[对住院接受老年随访和康复治疗的70岁及以上老年人营养不良诊断的建议(2007年和2021年)的实际应用]。

IF 0.4 4区 医学 Q4 PSYCHIATRY Geriatrie et Psychologie Neuropsychiatrie De Vieillissement Pub Date : 2024-12-01 DOI:10.1684/pnv.2024.1205
Sandragassen Vythilinga Pathar, Pierre Levy, Viorica Petre, Christian Aussel, Kamel Alaoui, Aboubacar Cisse, Christine Forasassi, Olivier Bouillanne
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引用次数: 0

摘要

2007年关于诊断老年人营养不良的法国高级自治当局建议于2021年进行了修订。主要目的是根据建议比较营养不良的发生率。次要目的是比较3个月死亡率,并评估肌肉减少症和肌肉减少性肥胖的患病率。2021年的标准回顾性地应用于一个队列。采用Cohen's kappa系数进行一致性分析,采用Fisher's精确检验进行死亡率统计分析。共有135名患者,根据2007年HAS, 60%营养不良,35%严重营养不良;根据2021年HAS, 49%营养不良,62%严重营养不良。确诊肌少症25例,肌少性肥胖1例。中度至严重营养不良人群在3个月时死亡风险增加(HAS 2021)。
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[Practical application of has recommendations (2007 and 2021), concerning the diagnosis of malnutrition in persons aged 70 and over, to patients hospitalized in geriatric follow-up and rehabilitation care].

The 2007 French Haute Autorité de santé recommendation on the diagnosis of malnutrition in the elderly was revised in 2021. The main objective was to compare the prevalence of malnutrition according to the recommendations. The secondary objectives were to compare 3-month mortality and assess the prevalence of sarcopenia and sarcopenic obesity. The 2021 criteria were applied retrospectively to a cohort. Concordance analysis was carried out using Cohen's kappa coefficient and statistical analysis of mortality using Fisher's exact test. There were 135 patients, 60% malnourished with 35% severely malnourished according to HAS 2007, 49% malnourished with 62% severely malnourished according to HAS 2021 with moderate agreement. There were 25 cases of confirmed sarcopenia and one case of sarcopenic obesity. Moderately to severely malnourished people had an increased risk of death at 3 months (HAS 2021).

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来源期刊
CiteScore
0.70
自引率
16.70%
发文量
0
审稿时长
6-12 weeks
期刊介绍: D''une qualité scientifique reconnue cette revue est, la première revue francophone gériatrique et psychologique indexée dans les principales bases de données internationales. Elle couvre tous les aspects médicaux, psychologiques, sanitaires et sociaux liés au suivi et à la prise en charge de la personne âgée. Que vous soyez psychologues, neurologues, psychiatres, gériatres, gérontologues,... vous trouverez à travers cette approche originale et unique, un veritable outil de formation, de réflexion et d''échanges indispensable à votre pratique professionnelle.
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