接受维持性血液透析的老年人压力损伤的营养支持:一个案例研究。

IF 3.4 3区医学 Q2 NUTRITION & DIETETICS

Journal of Renal Nutrition Pub Date : 2024-05-01 DOI:10.1053/j.jrn.2023.11.006

Julius S. Navarro RDN, CSR, CNSC, FAND, FNKF , Rebecca Brody PhD, RD, LD, CNSC

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引用次数: 0

摘要

血液透析(HD)和压力损伤(PI)都是高分解代谢状态，可能导致蛋白质-能量浪费(PEW)的发展。这些情况需要增加能量和蛋白质，以防止HD造成的损失，并支持伤口愈合。营养支持治疗采用溶栓性肠外营养(IDPN)联合或不联合口服营养补充剂(ONS)，在伴有PEW的HD患者中产生了积极的结果。然而，IDPN不是PI患者和接受HD患者的标准护理。没有现有的指南支持在这些综合复杂的医疗条件下使用它。我们提出了一例老年人压力损伤接受HD谁需要补充IDPN。本病例证明IDPN有助于伤口愈合，缩短住院时间(LOS)，提高生活质量(QoL)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Nutrition Support for Older Adults With Pressure Injuries Receiving Maintenance Hemodialysis: A Case Study

Hemodialysis (HD) and pressure injuries (PI) are both hypercatabolic states that may contribute to protein-energy wasting development. These conditions require increased energy and protein to prevent losses from HD and support wound healing. Nutrition support therapy using intradialytic parenteral nutrition (IDPN) with or without a combination of oral nutrition supplements has yielded positive outcomes among patients receiving HD with protein-energy wasting. However, IDPN is not a standard of care for patients with PI and receiving HD. No existing guidelines support its use with these combined complex medical conditions. We present a case of an older adult with PI receiving HD who required supplemental IDPN. This case demonstrated that IDPN helps wound healing, reduces the hospital length of stay, and enhances quality of life.

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来源期刊

Journal of Renal Nutrition 医学-泌尿学与肾脏学

CiteScore

5.70

自引率

12.50%

发文量

146

审稿时长

6.7 weeks

期刊介绍： The Journal of Renal Nutrition is devoted exclusively to renal nutrition science and renal dietetics. Its content is appropriate for nutritionists, physicians and researchers working in nephrology. Each issue contains a state-of-the-art review, original research, articles on the clinical management and education of patients, a current literature review, and nutritional analysis of food products that have clinical relevance.