理
Nutritional Management of Medical Inpatients.
作者信息
Reber Emilie, Gomes Filomena, Bally Lia, Schuetz Philipp, Stanga Zeno
机构信息
Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, and University of Bern, 3010 Bern, Switzerland.
The New York Academy of Sciences, New York, NY 10007, USA.
出版信息
J Clin Med. 2019 Jul 30;8(8):1130. doi: 10.3390/jcm8081130.
Abstract
Malnutrition is a common condition in hospitalized patients that is often underdiagnosed and undertreated. Hospital malnutrition has multifactorial causes and is associated with negative clinical and economic outcomes. There is now growing evidence from clinical trials for the efficiency and efficacy of nutritional support in the medical inpatient population. Since many medical inpatients at nutritional risk or malnourished are polymorbid (i.e., suffer from multiple comorbidities), this makes the provision of adequate nutritional support a challenging task, given that most of the clinical nutrition guidelines are dedicated to single diseases. This review summarizes the current level of evidence for nutritional support in not critically ill polymorbid medical inpatients.
摘要
营养不良是住院患者的常见状况，常常未得到充分诊断和治疗。医院内的营养不良有多种成因，且与不良的临床和经济后果相关。目前，越来越多来自临床试验的证据表明，营养支持对内科住院患者具有有效性。由于许多存在营养风险或营养不良的内科住院患者患有多种疾病（即患有多种合并症），鉴于大多数临床营养指南专注于单一疾病，这使得提供充足的营养支持成为一项具有挑战性的任务。本综述总结了非危重症、患有多种疾病的内科住院患者营养支持的当前证据水平。
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