脑性麻痹住院成人的营养不良

IF 4.1
JPEN. Journal of parenteral and enteral nutrition Pub Date : 2021-11-01 Epub Date: 2021-03-26 DOI:10.1002/jpen.2067
Ché Matthew Harris, Scott Mitchell Wright
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引用次数: 5

摘要

背景:脑瘫(CP)住院成人的营养不良尚未得到广泛的研究。我们试图确定营养不良对住院成人cp患者临床和资源结局的影响。方法:本回顾性队列研究调查了2016年和2017年国家住院患者样本数据库。回归模型评估了死亡率和资源利用率。结果:154,219名成年CP患者住院治疗。其中,154,219人中有21,064人(13.5%)营养不良。营养不良和非营养不良患者的年龄相似(平均年龄±SEM, 45.1±0.30 vs 45.2±0.18岁;P = 0.70)。营养不良患者中男性较多(12,175/21,604 [57.8%]vs 72,929/133,155 [54.8%], P < 0.01),且合并症评分较高(Charlson合并症评分≥3;2464 / 21064 (11.7%) vs 14380 / 133155 (10.8%);P = 0.01)。营养不良患者的死亡率更高(905/21,064 [4.3%]vs 2,796/21,064 [2.1%], P < 0.01),且营养不良患者的死亡率更高(校正优势比[aOR] = 2.1;CI, 1.7 - -2.5;P < 0.01)。营养不良患者出院回家的可能性较小(aOR = 0.52;CI, 0.48 - -0.56;P < 0.01)。住院费用较高(调整后平均差[aMD] = + 42,540美元;CI, 36934 - 48146美元;P < 0.01)和住院时间(aMD = +4.3天;CI, 3.9 - -4.7;P < 0.01)。结论:住院CP患者营养不良与死亡率和医院资源利用率增加有关。在这些患者住院时将其标记为“高风险”可能会导致对这一弱势群体临床结果的高度关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Malnutrition in Hospitalized Adults With Cerebral Palsy.

Background: Malnutrition among hospitalized adults with cerebral palsy (CP) has not been extensively explored. We sought to identify impacts of malnutrition on clinical and resource outcomes among hospitalized adults with CP.

Methods: This retrospective cohort study surveyed years 2016 and 2017 from the National Inpatient Sample database. Regression models evaluated mortality and resource utilization.

Results: 154,219 adults with CP were hospitalized. Among them, 21,064/154,219 (13.5%) had malnutrition. Patients with and without malnutrition were similar in age (mean age ± SEM, 45.1 ± 0.30 vs 45.2 ± 0.18 years; P = .70). Patients with malnutrition were more likely male (12,175/21,604 [57.8%] vs 72,929/133,155 [54.8%], P < .01) and had higher comorbidity scores (Charlson comorbidity score ≥ 3; 2,464/21,064 [11.7%] vs 14,380/133,155 [10.8%]; P = .01). Mortality rates were higher among patients with malnutrition (905/21,064 [4.3%] vs 2,796/21,064 [2.1%], P < .01), and they had higher odds for mortality (adjusted odds ratio [aOR] = 2.1; CI, 1.7-2.5; P < .01). Those with malnutrition were less likely discharged home (aOR = 0.52; CI, 0.48-0.56; P < .01). Hospital charges were higher (adjusted mean difference [aMD] = +$42,540; CI, $36,934-48,146; P < .01) and length of stay longer (aMD = +4.3 days; CI, 3.9-4.7; P < .01) among patients with malnutrition.

Conclusion: Malnutrition in hospitalized patients with CP is associated with increased mortality and hospital resource utilization. Flagging these patients as being "high risk" when they are hospitalized may result in heightened attentiveness about clinical outcomes in this vulnerable population.

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