外科重症监护室需要持续肾脏替代治疗的急性肾损伤的营养供应现状和营养支持对临床结果的影响。

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2023-09-01 DOI:10.6133/apjcn.202309_32(3).0003
Chan Hee Park, Jeong Woo Lee
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引用次数: 0

摘要

背景和目的:急性肾损伤需要持续肾脏替代治疗的患者营养不良的风险很高。营养支持是重症监护室危重症患者治疗的重要组成部分。我们旨在调查营养供应状况以及营养支持对临床结果的影响。方法和研究设计:在这项回顾性队列研究中分析了我们机构的医疗记录(2020年1月1日至2021年12月31日)。我们纳入了43名年龄>18岁的患者,他们在外科重症监护室接受了持续的急性肾损伤肾脏替代治疗。结果:幸存者组和非幸存者组的人口统计学特征相似。幸存者组的每体重蛋白质供应量(0.88±0.37 g/kg对0.47±0.53 g/kg,p=0.029)和达到目标蛋白质水平的患者比例(58.9±24.9%对30.8±34.9%,p=0.022)显著较高。大约79.1%的患者有较高的营养不良风险,危重症营养风险评分≥5。与低营养风险组相比,高营养风险组的住院时间和重症监护室住院时间更长,但结果并不显著。结论:危重症患者提供的营养量明显低于推荐量。确保适当的营养支持可以改善临床结果。
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Current status of nutritional provision and effects of nutritional support on the clinical outcomes of acute kidney injury requiring continuous renal replacement therapy in the surgical intensive care unit.

Background and objectives: Patients with acute kidney injury requiring continuous renal replacement therapy are at high risk of malnutrition. Nutritional support is an important part of treatment for patients with critical illness admitted to the intensive care unit. We aimed to investigate the status of nutritional provision and the effects of nutritional support on clinical outcomes.

Methods and study design: Our institution's medical records (from January 1, 2020, to December 31, 2021) were analyzed in this retrospective cohort study. We included 43 patients aged >18 years who received continuous renal replacement therapy for acute kidney injury in the surgical intensive care unit.

Results: The demographic characteristics were similar between the survivor and non-survivor groups. The protein supply per body weight (0.88 ± 0.37 g/kg vs. 0.47 ± 0.53 g/kg, p = 0.029) and the proportion of patients who met the target protein level (58.9 ± 24.9% vs. 30.8 ± 34.9%, p = 0.022) were significantly higher in the survivor group. Approximately 79.1% of the patients had a high malnutrition risk with a modified Nutrition Risk in the Critically Ill score of ≥5. The lengths of hospital and intensive care unit stays were longer in the high nutritional risk group compared with that in the low nutritional risk group, but the result was not significant.

Conclusions: The nutritional amount provided in patients with critical illness is significantly lesser than the recommended amount. Ensuring proper nutritional support can improve the clinical outcomes.

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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
期刊最新文献
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