Geriatric Nutritional Risk Index is related to the risk of stroke-associated pneumonia

被引:15
作者
Dai, Caijun [1 ]
Yan, Dan [1 ]
Xu, Minjie [2 ]
Huang, Qiqi [3 ]
Ren, Wenwei [2 ]
机构
[1] Zhejiang Univ, Sch Med, Jinhua Municipal Cent Hosp, Dept Pulm & Crit Care Med,Affiliated Jinhua Hosp, Jinhua, Zhejiang, Peoples R China
[2] Wenzhou Med Univ, Affiliated Hosp 1, Dept Neurol, Wenzhou 325000, Peoples R China
[3] Wenzhou Med Univ, Affiliated Hosp 1, Dept Cardiac Care Unit, Wenzhou 325000, Peoples R China
来源
BRAIN AND BEHAVIOR | 2022年 / 12卷 / 08期
关键词
Geriatric Nutritional Risk Index (GNRI); pneumonia; stroke; ACUTE ISCHEMIC-STROKE; SERUM-ALBUMIN; NOSOCOMIAL PNEUMONIA; A(2)DS(2) SCORE; IMMUNODEPRESSION; MALNUTRITION; INFECTIONS;
D O I
10.1002/brb3.2718
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Background Stroke-associated pneumonia (SAP) occurs frequently after a stroke. Geriatric Nutritional Risk Index (GNRI) is a valuable indicator of elderly individuals' nutritional status. This research was designed to obtain insight into the link between GNRI and SAP. Methods Patients with acute ischemic stroke (AIS) were categorized into the SAP and non-SAP groups. GNRI scores were divided into four layers: Q1, GNRI < 82; Q2, 82 <= GNRI < 92; Q3, 92 <= GNRI <= 98; Q4, GNRI > 98. To identify the independent risk and protective factors of developing SAP, logistic regression analyses were conducted. Additionally, we utilized the restricted cubic spline (RCS) analysis to test the effect of GNRI on the SAP risk. Results The SAP group showed lower GNRI scores than the non-SAP group (96.88 +/- 9.36 vs. 100.88 +/- 8.25, p < 0.001). According to the logistic regression model, the Q1 and Q2 layers showed a higher risk of SAP than the Q3 layer, while the Q4 layer showed a lower SAP risk (all p < 0.05). Besides, the RCS model found that the risk of SAP dropped dramatically as GNRI scores increased, which got stable when the GNRI score was more significant than 100. Conclusion Lower GNRI scores were linked to a higher prevalence of SAP. In clinical practice, GNRI showed predictive value for SAP, which could be helpful in early SAP intervention and therapy.
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页数:8
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