在接受选择性皮肤冠状动脉干预的患者中,术前营养指标与术后心肌梗塞的关联
Lu Liu1,2, Jinhua Jin1,2, Manjun Wang1,2
1Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University.
International heart journal
|May 31, 2023
概括
通过CONUT,PNI和GNRI评估的手术前营养风险与皮肤冠状动脉干预 (PCI) 后的周围手术性心肌梗塞 (PMI) 密切相关. 这一发现凸显了营养状况在PCI后预测心脏事件方面的重要性.
科学领域:
- 心脏病学 心脏病学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 营养状况不佳是住院患者不良结果的已知预测因素.
- 在皮肤冠状动脉干预 (PCI) 后,术前营养风险和术周心肌梗塞 (PMI) 之间的关系需要进一步阐明.
研究的目的:
- 调查使用三种不同的工具评估的术前营养风险与选择性PCI后的PMI发病率之间的关联.
- 确定营养风险评估是否可以预测PCI患者的PMI.
主要方法:
- 一项回顾性横截面研究,涉及22267名接受选择性PCI的患者.
- 使用控制营养状况 (CONUT),预后营养指数 (PNI) 和老年营养风险指数 (GNRI) 评估营养风险.
- PMI定义为心脏托波宁I升高> 5 × 99 个百分点上限;统计分析包括线性和逻辑双项回归.
主要成果:
- 在PCI后所有三种营养风险评估工具和心脏托罗邦素I倍升高之间发现了显著的线性关联.
- 逻辑双项回归显示,较高的营养风险得分 (CONUT,PNI,GNRI) 与PMI的可能性增加之间存在强烈的关联.
- 11.9%的患者 (2,647) 在PCI后经历了PMI.
结论:
- 通过CONUT,PNI和GNRI测量过程前营养状况,在接受选择性PCI的患者中与PMI显著相关.
- 营养风险评估工具可以作为心脏周围手术事件的有价值预测器.
- 将营养评估纳入PCI前评估可能会改善患者风险分层和结果.
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