慢性阻塞性肺病老年住院患者的营养状况调查和 180 天再入院因素分析。

IF 3.4 3区医学 Q2 GERIATRICS & GERONTOLOGY

Aging Clinical and Experimental Research Pub Date : 2024-08-01 DOI:10.1007/s40520-024-02820-9

Huan Liu, Jingsi Song, Zhiqiang Wang, Songze Wu, Shi Qiu, Benhui Chen, Zhiyong Rao, Xiaofan Jing

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引用次数: 0

摘要

背景和目的：营养不良是慢性阻塞性肺病老年患者的普遍现象，他们的再入院率也很高。因此，当务之急是调查这些患者的营养状况，确定再入院的风险因素，并为临床管理提供见解。为此，我们开展了一项横断面研究，采用 GLIM 标准调查影响营养状况的因素，并探讨住院老年慢性阻塞性肺病患者 180 天再入院的因素：研究数据来自中国西南地区的一家医院，包括 319 名符合条件的患者。在住院的老年慢性阻塞性肺病患者中，营养不良发生率为 49.53%（158/319）。多变量逻辑回归显示，营养不良（OR = 3.184）、非常严重的气道阻塞（OR = 3.735）和合并症数量≥ 3（OR = 5.754）是导致 180 天再入院的重要风险因素：这些研究结果表明，营养不良是慢性阻塞性肺病老年住院患者中普遍存在的问题，也是导致 180 天再入院率的风险因素之一。因此，及时发现和治疗营养不良患者至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Investigation of nutrition status and analysis of 180-day readmission factors in elderly hospitalized patients with COPD

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Investigation of nutrition status and analysis of 180-day readmission factors in elderly hospitalized patients with COPD

Background and objective

Malnutrition is prevalent among elderly patients with COPD, who also experience a high rate of readmission. Therefore, it is imperative to investigate the nutrition status of these patients, identify risk factors for readmission, and offer insights for clinical management. To achieve this, a cross-sectional study was conducted to investigate factors influencing nutrition status using GLIM criteria and explore the 180-day readmission factors among hospitalized elderly COPD patients.

Methords and results

The data were collected from a hospital in Southwest China, encompassing a cohort of 319 eligible patients. Among elderly hospitalized COPD patients, the prevalence of malnutrition was 49.53% (158/319). Multivariate logistic regression revealed malnutrition (OR = 3.184), very severe airway obstruction (OR = 3.735), and Number of comorbidities ≥ 3 (OR = 5.754) as significant risk factors for 180-day readmission.

Conclusions

These findings suggest that malnutrition is a prevalent issue among elderly hospitalized patients with COPD and constitutes one of the risk factors contributing to the 180-day readmission rate. Therefore, timely identification and treatment for malnourished patients are crucial.

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来源期刊

Aging Clinical and Experimental Research 医学-老年医学

CiteScore

7.90

自引率

5.00%

发文量

283

审稿时长

1 months

期刊介绍： Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.