Geriatric nursing (New York, N.Y.) · 2025
Relationship between nutritional indicators and septic shock in older patients with community acquired pneumonia - A retrospective cohort study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Huang Sha, Li Jianqun, Li Yang, Guo Yan, Zhou Qiying, Wu Xiaoli, Wang Yan, Chen Xiaoyan
Аннотация
OBJECTIVE: The objective of this research was to investigate the association between the Geriatric Nutritional Risk Index (GNRI) and its components body mass index (BMI) and albumin (ALB) and septic shock in hospitalized older patients with community acquired pneumonia (CAP).
METHODS: This was a retrospective observational analysis. GNRI was calculated as 14.89 × serum ALB (g/ dL) +41.7 × BMI/22 (kg/m2). The association between ALB, BMI, GNRI, and septic shock was examined using logistic regression analysis.
RESULTS: This study enrolled 794 older patients with CAP. With ALB, BMI, and GNRI as continuous variables, the incidence of septic shock reduced with the rise of ALB (OR=0.935, 95 %CI: 0.906-0.964, P < 0.001) and GNRI (OR=0.962, 95 %CI: 0.945-0.979, P < 0.001). When ALB, BMI, and GNRI were classified variables, low ALB groups and low GNRI groups had a higher probability of developing septic shock compared to high ALB groups and high GNRI groups (ALB: OR=1.94, 95 % CI: 1.323-2.847; GNRI: OR=2.071, 95 % CI: 1.413-3.036). However, we found that BMI was unrelated to septic shock.
CONCLUSION: The findings showed that ALB and GNRI, but not BMI, are strongly associated with the risk of septic shock in older patients with CAP.
METHODS: This was a retrospective observational analysis. GNRI was calculated as 14.89 × serum ALB (g/ dL) +41.7 × BMI/22 (kg/m2). The association between ALB, BMI, GNRI, and septic shock was examined using logistic regression analysis.
RESULTS: This study enrolled 794 older patients with CAP. With ALB, BMI, and GNRI as continuous variables, the incidence of septic shock reduced with the rise of ALB (OR=0.935, 95 %CI: 0.906-0.964, P < 0.001) and GNRI (OR=0.962, 95 %CI: 0.945-0.979, P < 0.001). When ALB, BMI, and GNRI were classified variables, low ALB groups and low GNRI groups had a higher probability of developing septic shock compared to high ALB groups and high GNRI groups (ALB: OR=1.94, 95 % CI: 1.323-2.847; GNRI: OR=2.071, 95 % CI: 1.413-3.036). However, we found that BMI was unrelated to septic shock.
CONCLUSION: The findings showed that ALB and GNRI, but not BMI, are strongly associated with the risk of septic shock in older patients with CAP.