| Independent nutritional risk factors for functional prog nosis of patients with spinal cord injury |
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| DOI： |
| EN KeyWords: spinal cord injury malnutrition prognosis low hemoglobin low blood urea nitrogen |
| Fund Project:国家自然科学基金(82072534,82272591)；陕西省自然科学基础研究计划项目(2019JQ-043) |
| 作者 | 单位 | | 成贵卿 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 孙晓龙 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 孙妙巧 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 徐沐兰 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 吴相波 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 梁英 | 空军军医大学预防医学系军队卫生统计学教研室,西安 710032 | | 戴春秋 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 王虹 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 李宁 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 牛丹 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 张艳荣 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 | | 袁华 | 空军军医大学第一附属医院（西京医院）康复医学科,西安 710032 |
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| EN Abstract: |
| Objective: To investigate the clinical nutritional indicators at admission affecting the functional prognosis of patients with spinal cord injury (SCI). Methods：The medical records of 195 patients with SCI who were hospitalized in the Department of Rehabilitation Medicine of the First Affiliated Hospital of Air Force Military Medical University from January 2018 to July 2022 were retrospectively analyzed. According to the mean relative function gain (mRFG) of the modified Barthel index, the patients were divided into mRFG ≤0.5 (bad prognosis) group and mRFG >0.5 (good prognosis) group. The basic conditions, length of hospital stay, injury level, ASIA classification, injury time, complications and nutrition-related laboratory tests were compared between the two groups at admission. Multivariate logistic regression analysis was used to screen out the risk factors of SCI. Results：Totally, 154 out of 195 SCI patients obtained mRFG ≤0.5. After the multivariate logistic regression analysis, low hemoglobin (OR=2.324, P=0.049), low blood urea nitrogen (OR=4.569, P=0.047) and low educational levels (senior high school and below, OR=3.173, P=0.015) were significantly associated with mRFG ≤0.5. Conclusion：Low hemoglobin and low blood urea nitrogen are independent risk factors for patients with SCI. The hemoglobin and blood urea should be focused on in the patients with SCI at admission. The low hemoglobin and low blood urea nitrogen should be corrected in time, which may help to improve the rehabilitation effect of SCI patients. |
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