PDF(Pubmed)
Abstract：
UNASSIGNED: Malnutrition is prevalent among cancer patients, smartphone-based self-administered nutritional assessment tools offer a promising solution for effective nutritional screening. This study aims to retrospectively analyze the relationships between nutritional status evaluated by the digital tool (R+ Dietitian) and clinicopathologic factors of cancer patients.
UNASSIGNED: Cancer patients who met the inclusion criteria were divided into two subgroups based on age, Nutritional Risk Screening-2002, Patient-Generated Subjective Global Assessment Short Form, body mass index, and hospital stays for comparison. Correlation and regression analysis were used to comprehensively assess the relationship between nutritional status and clinicopathologic factors.
UNASSIGNED: A total of 535 hospitalized cancer patients (58.32 ± 11.24 years old) were recruited. Patients identified with nutritional risk assessed by R+ Dietitian were significantly older, had lower body weight, lower body mass index, greater weight loss, and longer hospital stays (all of above, P < 0.01). Multiple logistic regression analysis indicated that serum prealbumin concentration (odds ratio: 0.992, 95% confidence interval: 0.987-0.997, P = 0.001), weight loss (odds ratio: 7.309, 95% confidence interval: 4.026-13.270, P < 0.001), and body mass index < 18.5 (odds ratio: 5.882, 95% confidence interval: 2.695-12.821, P < 0.001) predicted nutritional risk indicated by Nutritional Risk Screening-2002 score ≥3. Hemoglobin concentration (odds ratio: 0.983, 95% confidence interval: 0.970-0.996, P = 0.011), weight (odds ratio: 1.111, 95% confidence interval: 1.056-1.169, P < 0.001), weight loss (odds ratio: 7.502, 95% confidence interval: 4.394-12.810, P < 0.001), body mass index (odds ratio: 0.661, 95% confidence interval: 0.564-0.775, P < 0.001), and energy intake (odds ratio: 0.996, 95% confidence interval: 0.995-0.997, P < 0.001) predicted nutritional risk indicated by Patient-Generated Subjective Global Assessment Short Form score ≥4. Multiple linear regression analysis revealed that Patient-Generated Subjective Global Assessment Short Form scores ≥3 (b = 2.032, P = 0.008) were significantly associated with longer hospital stays.
UNASSIGNED: The nutritional risks assessed by R+ Dietitian accurately reflected the characteristics of malnutrition in cancer patients and predicted hospital stay and cost, indicating the applicability of R+ Dietitian to improving the efficiency of nutritional management for cancer patients.
UNASSIGNED: Cancer patients who met the inclusion criteria were divided into two subgroups based on age, Nutritional Risk Screening-2002, Patient-Generated Subjective Global Assessment Short Form, body mass index, and hospital stays for comparison. Correlation and regression analysis were used to comprehensively assess the relationship between nutritional status and clinicopathologic factors.
UNASSIGNED: A total of 535 hospitalized cancer patients (58.32 ± 11.24 years old) were recruited. Patients identified with nutritional risk assessed by R+ Dietitian were significantly older, had lower body weight, lower body mass index, greater weight loss, and longer hospital stays (all of above, P < 0.01). Multiple logistic regression analysis indicated that serum prealbumin concentration (odds ratio: 0.992, 95% confidence interval: 0.987-0.997, P = 0.001), weight loss (odds ratio: 7.309, 95% confidence interval: 4.026-13.270, P < 0.001), and body mass index < 18.5 (odds ratio: 5.882, 95% confidence interval: 2.695-12.821, P < 0.001) predicted nutritional risk indicated by Nutritional Risk Screening-2002 score ≥3. Hemoglobin concentration (odds ratio: 0.983, 95% confidence interval: 0.970-0.996, P = 0.011), weight (odds ratio: 1.111, 95% confidence interval: 1.056-1.169, P < 0.001), weight loss (odds ratio: 7.502, 95% confidence interval: 4.394-12.810, P < 0.001), body mass index (odds ratio: 0.661, 95% confidence interval: 0.564-0.775, P < 0.001), and energy intake (odds ratio: 0.996, 95% confidence interval: 0.995-0.997, P < 0.001) predicted nutritional risk indicated by Patient-Generated Subjective Global Assessment Short Form score ≥4. Multiple linear regression analysis revealed that Patient-Generated Subjective Global Assessment Short Form scores ≥3 (b = 2.032, P = 0.008) were significantly associated with longer hospital stays.
