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To be malnourished or not to be malnourished: that is the question!
European Respiratory Journal ( IF 24.3 ) Pub Date : 2022-01-13 , DOI: 10.1183/13993003.02455-2021
Stéphane Jouneau 1, 2 , Mallorie Kerjouan 3 , Ronan Thibault 4
Affiliation  

In the European Respiratory Journal, Maitre et al. [1] analysed 17 290 cases of chronic pulmonary aspergillosis (CPA) retrieved between 2009 and 2018 in the French nationwide administrative hospital database (PMSI). They demonstrated high rates of mortality, which was almost one third at 1 year. In multivariate analysis, they showed that mortality was increased in patients with malnutrition with the highest hazard ratio: 2.49, 95% confidence interval 2.05–3.04. Malnutrition, present in 33.4% of patients, was extracted from the database using the ICD-10 code. This implies that the malnutrition diagnosis should have been overtly diagnosed and collected in patients’ charts or discharge reports. Because the study used the national health database it was not possible for the authors to report on which criteria was diagnosed malnutrition. We could speculate that body mass index (BMI) below 21 kg·m–2 was probably the main criteria used, since it is the commonest diagnostic tool and the cut-off value for chronic respiratory diseases such as COPD [2].



中文翻译:

营养不良还是不营养不良:这是个问题!

欧洲呼吸杂志艾特 等。[1] 分析了 2009 年至 2018 年间在法国全国行政医院数据库 (PMSI) 中检索到的 17290 例慢性肺曲霉病 (CPA) 病例。他们表现出很高的死亡率,在 1 年时几乎是三分之一。在多变量分析中,他们显示营养不良患者的死亡率增加,风险比最高:2.49,95% 置信区间 2.05-3.04。使用 ICD-10 代码从数据库中提取了 33.4% 的患者存在的营养不良。这意味着营养不良诊断应该被公开诊断并收集在患者病历或出院报告中。由于该研究使用了国家健康数据库,因此作者无法报告哪些标准被诊断为营养不良。我们可以推测体重指数(BMI)低于 21 kg·m–2可能是使用的主要标准,因为它是最常见的诊断工具,也是慢性呼吸道疾病(如 COPD)的临界值 [2]。

更新日期:2022-01-13
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