Correlation between inferior vena cava collability index and malnutrition in critical patients: a prospective observational study

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-14 DOI:10.4314/mmj.v36i2.5

V. G. Soylu, Ayşe Yılmaz, Ö. Taşkın, U. Demir, F. Inan, Z. Doğanay

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Abstract

Background We aimed to investigate the correlation between the inferior vena cava collability index(IVC-CI) used in the evaluation of fluid volume and the Nutrition Risk Index(NRI), Prognostic Nutrition Index(PNI), Geriatric Nutrition Risk Index(GNRI) and Controlling Nutritional Status Scoring(CONUT) used in the evaluation of malnutrition. MethodsThis study is a prospective observational study. Demographic data, laboratory data, Body Max Indexes(BMI), NRI, PNI, GNRI and CONUT in the first 24 hours of admission to the intensive care unit of 96 critically ill patients admitted to the tertiary intensive care unit with assisted invasive mechanical ventilator support and IVC-CI values were recorded. Patients with an IVC-CI >45% were evaluated as hypovolemia. Of the patients, 61 (63.5%) patients with an IVC-CI value of 45%≥ were group 1, and 35 (36.5%) patients with an IVC-CI value of >45% were determined as group 2. Correlation between the IVC-CI and malnutrition scores was investigated between the groups. Results As a result of the statistical analysis; there was a statistically significant difference between the two groups in terms of BMI, NRI, PNI, GNRI and CONUT (p<0.001). According to the correlation analysis results, NRI (rs=-0.716, p<0.001), PNI (rs=-0.743, p<0.001), GNRI (rs=-0.723, p<0.001), CONUT (rs=0.741, p<0.001) were significantly correlated with the IVC-CI.ConclusionsThis study shows that there is a correlation between the IVC-CI used in the evaluation of fluid volume and malnutrition.

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危重病人的下腔静脉塌陷指数与营养不良之间的相关性：一项前瞻性观察研究

背景我们旨在研究用于评估液体容量的下腔静脉可袢指数（IVC-CI）与用于评估营养不良的营养风险指数（NRI）、预后营养指数（PNI）、老年营养风险指数（GNRI）和营养状况控制评分（CONUT）之间的相关性。本研究是一项前瞻性观察研究。研究人员记录了96名入住三级重症监护病房并接受辅助有创机械呼吸机支持的重症患者的人口统计学数据、实验室数据、身体最大指数（BMI）、NRI、PNI、GNRI和CONUT以及IVC-CI值。IVC-CI >45% 的患者被评估为低血容量。其中，61 例（63.5%）IVC-CI 值≥ 45% 的患者为第一组，35 例（36.5%）IVC-CI 值＞45% 的患者被确定为第二组。研究组间 IVC-CI 与营养不良评分之间的相关性。结果统计分析结果显示，两组患者的体重指数（BMI）、营养不良评分（NRI）、营养不良评分（PNI）、营养不良评分（GNRI）和营养不良评分（CONUT）差异显著（P<0.001）。根据相关性分析结果，NRI（rs=-0.716，p<0.001）、PNI（rs=-0.743，p<0.001）、GNRI（rs=-0.723，p<0.001）、CONUT（rs=0.741，p<0.001）与 IVC-CI 显著相关。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.