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老年慢性阻塞性肺疾病住院患者营养状况调查及180天再入院因素分析

Investigation of nutrition status and analysis of 180-day readmission factors in elderly hospitalized patients with COPD.

作者信息

Liu Huan, Song Jingsi, Wang Zhiqiang, Wu Songze, Qiu Shi, Chen Benhui, Rao Zhiyong, Jing Xiaofan

机构信息

Department of Clinical Nutrition, West China Hospital, Sichuan University, Chengdu, China.

Department of Clinical Nutrition, Chengdu Shang jin Nan fu Hospital, West China Hospital, Chengdu, China.

出版信息

Aging Clin Exp Res. 2024 Aug 1;36(1):155. doi: 10.1007/s40520-024-02820-9.

Abstract

BACKGROUND AND OBJECTIVE

Malnutrition is prevalent among elderly patients with COPD, who also experience a high rate of readmission. Therefore, it is imperative to investigate the nutrition status of these patients, identify risk factors for readmission, and offer insights for clinical management. To achieve this, a cross-sectional study was conducted to investigate factors influencing nutrition status using GLIM criteria and explore the 180-day readmission factors among hospitalized elderly COPD patients.

METHORDS AND RESULTS

The data were collected from a hospital in Southwest China, encompassing a cohort of 319 eligible patients. Among elderly hospitalized COPD patients, the prevalence of malnutrition was 49.53% (158/319). Multivariate logistic regression revealed malnutrition (OR = 3.184), very severe airway obstruction (OR = 3.735), and Number of comorbidities ≥ 3 (OR = 5.754) as significant risk factors for 180-day readmission.

CONCLUSIONS

These findings suggest that malnutrition is a prevalent issue among elderly hospitalized patients with COPD and constitutes one of the risk factors contributing to the 180-day readmission rate. Therefore, timely identification and treatment for malnourished patients are crucial.

摘要

背景与目的

营养不良在老年慢性阻塞性肺疾病(COPD)患者中普遍存在,且这些患者的再入院率也很高。因此,调查这些患者的营养状况、确定再入院的危险因素并为临床管理提供见解势在必行。为此,开展了一项横断面研究,以使用全球营养不良领导倡议(GLIM)标准调查影响营养状况的因素,并探讨住院老年COPD患者的180天再入院因素。

方法与结果

数据收集自中国西南部的一家医院,纳入了319例符合条件的患者。在老年住院COPD患者中,营养不良的患病率为49.53%(158/319)。多因素逻辑回归分析显示,营养不良(OR = 3.184)、极重度气道阻塞(OR = 3.735)和合并症数量≥3(OR = 5.754)是180天再入院的重要危险因素。

结论

这些研究结果表明,营养不良在老年住院COPD患者中是一个普遍问题,并且是导致180天再入院率的危险因素之一。因此,及时识别和治疗营养不良患者至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31e8/11291564/1d164df33b67/40520_2024_2820_Fig1_HTML.jpg

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