Is the Naples prognostic score useful for predicting heart failure mortality

Kilic, Oguz; Suygun, Hakan; Muştu, Mehmet; Karadeniz, Fatma Özpamuk; Ozer, Sümeyye Fatma; Şenol, Hande; Kaya, Derya Özer; Buber, Ipek; Karakurt, Ahmet

doi:10.18087/cardio.2023.3.n2328

Cited by 5 publications

(3 citation statements)

References 26 publications

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“…Two recent studies have investigated the relationship between NPS and the prognosis of HF patients. Kilic et al [ 12 ] demonstrated a strong correlation between NPS and mortality in HF. Erdogan et al [ 11 ] showed that NPS was associated with mortality and rehospitalization in patients with decompensated HF.…”

Section: Discussionmentioning

confidence: 99%

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Naples Prognostic Score and Clinical Outcomes in Pulmonary Arterial Hypertension Patients

Arugaslan

2023

Sisli Etfal

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Objectives Pulmonary arterial hypertension (PAH) is a specific form of pulmonary hypertension characterized by an increased mean pulmonary arterial pressure. Risk stratification is crucial in managing PAH, using various clinical, laboratory, and imaging parameters. The Naples prognostic score (NPS), incorporating nutritional and inflammatory markers, has demonstrated prognostic value in other conditions but not in PAH. The goal of this study was to appraise the importance of NPS as a prognostic indicator for patients with PAH. Methods This retrospective study involved 101 PAH patients. Echocardiographic, laboratory, and right heart catheterization data were collected. Statistical analyses compared variables between survivors and non-survivors, and multivariate logistic regression identified mortality risk factors. Results Among the 101 patients, 18 died within the follow-up period. The mortality group showed elevated levels of B-type natriuretic peptide (BNP) and significantly higher median NPS. Patients were categorized based on their NPS scores, revealing higher mortality in Group 2. Multivariate logistic regression identified age and BNP levels as independent predictors of mortality. The inclusion of NPS in the model further reinforced its association with mortality. Conclusion The study suggests that NPS is linked to poor outcomes in PAH patients. NPS, a straightforward and easily calculated score, holds the potential to predict the clinical trajectory of PAH, offering advantages for risk assessment in this population.

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Section: Discussionmentioning

confidence: 99%

“…This score has recently been associated with worse outcomes in patients with acute coronary syndrome and heart failure (HF). [10][11][12][13] However, the role of the NPS score in PAH has not yet been studied. We aimed to assess the prognostic impact of NPS in patients with PAH.…”

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confidence: 99%

Naples Prognostic Score and Clinical Outcomes in Pulmonary Arterial Hypertension Patients

Arugaslan

2023

Sisli Etfal

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“…The NPS was first validated as a prognostic factor for patients undergoing colorectal cancer surgery [ 7 , 8 ]. Recent studies have demonstrated that NPS is associated with mortality due to heart failure and short- and long-term outcomes in patients with ST-segment elevation myocardial infarction [ 9 , 10 , 11 , 12 ]. Since the outcomes after TAVR are closely linked to inflammation and nutritional status, we aimed to investigate the correlation between the NPS and prognosis after TAVR with a one-year follow-up in our study.…”

Section: Introductionmentioning

confidence: 99%

A Novel Score to Predict One-Year Mortality after Transcatheter Aortic Valve Replacement, Naples Prognostic Score

Çetin,

Balun,

Çiçekçioğlu

et al. 2023

Medicina

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Background and Objectives: Aortic stenosis (AS) is a widespread valvular disease in developed countries, primarily among the elderly. Transcatheter aortic valve replacement (TAVR) has become a viable alternative to aortic valve surgery for patients with severe AS who are deemed a high surgical risk or for whom the AS is found to be inoperable. Predicting outcomes after TAVR is essential. The Naples Prognostic Score (NPS) is a new scoring method that evaluates nutritional status and inflammation. Our study is aims to examine the relationship between the NPS and outcomes for patients receiving TAVR. Material and Methods: We conducted a retrospective study of 370 patients who underwent TAVR across three tertiary medical centres from March 2019 to March 2023. The patients were divided into two groups based on their NPS, namely, low (0, 1, and 2) and high (3 and 4). Our study is primarily aimed to determine the one-year mortality rate. Results: Within one year, the mortality rate for the entire group was 8.6%. Nonetheless, the low-NPS group had a rate of 5.0%, whereas the high-NPS group had a rate of 13%. The difference between the two groups was statistically significant, with a p-value of 0.06. Conclusions: Our results show that NPS is an independent predictor of one-year mortality in patients undergoing TAVR.

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Predictive Value of the Naples Prognostic Score on Long-Term Outcomes in Patients with Peripheral Artery Disease Revascularized via Percutaneous Intervention

Artac,

Karakayali,

Omar

et al. 2024

Annals of Vascular Surgery

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Is the Naples prognostic score useful for predicting heart failure mortality

Cited by 5 publications

References 26 publications

Naples Prognostic Score and Clinical Outcomes in Pulmonary Arterial Hypertension Patients

Naples Prognostic Score and Clinical Outcomes in Pulmonary Arterial Hypertension Patients

A Novel Score to Predict One-Year Mortality after Transcatheter Aortic Valve Replacement, Naples Prognostic Score

Predictive Value of the Naples Prognostic Score on Long-Term Outcomes in Patients with Peripheral Artery Disease Revascularized via Percutaneous Intervention

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