| Yongning Chen,Runrong Li,Li Zheng,Wenlian Liu,Yadi Zhang,Shipeng Gong. Malnutrition as a predictor of prolonged length of hospital stay in patients with gynecologic malignancy: A comparative analysis. Oncol Transl Med, 2021, 7: 279-285. |
| 营养不良预测妇科恶性肿瘤患者住院时间延长的对比分析* |
| Malnutrition as a predictor of prolonged length of hospital stay in patients with gynecologic malignancy: A comparative analysis |
| Received:June 14, 2021 Revised:December 29, 2021 |
| DOI：10.1007/s10330-021-0503-3 |
| 中文关键词: 营养不良；PG-SGA；NRS-2002；住院时间；妇科恶性肿瘤。 |
| 英文关键词: malnutrition; patient-generated subjective global assessment; nutritional risk screening-2002; length of hospital stay; gynecologic malignancy |
| 基金项目:广东省医学科研基金青年项目(A2021054)；南方医院院长基金重点项目(2019B019) |
| Author Name | Affiliation | E-mail | | Yongning Chen | The First Affiliated Hospital of Jinan University | cyngynecology@163.com | | Runrong Li | Nanfang Hospital, Southern Medical University | | | Li Zheng | Nanfang Hospital, Southern Medical University | | | Wenlian Liu | Nanfang Hospital, Southern Medical University | | | Yadi Zhang | Nanfang Hospital, Southern Medical University | | | Shipeng Gong* | Nanfang Hospital, Southern Medical University, Guangzhou 510515, China | gsp2103@163.com |
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| 中文摘要: |
| 目的：探讨患者主观整体评估（PG-SGA）和营养风险筛查2002（NRS-2002）评价妇科恶性肿瘤患者营养状态的一致性及其预测住院时间的效应。
方法：本研究纳入了南方医科大学南方医院2017年收治的147名妇科恶性肿瘤患者，采用PG-SGA和NRS-2002评价其营养状况。用Kappa检验比较二者的一致性。通过卡方检验、Spearman相关分析评估营养状态与住院时间的关系。
结果：患者总体营养不良发生率分别为66.7%（PG-SGA评分≥2分）、54.4%（PG-SGA评分≥4分）、55.8%（NRS-2002评分≥3分）。卵巢癌患者营养不良发生率相对较高，但仅在PG-SGA评分≥4分时跟子宫内膜癌或宫颈癌患者之间存在的差异有统计学意义（P值分别为0.001和0.019）。PG-SGA评分以4分为截点、以2分为截点与NRS-2002之间的κ值分别为0.689、0.643。PG-SGA和NRS-2002评分均与住院时间呈正相关，表现为营养不良患者的住院时间延长发生率要高于营养正常患者。
结论：PG-SGA与NRS-2002在评价妇科恶性肿瘤患者营养状况时具有较好的一致性，可用于患者住院时间的预测。 |
| 英文摘要: |
| Objective To explore the consistency of the Patient-generated Subjective Global Assessment (PG-SGA)
and Nutritional Risk Screening-2002 (NRS-2002) for nutritional evaluation of patients with gynecologic
malignancy and their predictive effect on the length of hospital stay (LOS).
Methods We recruited 147 hospitalized patients with gynecologic malignancy from Nanfang Hospital in
2017. Their nutritional status was assessed using the PG-SGA and NRS-2002. The consistency between
the two assessments was compared via the Kappa test. The relationship between malnutrition and LOS
was analyzed using crosstabs and Spearman’s correlation.
Results The PG-SGA demonstrated that 66.7% and 54.4% of patients scoring ≥ 2 and ≥ 4 were
malnourished, respectively. Furthermore, the NRS-2002 indicated that 55.8% of patients were at nutritional
risk. Patients with ovarian cancer had a relatively high incidence of malnutrition. However, this was only
significant for patients who scored ≥ 4 in the PG-SGA (P = 0.001 and P = 0.019 for endometrial carcinoma
and cervical cancer, respectively). The PG-SGA and NRS-2002 showed good consistency in evaluating the
nutritional status of patients with gynecologic malignancy (0.689, 0.643 for PG-SGA score ≥ 2, score ≥ 4
and NRS-2002, respectively). Both the scores of PG-SGA and NRS-2002 were positively correlated with
LOS. Furthermore, prolonged LOS was higher in patients with malnutrition than in those with adequate
nutrition.
Conclusion The PG-SGA and NRS-2002 shared a good consistency in evaluating the nutritional status
of patients with gynecologic malignancy. Both assessments could be used as predictors of LOS. |
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