Validity of a Two-variable Nutritional Index for Use in Selecting Candidates for Nutritional Support
| Autor: | C. Gay Rainey-MacDonald, Ronald L. Holliday, George A. Wells, Allan P. Donner |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Parenteral Nutrition
Pediatrics medicine.medical_specialty 030309 nutrition & dietetics Medicine (miscellaneous) Protein-Energy Malnutrition Leukocyte Count 03 medical and health sciences 0302 clinical medicine Internal medicine Cutaneous hypersensitivity Humans Medicine In patient Serum Albumin Postoperative Care 0303 health sciences Nutrition and Dietetics Critically ill business.industry Transferrin Middle Aged Prognosis Skinfold Thickness 030211 gastroenterology & hepatology business |
| Zdroj: | Journal of Parenteral and Enteral Nutrition. 7:15-20 |
| ISSN: | 1941-2444 0148-6071 |
| DOI: | 10.1177/014860718300700115 |
| Popis: | The relationship of baseline nutritional test values to clinical outcome was prospectively studied in 55 consecutive surgical and critically ill patients referred for nutritional support. Eight nutritional tests were evaluated with respect to their ability to discriminate between patients who had major septic complications (MSC) and/or died, and patients who survived (without MSC). Our results show that a value of serum albumin (SA) less than 3.0 grams per deciliter had the best predictive accuracy for outcome (PPA) of the single tests (PPA = 76%, s = 0.86, f = 0.82), correctly separating 84% of the patients into the outcome groups. The combination of SA less than 3.0 grams per dl and serum transferrin (ST) less than 175 milligrams per deciliter had excellent ability to predict risk in patients deficient in both proteins (PPA = 77%, s = 1.0, f = 0.88, % correctly classified = 91%). The delayed cutaneous hypersensitivity (DCH) test was not useful for identifying high-risk patients (s = 0.44, f = 0.88). The... |
| Databáze: | OpenAIRE |
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