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老年人营养风险指数的预后值在经过皮肤冠状动脉干预的冠状动脉疾病稳定患者中

Maobin Kuang^1,2,3, Jiajun Qiu^1,2,3, Ruijuan Yang^1,2

¹Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Provincial, China.

BMC cardiovascular disorders

|May 21, 2024

概括

根据老年营养风险指数 (GNRI) 评估的营养不良风险预测,在经过皮肤冠状动脉干预 (PCI) 的稳定冠状动脉疾病 (SCAD) 患者中,预测结果不佳. 98.28或更高的GNRI表示所有原因死亡风险显著降低.

科学领域:

心脏病学心脏病学
老年学是指老年学的学科.
营养科学营养科学

背景情况:

营养不良与心血管疾病患者的预后恶化有关.
老年人营养风险指数 (GNRI) 是评估营养状况的工具.

研究的目的:

评估GNRI在稳定冠状动脉疾病 (SCAD) 患者的皮肤冠状动脉干预 (PCI) 后预后不佳的预测能力.
确定营养干预的最佳GNRI值.

主要方法:

对204名接受选择性PCI (2014-2017) 的SCAD患者进行了回顾性分析.
考克斯回归,限制立方线 (RCS) 和ROC曲线分析被用来评估GNRI与所有原因死亡的关联及其预测性能.
逐步线性回归确定了营养干预值.

主要成果:

综合死亡发生率为40.47/1000人年,平均随访时间为2.18年.
较高的GNRI得分与较低的全因死亡风险相关 (HR 0.86每单位增加).
GNRI显示出高预测性表现 (AUC=0.8844),降低死亡风险的门为98.28.

结论:

入院GNRI是PCI后SCAD患者全因死亡的独立预测因子.
98.28的GNRI值可以指导营养干预措施,以改善这些患者的治疗结果.

关键词:

所有原因的死亡率.老年人营养风险指数营养不良营养不良通过皮肤进行冠状动脉干预.稳定的冠状动脉疾病.

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