现代医院2024,Vol.24Issue(2) :317-319,324.DOI:10.3969/j.issn.1671-332X.2024.02.042

ICU患者再喂养综合征风险预测模型的研究进展

Risk prediction models of refeeding syndrome in ICU patients:a review of literature

杨帅 于红静 何家欣 张小蝶 叶笑梅 郭玮 潘靖达 凌冬兰
现代医院2024,Vol.24Issue(2) :317-319,324.DOI:10.3969/j.issn.1671-332X.2024.02.042

ICU患者再喂养综合征风险预测模型的研究进展

Risk prediction models of refeeding syndrome in ICU patients:a review of literature

杨帅 1于红静 1何家欣 2张小蝶 1叶笑梅 1郭玮 1潘靖达 1凌冬兰1
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作者信息

  • 1. 广州医科大学附属第二医院 广东广州 510260
  • 2. 香港理工大学 中国香港 0000
  • 折叠

摘要

再喂养综合征(refeeding syndrome,RFS)在重症患者中发生率较高,严重影响患者的康复和预后.通过对再喂养综合征的风险因素和风险预测模型进行综述,发现其风险因素包括患者相关因素、治疗相关因素和疾病相关因素三个方面;风险预测模型包括风险分层模型、风险评分模型和Logistic回归模型.预防RFS的发生重点在于早期评估,但目前尚缺乏预测效能良好的RFS风险预测模型.关注营养和血清学指标等多方面因素对RFS的预防有着重要意义,未来需开展前瞻性、多中心研究,以构建预测效能良好的ICU患者RFS风险预测模型,为RFS高危人群的早期评估和早期干预提供参考.

Abstract

Refeeding syndrome(RFS)has a high incidence among critically ill patients and significantly impacts the re-covery and prognosis of the patients.In this paper,we reviewed the literature on the risk factors and risk prediction models for RFS,finding the risk factors of RFS included patient-related,treatment-related factors and disease-related factors and the risk prediction models encompassed risk stratification model,risk score models and the Logistic regression models.It was concluded from the review that early assessment was crucial to preventing the occurrence of RFS.However,there was still a lack of reliable RFS risk prediction models with good predictive performance.It was found as well that it was crucial for the prevention of RFS to attach importance to nutritional and serological indicators and other factors.It was expected to be a necessity to conduct prospec-tive and multicenter studies to develop a risk prediction model for predicting RFS for ICU patients.Our review provides a refer-ence for early assessment and intervention for critically ill patients with RFS.

关键词

再喂养综合征/重症患者/风险预测模型/综述

Key words

Refeeding syndrome/Critically ill patients/Risk prediction model/Review

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基金项目

广东省卫生健康委员会医学科学基金(2020242)

中华医学会杂志社护理学科研究课题(CMAPH-NRG2021028)

出版年

2024
现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
参考文献量27
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