Khảo sát tỉ lệ và ảnh hưởng của suy dinh dưỡng lên thời gian nằm viện ở bệnh nhân hội chứng vành cấp cao tuổi=Nutritional status and its impact on hospital length of stay in older adults with acute coronary syndrome

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Tác giả: Thế Quyền Nguyễn, Văn Trí Nguyễn, Thị Bích Hà Trịnh, Anh Kiệt Vũ, Hoàng Vũ Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.243-250

Bộ sưu tập: Metadata

ID: 243621

Thêm vào giỏ

Khảo sát tỉ lệ suy dinh dưỡng và mối liên quan giữa tình trạng dinh dưỡng với thời gian nằm viện ở bệnh nhân cao tuổi mắc hội chứng vành cấp nhập viện. Đối tượng và phương pháp: Nghiên cứu cắt ngang mô tả thực hiện trên 375 bệnh nhân ≥ 60 tuổi nhập viện vì hội chứng vành cấp từ tháng 7/2023 đến tháng 3/2024 tại Trung tâm Tim mạch Bệnh viện Thống Nhất và Bệnh viện Đại học Y Dược Thành phố Hồ Chí Minh. Kết quả: Nghiên cứu cho thấy tỉ lệ suy dinh dưỡng đánh giá theo thang điểm MNA-SF là 11,5%, nguy cơ suy dinh dưỡng là 32,5% và bệnh nhân có tình trạng dinh dưỡng bình thường là 56%. Thời gian nằm viện trung bình là 11,3 ± 5,6 ở nhóm suy dinh dưỡng, cao hơn 3 ngày so với nhóm có tình trạng dinh dưỡng bình thường, sự khác biệt có ý nghĩa thống kê với p <
0,001. Suy dinh dưỡng đánh giá bằng thang điểm MNA-SF là yếu tố độc lập, có liên quan đến tăng nguy cơ kéo dài thời gian nằm viện. Kết luận: Tỉ lệ suy dinh dưỡng và có nguy cơ suy dinh dưỡng ở bệnh nhân cao tuổi mắc hội chứng vành cấp tương đối cao và suy dinh dưỡng là yếu tố nguy cơ độc lập với kéo dài thời gian nằm viện.This study aims to examine the prevalence of malnutrition and the impact of malnutrition-related factors on the length of hospital stay in older adults hospitalized for acute coronary syndrome (ACS). Methods: This crosssectional study was conducted on 375 patients 60 years of age or older hospitalized with acute coronary syndrome, from July 2023 to March 2024 at the Interventional Cardiology Department at Thong Nhat hospital and University Medical Center Ho Chi Minh city. Results: The prevalence of malnutrition assessed by the MNA-SF is 11.5%, the risk of malnutrition is 32.5%, and patients with normal nutritional status make up 56%. The average length of hospital stay is 11.3 ± 5.6 days in the malnutrition group, which is approximately 3 days longer than the group with normal nutritional status, a statistically significant difference with p <
0.001. Malnutrition assessed by the MNA-SF score is an independent factor associated with an increased likelihood of prolonged hospital stay. Conclusion: The prevalence of malnutrition and at risk of malnutrition in older patients with acute coronary syndrome is relatively high, and malnutrition is an independent risk factor for prolonging the length of stay.

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