星逸 發問時間: 社會與文化語言 · 1 0 年前

英文翻譯~與營養醫學相關

Deprivation linked to malnutrition risk and mortality in hospital

This study aimed to investigate the link between deprivation and in-hospital malnutrition and to assess any independent and interrelated effects of deprivation and malnutrition on clinical outcome in hospital. One thousand patients (mean age 71 (SD 19) years, mean BMI 25·6 (SD 5·4) kg/m2) were screened for malnutrition (using the Malnutrition Universal Screening Tool (‘MUST’)) and their clinical outcome assessed prospectively. The deprivation of patients’ locality of residence prior to admission was recorded using the Index of Multiple Deprivation 2000 (IMD). Patients with medium and high malnutrition risk (42 %, n 420) were admitted from areas with significantly greater deprivation (lower ranks) than low-risk patients (IMD 3731 v. 3946; P,0·02). The prevalence of malnutrition increased by multiples of 1·14 (95% CI 1·02, 1·28) for each increment in quartile of IMD rank. The odds of malnutrition of the most deprived quartile were greater than those of the least deprived quartile by a factor of 1·59 (95% CI 1·11, 2·28). They were also greater for five of the six components of IMD deprivation (and by a factor of 1·73 (95% CI 1·20, 2·49) for income and 1·69 (95% CI 1·18, 2·42) for employment). Greater in-hospital mortality was associated with malnutrition, independently of IMD (or its individual components; odds ratio 2·04 (95% CI 1·22, 3·44)). Length of stay was associated only with malnutrition risk (P,0·0005). This study highlights that in-hospital malnutrition and deprivation are interrelated, yet have independent, adverse associations with patient outcome. Effective strategies are required to tackle these common health inequalities in both clinical and public health settings.

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3 個解答

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  • ari
    Lv 5
    1 0 年前
    最佳解答

    在醫院 的剝奪掛鉤營養不良的風險和死亡率

    本研究旨在調查之間的聯繫,剝奪和在醫院的營養不良和評估任何一個獨立的和相互關聯的影響,剝奪和營養不良的臨床結果在醫院接受治療。

    1000例(平均年齡71 (政府統計處19日)歲,平均體重指數為25.6 (標準差5.4 ) kg/m2 )進行篩選,營養不良(使用營養不良的普遍篩檢工具( '必須' )及其臨床結果評估前瞻性。

    剝奪了病人的地方,居住之前入學錄得使用該指數多在2000年,剝奪院( IMD ) 。患者中,營養不良和高風險( 42 % , n 420 )承認,從地區顯著更大的剝奪(下層)比低風險的病人院( IMD 3731訴3946 ;磷, 0.02 ) 。普遍營養不良增加的倍數1.14 ( 95 % CI為1.02 , 1.28 )為每個增量在四分IMD的排名。賠率營養不良的最貧困的四分均大於那些最不被剝奪的四分一的因素, 1.59 ( 95 % CI為1.11 , 2.28 ) 。他們還為5更大的六個組成部分IMD的剝奪(和的一個因素1.73 ( 95 % CI為1.20 , 2.49 )的收入和1.69 ( 95 % CI為1.18 , 2 42 )就業) 。

    在更大的醫院死亡率與營養不良,獨立發展學院(或其個別的組成部分;勝算比2.04 ( 95 % CI為1.22 , 3.44 ) ) 。逗留時間是只與營養不良的危險性( P , 0.0005 ) 。這項研究強調指出,在醫院的營養不良和貧困是相互關聯的,但有獨立的,負面的協會與病人的結果。有效的戰略,必須解決這些常見的健康不平等現象,在臨床和公共衛生的設置。

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  • 5 年前

    營養評估

  • 匿名使用者
    6 年前

    到下面的網址看看吧

    ▶▶http://qoozoo09260.pixnet.net/blog

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