Antoinette Robilliard, Sandrine Pactole-Birach, Alexis Pichereau, Agathe Raynaud-Simon, Manuel Sanchez
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引用次数: 0
摘要
由于法国卫生当局(Haute autorit de sant, HAS)的营养不良诊断标准在2021年发生了变化,更接近国际标准(GLIM),因此需要更新老年急性老年病房(GACU)的营养不良患病率数据。在235名连续入院患者(平均年龄86岁)的队列中,根据HAS 2007、2021和GLIM标准诊断营养不良,包括筛查确诊的肌肉减少症(CS)。表型标准为体重减轻(23%)、BMI
[Malnutrition prevalence in geriatric acute Care unit according to diagnosis criteria of the French National Health Authority 2007, 2021 and those of the Global Leadership Initiative on Malnutrition].
As the French health authority (Haute Autorité de santé, HAS) diagnostic criteria for malnutrition have changed in 2021, moving closer to international criteria (GLIM), prevalence data for malnutrition in geriatric acute geriatric units (GACU) need to be updated. In a cohort of 235 consecutively admitted patients (average age 86 y.o.), malnutrition was diagnosed according to HAS 2007, 2021 and GLIM criteria, including screening for confirmed sarcopenia (CS). The phenotypic criteria were weight loss (23%), BMI < 22 (33%) and CS (51%). The prevalence of malnutrition was 65% (33% severe) according to HAS 2021, 46% (16% severe) according to HAS 2007 and 73% (24% severe) according to GLIM. In comparison with the HAS 2021 criteria, agreement between the HAS 2021 and 2007 criteria was poor (k = 0.278), and good with GLIM (k = 0.707). The HAS 2021 criteria identify more malnourished patients than the 2007 criteria in GACU with a high prevalence of CS.
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.