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营养风险筛查（NRS - 2002）能否预测老年住院患者的不良临床结局？

Can the Nutritional Risk Screening (NRS-2002) predict unfavorable clinical outcome in hospitalized elderly patients?

作者信息

Dos Santos Heitor Aidar Vicente, Leandro-Merhi Vânia Aparecida

机构信息

Scientific Initiation Scholarship CNPq, School of Medicine, Puc-Campinas, Campinas, SP, Brazil.

Center for Life Sciences, Postgraduate Program in Health Sciences, Pontifical Catholic University of Campinas (PUC Campinas), Av. John Boyd Dunlop, s/n-Jardim Ipaussurama, Campinas, SP, 13034-685, Brazil.

出版信息

Aging Clin Exp Res. 2022 May;34(5):1165-1169. doi: 10.1007/s40520-021-02032-5. Epub 2022 Jan 7.

DOI:10.1007/s40520-021-02032-5
PMID:34993907
Abstract

BACKGROUND

The prevalence of malnutrition in hospitalized elderly patients (HEP) is high.

OBJECTIVE

To investigate the behavior of several nutritional indicators and predictors of unfavorable clinical outcome.

METHODS

Retrospective study with hospitalized elderly patients (N = 322). Nutritional instruments, indicators and outcome were investigated. Chi-square, Fisher and Mann-Whitney tests and univariate and multiple logistic regression analysis were used.

RESULTS

The variables that, jointly, were associated with hospital stay longer than 7 days, include: the presence of complications (p = 0.0328; OR 1.946; IC95% 1.056; 3.585) and nutritional risk according to the NRS-2002 (p = 0.0016; OR 2.080; IC95% 1.322; 3.275). The variable that remained associated with complications in the multiple model was the nutritional risk according to the NRS-2002 (p = 0.0018; OR 2.587; IC95% 1.423; 4.703).

CONCLUSION

Nutritional risk using the NRS-2002 is a predictor of clinical outcome in hospitalized elderly patients.

摘要

背景

住院老年患者中营养不良的患病率很高。

目的

研究几种营养指标的变化情况以及不良临床结局的预测因素。

方法

对322例住院老年患者进行回顾性研究。调查营养评估工具、指标及结局。采用卡方检验、Fisher检验、曼-惠特尼检验以及单因素和多因素逻辑回归分析。

结果

与住院时间超过7天相关的变量包括：存在并发症（p = 0.0328；OR 1.946；95%置信区间1.056；3.585）以及根据NRS-2002评估的营养风险（p = 0.0016；OR 2.080；95%置信区间1.322；3.275）。在多因素模型中仍与并发症相关的变量是根据NRS-2002评估的营养风险（p = 0.0018；OR 2.587；95%置信区间1.423；4.703）。

结论

使用NRS-2002评估的营养风险是住院老年患者临床结局的一个预测因素。

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