152 130

Cited 0 times in

중환자에서 질병 중증도와 영양 상태가 예후에 미치는 효과

Other Titles
 Effects of APACHE II Score and Initial Nutritional Status on Prognosis of the Critically Ill Patients 
Authors
 안서희  ;  라세희  ;  장철호  ;  임현선  ;  이덕철  ;  신증수 
Citation
 Korean Journal of Critical Care Medicine, Vol.27(2) : 102-107, 2012 
Journal Title
 Korean Journal of Critical Care Medicine 
ISSN
 1229-4802 
Issue Date
2012
Abstract
Background: Malnutrition is common in hospitalized patients, especially in critically ill patients and affects their mortality and morbidity. However, the correlation between malnutrition and poor outcome is not fully understood. Our hypothesis is that the nutritional effect on the patient’s prognosis would differ depending on the severity of the disease. Methods: 3,758 patients admitted to the intensive care unit (ICU) were observed retrospectively. Patients were divided into well, moderate and severe groups, according to their nutritional status as assessed by their serum albumin level and total lymphocyte count (TLC). The severity of the disease was assessed by the Acute Physiologic and Chronic Health Evaluation (APACHE II score). All patients were followed clinically until discharge or death and ICU days, hospital days, ventilator days, and mortality rates were recorded. Results: Depending on the definition used, the prevalence of hospital malnutrition is reported to be 68.3%. Hospital days, ICU days, as well as ventilator days of moderate and severe groups were longer than the well group. In patients exhibiting mild severity of disease, moderate and severe malnutrition groups have 3-5 times the mortality rate than the well group. Conclusions: Malnutrition affects the prognosis of patients who have an APACHE II score ranging from 4-29 points. Active nutritional support may be more effective for patients with a disease of mild severity.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92350
DOI
10.4266/kjccm.2012.27.2.102
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Family Medicine (가정의학교실)
Yonsei Authors
라세희(Na, Se Hee)
신증수(Shin, Cheung Soo)
이덕철(Lee, Duk Chul)
장철호(Chang, Chul Ho)
사서에게 알리기
  feedback
Files in This Item:
T201201828.pdf Download
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse