控制营养状况评分预测慢性血栓栓塞性肺高血压的1年结果
Takeshi Adachi1, Shiro Adachi1, Yoshihisa Nakano2
1Department of Cardiology, Nagoya University Hospital Nagoya Japan.
Circulation reports
|September 12, 2024
概括
控制营养状况 (CONUT) 评分有效预测慢性血栓栓塞性肺高血压 (CTEPH) 患者的预后. 较高的CONUT分数表明死亡率和心力衰竭在一年内住院的风险增加.
科学领域:
- 心脏病学 心脏病学
- 肺部医学 肺部医学
- 营养科学 营养科学
背景情况:
- 慢性血栓栓塞性肺高血压 (CTEPH) 中营养状况的预后影响尚不清楚.
- 控制营养状况 (CONUT) 评分是一个经过验证的营养评估工具.
研究的目的:
- 研究CTEPH患者的CONUT得分和预后之间的关系.
- 确定CTEPH中不良结果的CONUT得分的预测值.
主要方法:
- 分析了157名CTEPH患者的队列.
- 主要结局是全因死亡率和非选择性心力衰竭住院治疗的复合结果.
- 接收机运行特征 (ROC) 曲线分析发现,对于1年的结果预测,CONUT分数切线值为3.5.
主要成果:
- 超过一半 (51.6%) 的CTEPH患者表现出营养不良.
- 具有较高CONUT分数 (≥4) 的患者的主要复合结局发生率显著更高 (20%对2.2%;P<0.001).
- 每增加一个点的CONUT得分独立预测了不良结果 (HR 2.301;P=0.031).
结论:
- CONUT评分是预测CTEPH患者1年死亡率和住院风险的宝贵工具.
- 根据CONUT评分评估的营养状况是CTEPH的重要预后因素.
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