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老年营养风险指数对老年患者再次入院和死亡率的预测价值

Predictive value of geriatric nutritional risk indexes for hospital readmission and mortality in older patients.

作者信息

Chen Yajun, Wei Jin, Zhang Ming, Xu Dongping, Lang Yuheng, Qi Yumei

机构信息

Department of Nutrition, National Clinical Research Center for Cancer. Tianjin's Clinical Research Center for Cancer. Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute & Hospital, 300060, Tianjin, China.

Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Artificial Cell Engineering Technology Research Center, The Third Central Hospital of Tianjin, Tianjin, China.

出版信息

Aging Clin Exp Res. 2024 Dec 27;37(1):15. doi: 10.1007/s40520-024-02899-0.

Abstract

The Geriatric Nutritional Risk Index (GNRI) plays a crucial role in assessing nutritional status and predicting clinical outcomes in older patients. This study explores the GNRI as a prognostic tool for clinical outcomes in older inpatients. Spanning from August 2013 to December 2020, the research involved 573 older patients at Tianjin Third Central Hospital, China. The study assessed the association of GNRI with 6-month hospital readmission and 3-year all-cause mortality rates. Our findings reveal that higher GNRI scores significantly correlate with reduced hospital readmissions and mortality, underscoring the utility of GNRI in predicting clinical outcomes and guiding interventions in geriatric care. The study highlights the potential of integrating GNRI assessments into routine clinical evaluations to enhance patient care and optimize resource utilization in healthcare settings.

摘要

老年营养风险指数(GNRI)在评估老年患者营养状况及预测临床结局方面发挥着关键作用。本研究探讨GNRI作为老年住院患者临床结局的预后工具。研究时间跨度为2013年8月至2020年12月,涉及中国天津第三中心医院的573例老年患者。该研究评估了GNRI与6个月内再次入院率及3年全因死亡率之间的关联。我们的研究结果表明,较高的GNRI评分与降低的再次入院率和死亡率显著相关,这凸显了GNRI在预测临床结局及指导老年护理干预方面的实用性。该研究强调了将GNRI评估纳入常规临床评估以改善患者护理及优化医疗机构资源利用的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f70/11671567/d2a3b7ec0d19/40520_2024_2899_Fig1_HTML.jpg

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