Use of subjective global assessment to identify nutrition-associated complications and death in geriatric long-term care facility residents
Use of subjective global assessment to identify nutrition-associated complications and death in geriatric long-term care facility residents
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DOI：
10.1080/07315724.2000.10718954
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发表时间：
2000-10-01
影响因子：
3.5
通讯作者：
Canada, T
中科院分区：
文献类型：
--
作者：
Sacks, GS;Dearman, K;Canada, T
目的：本研究的主要目的是评估使用主观全面评估来确定老年人群中营养相关并发症和死亡。一个次要目标是评估主观全球评估的能力，以确定老年居民的长期护理设施谁是营养不良或发展industrial.Methods的风险：五十三个连续的居民谁是大于或等于65岁，并已居住在长期护理设施<2周被纳入本研究。根据Detsky及其同事概述的程序进行主观总体评估分类技术。居民被分为营养良好（A）、轻度/中度营养不良（B）或严重营养不良（C）。此外，还推导了主观总体评估综合评分。将主观全面评估指标与两种传统的营养状况客观指标（血清白蛋白和血清总胆固醇）进行比较。通过记录严重感染、褥疮、营养相关再入院和死亡率的发生率，确定3个月内营养相关并发症的结局测量结果。结果：16名居民（30.2%）被归类为主观总体评估A级，28名居民（52.8%）为B级，9名居民（17%）为C级。通过主观全面评估综合评分确定的营养状况与营养相关并发症之间存在显著相关性（p
Objective: The primary objective of this study was to assess the use of Subjective Global Assessment to identify nutrition-associated complications and death in a geriatric population. A secondary objective was to evaluate the ability of Subjective Global Assessment to identify geriatric residents of long-term care facilities who were undernourished or at risk for developing undernutrition.Methods: Fifty-three consecutive residents who were greater than or equal to 65 years of age and had been residing in a long-term care facility for < 2 weeks were enrolled in the study. The Subjective Global Assessment Classification technique was performed according to the procedure outlined by Detsky and colleagues. Residents were classified as well-nourished (A), mild/moderately undernourished (B) or severely undernourished (C). In addition, a Subjective Global Assessment Composite Score was derived. Subjective Global Assessment measures were compared with two traditional objective measurements of nutritional status: serum albumin and serum total cholesterol. Outcome measurements of nutrition-associated complications were determined over a 3-month period by recording the incidence of major infections, decubitus ulcers, nutrition-related hospital readmissions, and mortality.Results: Sixteen residents (30.2%) were categorized as Subjective Global Assessment class A, 28 residents (52.8%) were class B, and 9 residents (17%) were class C. A significant association was found between nutritional status as determined by Subjective Global Assessment Composite Score and nutrition-associated complications (p