Influencia de la desnutrición en la mortalidad a largo plazo de pacientes hospitalizados por insuficiencia cardiaca

Bonilla-Palomas, Juan L.; Gámez-López, Antonio L.; Anguita‐Sánchez, Manuel; Castillo-Domínguez, Juan C.; García-Fuertes, Daniel; Crespín-Crespín, Manuel; López‐Granados, Amador; Lezo, José Suárez de

doi:10.1016/j.recesp.2011.03.009

Cited by 108 publications

(28 citation statements)

References 27 publications

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“…For example, a prospective study demonstrated that malnourished inpatients (assessed by the MNA) in acute geriatric wards had a higher risk of 1-, 2- and 3-year mortality compared with their counterparts with normal nutrition 23 . Similarly, another prospective study found that malnutrition defined by the MNA was an independent prognostic factor for long-term mortality in hospitalized geriatric patients with heart failure 24 . Our study found similar results in a study population of Chinese older inpatients.…”

Section: Discussionmentioning

confidence: 82%

Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients

Zhang

Wang

et al. 2017

Sci Rep

107

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A new term, malnutrition-sarcopenia syndrome (MSS), was recently coined to describe the clinical presentation of both malnutrition and sarcopenia. The aim of this study was to investigate the association between MSS and long-term mortality in older inpatients. We conducted a prospective study in acute geriatric wards of two local hospitals in China. Muscle mass and malnutrition were estimated by anthropometric measures and the Mini Nutritional Assessment (MNA). Of the 453 participants, 14 (3.1%) had sarcopenia with normal nutrition, 139 (30.7%) had malnutrition risk without sarcopenia, 48 (10.6%) had malnutrition risk with sarcopenia, 25 (5.5%) had malnutrition without sarcopenia, and 22 (4.9%) had MSS at baseline. Compared with non-sarcopenic subjects with normal nutrition, subjects with MSS and subjects with malnutrition risk and sarcopenia were more than four times more likely to die (hazard ratio [HR], 4.78; 95% confidence interval [CI], 2.09–10.97; and HR, 4.25; 95% CI, 2.22–8.12, respectively); non-sarcopenic subjects with malnutrition risk were more than two times more likely to die (HR, 2.41; 95% CI, 1.32–4.39). In conclusion, MSS may serve as a prognostic factor in the management of hospitalized older patients.

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Section: Discussionmentioning

confidence: 82%

Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients

Zhang

Wang

et al. 2017

Sci Rep

107

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“…According to a report of heart failure patients in adults by Amare et al from Jimma University, in South-West Ethiopia, 77.8% of the these patients were malnourished [33]. It has been reported that the risk of death associated with heart failure is significantly increased in patients at risk of malnutrition or with concomitant malnutrition [34]. Coatsa followed the one-year mortality rate of patients in a prospective study, who were classified as malnourished according to the “Mini Nutritional Assessment score.” A one-year mortality rate was found to be 56% in malnourished patients, compared to 23.5% in patients at risk of malnutrition and 11.3% in those patients with an adequate nutritional status [35].…”

Section: Discussionmentioning

confidence: 99%

Pediatric Heart Failure, Lagging, and Sagging of Care in Low Income Settings: A Hospital Based Review of Cases in Ethiopia

Gebremariam

Moges

2016

Cardiology Research and Practice

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Introduction. Causes of acute heart failure in children range from simple myocarditis complicating chest infection to complex structural heart diseases. Objective. To describe patterns, predictors of mortality, and management outcomes of acute heart failure in children. Methods. In retrospective review, between February 2012 and October 2015 at a tertiary center, 106 admitted cases were selected consecutively from discharge records. Data were extracted from patients chart and analyzed using SPSS software package. t-test and statistical significance at P value < 0.05 with 95% CI were used. Result. Acute heart failure accounted for 2.9% of the total pediatric admissions. The age ranged from 2 months up to 14 years with mean age of 8 years. Male to female ratio is 1 : 2.1. Rheumatic heart disease accounted for 53.7%; pneumonia, anemia, infective endocarditis, and recurrence of acute rheumatic fever were the main precipitating causes. Death occurred in 19% of cases. Younger age at presentation, low hemoglobin concentration, and undernutrition were associated with death with P value of 0.00, 0.01, and 0.02, respectively. Conclusions and Recommendation. Pediatric heart failure in our settings is diagnosed mainly in older age groups and mostly precipitated due to preventable causes. Significant mortality is observed in relation to factors that can be preventable in children with underlying structural heart disease. Early suspicion and diagnosis of cases may reduce the observed high mortality.

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“…Detailed assessments including anthropometric and survey measures indicate that the HF obesity paradox is substantially modulated by nutritional status and that in turn, BMI is not a good predictor of nutritional status in HF. 9-11 …”

Section: Introductionmentioning

confidence: 99%

Nutritional Risk Index predicts mortality in hospitalized advanced heart failure patients

Adejumo

Koelling

Hummel

2015

The Journal of Heart and Lung Transplantation

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Introduction Hospitalized advanced heart failure (HF) patients are at high risk for malnutrition and death. The Nutritional Risk Index (NRI) is a simple, well-validated tool for identifying patients at risk for nutrition-related complications. We hypothesized that in advanced HF patients from the ESCAPE (Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness) trial, the NRI would improve risk discrimination for 6-month all-cause mortality. Methods We analyzed the 160 ESCAPE index admission survivors with complete follow-up and NRI data, calculated as follows: NRI = (1.519 × discharge serum albumin, g/dL) + {41.7 × discharge weight (kg)/ideal body weight (IBW; kg)}; as in previous studies, if discharge weight > IBW, this ratio was set = 1. The previously developed ESCAPE mortality model includes age, 6-minute walk distance, CPR/mechanical ventilation, discharge beta-blocker prescription and diuretic dose, and discharge serum sodium, blood urea nitrogen, and B-type natriuretic peptide levels. We used Cox proportional hazards modeling for the outcome of 6-month all-cause mortality. Results 30/160 patients died within 6 months of hospital discharge. The median NRI was 96 (IQR 91-102), reflecting mild-to-moderate nutritional risk. The NRI independently predicted 6-month mortality, with adjusted HR 0.60 (95% CI 0.39-0.93), p=.02) per 10 units, and increased Harrell's c index from 0.74 to 0.76 when added to the ESCAPE model. Body mass index and NRI at hospital admission did not predict 6-month mortality. The discharge NRI was most helpful in patients with high (≥ 20%) predicted mortality by the ESCAPE model, where observed 6-month mortality was 38% in patients with NRI < 100 and 14% in those with NRI >100 (p=0.04). Conclusions The NRI is a simple tool that can improve mortality risk stratification at hospital discharge in hospitalized patients with advanced HF.

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Influencia de la desnutrición en la mortalidad a largo plazo de pacientes hospitalizados por insuficiencia cardiaca

Cited by 108 publications

References 27 publications

Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients

Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients

Pediatric Heart Failure, Lagging, and Sagging of Care in Low Income Settings: A Hospital Based Review of Cases in Ethiopia

Nutritional Risk Index predicts mortality in hospitalized advanced heart failure patients

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