Anderson C F, Wochos D N
Mayo Clin Proc. 1982 Mar;57(3):181-4.
Nutritional assessment was performed on 47 patients admitted to a nephrology service; renal failure was present in 39 of the 47 patients. Values for serum albumin, total iron binding capacity, arm muscle circumference, triceps skin fold, and percent of ideal body weight for height and sex were determined. The 25 patients who had low serum albumin values at admission stayed in the hospital significantly (P less than 0.025) longer than those who had normal serum albumin values. No other abnormal nutrition-related finding or combination of findings was associated with a significantly (P less than or equal to 0.05) longer hospital stay. Low serum albumin values were also found in 11 of the 15 patients with infection. Low serum albumin values were far and away the most common abnormal nutrition-related findings in these infected patients in addition to the finding significantly (P less than 0.025) associated with a longer hospital stay.
对收治于肾脏病科的47例患者进行了营养评估；47例患者中有39例存在肾衰竭。测定了血清白蛋白、总铁结合力、上臂肌肉周长、肱三头肌皮褶厚度以及根据身高和性别计算的理想体重百分比。入院时血清白蛋白值低的25例患者住院时间显著（P<0.025）长于血清白蛋白值正常的患者。没有其他与营养相关的异常发现或发现组合与显著（P≤0.05）更长的住院时间相关。15例感染患者中有11例也发现血清白蛋白值低。除了与较长住院时间显著（P<0.025）相关的发现外，血清白蛋白值低是这些感染患者中最常见的与营养相关的异常发现。