UNASSIGNED: The nutritional risks assessed by R+ Dietitian accurately reflected the characteristics of malnutrition in cancer patients and predicted hospital stay and cost, indicating the applicability of R+ Dietitian to improving the efficiency of nutritional management for cancer patients.
摘要：
■营养不良在癌症患者中普遍存在，基于智能手机的自我管理营养评估工具为有效的营养筛查提供了一个有前途的解决方案。本研究旨在回顾性分析通过数字工具（RDietitian）评估癌症患者的营养状况与临床病理因素之间的关系。
■符合纳入标准的癌症患者根据年龄分为两个亚组，营养风险筛查-2002，患者主观总体评估简表，身体质量指数,和住院时间进行比较。采用相关和回归分析综合评价营养状况与临床病理因素的关系。
■共招募535名住院癌症患者（58.32±11.24岁）。由R+营养师评估的营养风险患者年龄明显较大，体重较低，较低的体重指数，更大的体重减轻，和更长的住院时间(以上所有，P<0.01)。多因素logistic回归分析显示血清前白蛋白浓度(比值比:0.992,95%置信区间:0.987-0.997,P=0.001),体重减轻（比值比：7.309，95%置信区间：4.026-13.270，P<0.001），和体重指数<18.5（比值比：5.882，95％置信区间：2.695-12.821，P<0.001），营养风险筛查-2002评分≥3。血红蛋白浓度(比值比:0.983,95%置信区间:0.970-0.996,P=0.011),体重(比值比：1.111，95%置信区间：1.056-1.169，P<0.001)，体重减轻（比值比：7.502，95%置信区间：4.394-12.810，P<0.001），体重指数(比值比:0.661,95%置信区间:0.564-0.775,P<0.001),和能量摄入（比值比：0.996，95％置信区间：0.995-0.997，P<0.001）预测的营养风险，由患者生成的主观全球评估简短评分≥4。多元线性回归分析显示，患者主观总体评估短表格评分≥3分（b=2.032，P=0.008）与住院时间延长显著相关。
■R+营养师评估的营养风险准确反映了癌症患者营养不良的特点，预测了住院时间和费用，表明R营养师在提高癌症患者营养管理效率方面的适用性。
■符合纳入标准的癌症患者根据年龄分为两个亚组，营养风险筛查-2002，患者主观总体评估简表，身体质量指数,和住院时间进行比较。采用相关和回归分析综合评价营养状况与临床病理因素的关系。
■共招募535名住院癌症患者（58.32±11.24岁）。由R+营养师评估的营养风险患者年龄明显较大，体重较低，较低的体重指数，更大的体重减轻，和更长的住院时间(以上所有，P<0.01)。多因素logistic回归分析显示血清前白蛋白浓度(比值比:0.992,95%置信区间:0.987-0.997,P=0.001),体重减轻（比值比：7.309，95%置信区间：4.026-13.270，P<0.001），和体重指数<18.5（比值比：5.882，95％置信区间：2.695-12.821，P<0.001），营养风险筛查-2002评分≥3。血红蛋白浓度(比值比:0.983,95%置信区间:0.970-0.996,P=0.011),体重(比值比：1.111，95%置信区间：1.056-1.169，P<0.001)，体重减轻（比值比：7.502，95%置信区间：4.394-12.810，P<0.001），体重指数(比值比:0.661,95%置信区间:0.564-0.775,P<0.001),和能量摄入（比值比：0.996，95％置信区间：0.995-0.997，P<0.001）预测的营养风险，由患者生成的主观全球评估简短评分≥4。多元线性回归分析显示，患者主观总体评估短表格评分≥3分（b=2.032，P=0.008）与住院时间延长显著相关。
■R+营养师评估的营养风险准确反映了癌症患者营养不良的特点，预测了住院时间和费用，表明R营养师在提高癌症患者营养管理效率方面的适用性。
