经皮内镜下胃造口术前营养状况评分的控制及早期死亡预测
Preprocedural control of nutritional status score and prediction of early death after percutaneous endoscopic gastrostomy.
作者信息
Yoshida Yuki, Maetani Iruru, Shigoka Hiroaki, Matsuda Takahisa
机构信息
Division of Gastroenterology and Hepatology, Department of Internal Medicine Toho University Ohashi Medical Center Tokyo Japan.
Division of Gastroenterology and Hepatology, Department of Internal Medicine Toho University Omori Medical Center Tokyo Japan.
出版信息
JGH Open. 2023 Jul 12;7(7):504-508. doi: 10.1002/jgh3.12941. eCollection 2023 Jul.
BACKGROUND AND AIM
Percutaneous endoscopic gastrostomy (PEG) is often associated with early mortality. We therefore investigated factors associated with early death after PEG.
METHODS
The present study comprised patients who had undergone PEG between April 2014 and March 2020. Patients were divided into two groups: an early mortality group who died within 1 month of PEG, and a non-mortality group whose clinical course could be followed for more than 1 month after the procedure. Patient background, hematological data, and procedural duration were compared between groups.
RESULTS
Univariate analysis identified older age, high blood urea nitrogen (BUN), low prognostic nutritional index (PNI), and high controlling nutritional status (CONUT) score as factors associated with early death after PEG. In multivariate analysis, high CONUT score remained an independent prognostic factor ( = 0.0035).
CONCLUSION
A high CONUT score may be a prognostic factor for early mortality after PEG.
背景与目的
经皮内镜下胃造口术（PEG）常与早期死亡率相关。因此，我们研究了与PEG术后早期死亡相关的因素。
方法
本研究纳入了2014年4月至2020年3月期间接受PEG的患者。患者分为两组：PEG术后1个月内死亡的早期死亡组，以及术后临床病程可随访超过1个月的非死亡组。比较两组患者的背景、血液学数据和手术持续时间。
结果
单因素分析确定年龄较大、血尿素氮（BUN）升高、预后营养指数（PNI）降低和控制营养状况（CONUT）评分升高是与PEG术后早期死亡相关的因素。多因素分析中，高CONUT评分仍是独立的预后因素（=0.0035）。
结论
高CONUT评分可能是PEG术后早期死亡的预后因素。
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