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The impact of nutritional deficit on mortality of in-patients with pulmonary tuberculosis
DC Field | Value | Language |
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dc.contributor.author | Kim, H-J. | - |
dc.contributor.author | Lee, C-H. | - |
dc.contributor.author | Shin, S. | - |
dc.contributor.author | Lee, J. H. | - |
dc.contributor.author | Chung, H. S. | - |
dc.contributor.author | Shim, Y-S. | - |
dc.contributor.author | Kim, D. K. | - |
dc.contributor.author | Han, S. K. | - |
dc.contributor.author | Kim, Y. W. | - |
dc.date.accessioned | 2012-06-25T05:55:01Z | - |
dc.date.available | 2012-06-25T05:55:01Z | - |
dc.date.issued | 2010-01 | - |
dc.identifier.citation | INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE; Vol.14 1; 79-85 | ko_KR |
dc.identifier.issn | 1027-3719 | - |
dc.identifier.uri | https://hdl.handle.net/10371/77392 | - |
dc.description.abstract | SETTING: A metropolitan governmental medical centre, Seoul, Republic of Korea. OBJECTIVE: To elucidate the impact of the nutritional deficit assessed by the Nutritional Risk Score (NRS) on the outcomes of in-patients with pulmonary tuberculosis (PTB). DESIGN: All hospitalised patients with microbiologically confirmed PTB were enrolled. A four-point NRS included low body mass index (<18.5 kg/m(2)), hypoalbuminacmia (<30.0 g/l), hypocholesterolaemia (<2.33 mmol/l) and severe lymphocytopaenia (<7 x 10(5) cells/l). The primary outcome was overall in-hospital mortality. The degree of radiographical resolution after anti-tuberculosis treatment was also evaluated. RESULTS: In a total of 156 patients, the male to female ratio was 1.6:1. The overall mortality was 13.5% and tuberculosis-specific fatality was 3.9%. Predisposing factors and high NRS (>= 3 points) were independent risk factors for in-hospital death after adjusting for the severity of PTB. High NRS (OR = 16.8, P < 0.001) and predisposing factors (OR = 5.4, P = 0.032) were independent risk factors for 30-day survival. The NRS was not associated with radiographic improvement. CONCLUSION: Regardless of disease severity, the high NRS was a significant negative predictor among inpatients with PTB; this finding should therefore be considered in the management of PTB despite the current era of effective anti-tuberculosis chemotherapy. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D) | ko_KR |
dc.subject | malnutrition | ko_KR |
dc.subject | tuberculosis | ko_KR |
dc.subject | prognosis | ko_KR |
dc.title | The impact of nutritional deficit on mortality of in-patients with pulmonary tuberculosis | ko_KR |
dc.type | Article | ko_KR |
dc.citation.journaltitle | INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE | - |
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