老年人营养风险指数作为老年人心力衰竭的再接收预测因子,不论是喷射分数
Yoshihiro Sato1, Masahiro Kumada2, Hideki Kawai1
1Department of Cardiology, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Fujita medical journal
|August 9, 2023
概括
营养不良增加了急性不补偿性心力衰竭 (ADHF) 的再入院风险. 老年营养风险指数 (GNRI) 最好预测ADHF老年人心力衰竭恶化的1年再入院情况.
科学领域:
- 老年病的医生 老年病的医生
- 心脏病学 心脏病学
- 营养科学 营养科学
背景情况:
- 营养不良与急性不补偿性心力衰竭 (ADHF) 患者的再入院率较高有关.
- 客观的营养状况评估对于预测ADHF患者的预后至关重要.
- 常见的营养指数包括老年营养风险指数 (GNRI),控制营养状况 (CONUT) 评分和预后营养指数 (PNI).
研究的目的:
- 确定最有效的营养指数来预测ADHF老年人的预后.
- 为了比较GNRI,CONUT得分和PNI的预测能力,用于由于心力衰竭 (WHF) 恶化而导致1年的再入院.
主要方法:
- 对167名患有ADHF的老年人 (>65岁) 进行了回顾性研究.
- 在入院时使用GNRI,CONUT得分和PNI评估营养状况.
- 主要终点:在出院后1年内因WHF而未计划住院.
主要成果:
- 58名患者 (34.7%) 在1年内再次接受WHF治疗.
- 多变量考克斯分析确定GNRI是WHF再接收的唯一独立预测因素 (p<0.0001).
- 低GNRI (<90) 显著增加了1年再入院的风险 (HR 6.1,p<0.0001).
结论:
- 老年营养风险指数 (GNRI) 是预测ADHF老年人再入院1年风险的优质营养指数.
- GNRI评估可以帮助识别需要更密切监测和干预的高风险患者.
- 客观的营养评估,特别是使用GNRI,对于管理ADHF患者和减少再入院至关重要.
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