营养状况对因急性心力衰竭住院的老年患者死亡率的影响
Tsukasa Murakami1,2, Keisuke Kojima1,3, Masanori Takenoya1
1Department of Cardiology, Japanese Red Cross Ogawa Hospital, 1525 Ogawa, Ogawa-machi, Hiki, Saitama 355-0397, Japan.
Nutrients
|February 27, 2026
概括
根据老年营养风险指数 (GNRI) 评估的急性心力衰竭 (AHF) 的老年患者的营养不良严重程度,预测了预后. 较低的GNRI分数表明所有原因死亡风险较高,强调了入院时进行营养评估的重要性.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 营养科学 营养科学
背景情况:
- 心脏病学的进步增加了老年心力衰竭患者的数量.
- 在这个人口群体中,营养状况评估至关重要.
- 急性心力衰竭 (AHF) 住院时营养不良严重程度的预后影响尚不清楚.
研究的目的:
- 确定营养不良严重程度在入院时对因AHF住院的老年患者预后的影响.
- 调查老年营养风险指数 (GNRI) 与老年AHF患者的预后之间的关系.
主要方法:
- 该研究包括214名因AHF (2019-2023) 入院的老年患者 (≥65岁).
- 老年营养风险指数 (GNRI) 评估了入院时营养不良的严重程度.
- 将GNRI1年全因死亡率预测与控制营养状况 (CONUT) 评分和预后营养指数 (PNI) 进行比较.
主要成果:
- 更糟糕的GNRI类别与年龄较大,体重不足,虚弱和贫血相关.
- 与正常的GNRI相比,中度和严重的GNRI风险显著增加了全因死亡率.
- 与CONUT和PNI相比,GNRI在1年死亡率和高级风险重新分类方面表现出适度的歧视.
结论:
- 在入院时GNRI评估的营养状况预测了AHF老年患者的预后,包括最年长的老年人.
- 在临床环境中,对AHF患者来说,入院时评估营养状况至关重要.
- GNRI是评估营养不良严重程度和预测老年AHF患者结果的宝贵工具.
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