Nghiên cứu nguy cơ suy dinh dưỡng bằng thang điểm NRS-2002 ở bệnh nhân suy tim cấp tính tại Khoa Hồi sức Tim mạch, Bệnh viện TWQĐ 108

Abstract

Objective: To investigate some clinical, subclinical features and nutritional risk in acute heart failure patients at 108 Military Central Hospital. Subject and method: 45 patients with acute heart failure in Cardiovascular Intensive Care Unit from June 2020 to August 2020. Assessmented some risk factors, outcomes, number of days hospitalized, NRS-2002. The relationship between NRS-2002 score and some clinical and subclinical parameters was investigated. Result: Mean age of acute heart failure patients was 75.51 ± 10.89 years, 64.4% males. The mortality rate after 30 days of follow-up was 6.7%. The majority of patients had a reduction in food intake in the last 1 week (77.8%) and weight loss within 3 months (71.1%). All patients had NRS-2002 scores ≥ 3. Mean NRS-2002 score of patients with acute heart failure was 4.82 ± 1.17, with a high risk of malnutrition (NRS-2002 ≥ 5) accounting for 62.2%. Mean age of patients at high risk of malnutrition was 80.21 ± 8.54 years, significantly higher than those with low risk of malnutrition (p<0.01). Patients with high NRS-2002 scores tended to be thinner than patients with low NRS-2002 scores, p<0.01. Patients with high NRS-2002 scores tented to be anemia (p<0.01), decreased plasma transferin concentrations (p<0.05). Conclusion: All patients with acute cardiovascular disease are at risk of malnutrition and most at high risk of malnutrition. Nutritional risk is associated with to age, anemia status and has negative correlation with BMI and plasma transferin concentrations.