广州医药2025，Vol.56Issue(2)：192-196,227,6.DOI:10.20223/j.cnki.1000-8535.2025.02.008
老年营养风险指数与慢性阻塞性肺疾病患者急性加重期预后的相关性分析
Correlation between nutritional risk index and prognosis of AECOPD in elderly patients
黄静 1谢琳 1管婷 1魏莎 1李永滨1
作者信息
- 1. 贵州省六盘水水矿医院(原贵州水矿控股集团有限责任公司总医院)呼吸与危重症医学科(贵州 六盘水 553001)
- 折叠
摘要
Abstract
Objective To investigate the correlation between elderly nutritional risk index(GNRI)and prognosis of patients with AECOPD.Methods Patients with AECOPD admitted to our hospital from January 2019 to January 2022 were selected and divided into normal nutrition group(GNRI＞98)and malnutrition group(GNRI≤98)according to GNRI value.Survival curve and Cox regression were used to evaluate the association between nutritional status and mortality.Results A total of 198 patients with AECOPD were included in this study.According to GNRI scores,90 patients were in the normal nutrition group and 108 were in the malnutrition group,with malnutrition incidence of 54.5%.The Kaplan-Meier curve showed that the cumulative all-cause mortality was higher in the malnutrition group(58.3%vs 35%,P＜0.001).Cox proportional hazard regression analysis showed that HR in the uncorrected model was 2.31(1.25-4.28),P＜0.001.In the fully corrected model,HR was 2.48(1.37-4.51)and P=0.005,suggesting that malnutrition was associated with a significantly higher risk of all-cause mortality compared with normal nutritional status.Conclusions Low GNRI is an independent risk factor for all-cause death in AECOPD patients.关键词
老年营养风险指数/慢性阻塞性肺疾病急性加重/死亡Key words
elderly nutrition risk index/AECOPD/death引用本文复制引用
黄静,谢琳,管婷,魏莎,李永滨..老年营养风险指数与慢性阻塞性肺疾病患者急性加重期预后的相关性分析[J].广州医药,2025,56(2):192-196,227,6.
