The nutritional risk and short-, medium- and long-term mortality of hospitalized patients with atrial fibrillation

Díez-Manglano, Jesús; Clemente-Sarasa, Carolina

doi:10.1007/s40520-019-01152-3

Cited by 9 publications

(3 citation statements)

References 24 publications

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“…Herein, we found that malnutrition is an independent risk factor for all‐cause death of elderly patients with atrial fibrillation, which is consistent with previous findings in recent years (Arenas Miquélez et al., 2020 ; Cheng et al., 2019 ; Díez‐Manglano & Clemente‐Sarasa, 2019 ). However, these studies used control nutritional status score (CONUT), prognostic nutritional index (PNI), and geriatric nutritional risk index (GNRI) as nutrition assessment tools, which require the results of blood routine, Alb, blood lipid level, and other laboratory indicators and the height and weight measurements; hence, these tools are relatively inconvenient.…”

Section: Discussionsupporting

confidence: 93%

“…The incidence of major bleeding in elderly patients with atrial fibrillation in the malnutrition group is higher, while the rate of anticoagulation therapy and the incidence of ischemic stroke/ systemic embolism are not significantly different from those in Herein, we found that malnutrition is an independent risk factor for all-cause death of elderly patients with atrial fibrillation, which is consistent with previous findings in recent years (Arenas Miquélez et al, 2020;Cheng et al, 2019;Díez-Manglano & Clemente-Sarasa, 2019). However, these studies used control nutritional status score (CONUT), prognostic nutritional index (PNI), and geriatric nutritional risk index (GNRI) as nutrition assessment tools, which require the results of blood routine, Alb, blood lipid level, and other laboratory indicators and the height and weight measurements;…”

Section: Discussionsupporting

confidence: 91%

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Effect of nutritional status on adverse clinical events in elderly patients with nonvalvular atrial fibrillation: A retrospective cohort study

Zhang,

Sun,

Ding

et al. 2024

Noninvasive Electrocardiol

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ObjectiveTo explore the influence of nutritional status on adverse clinical events in elderly patients with nonvalvular atrial fibrillation.MethodsThis retrospective observational cohort study included 196 patients, 75–102‐years‐old, with nonvalvular atrial fibrillation, hospitalized in our hospital. The nutritional status was assessed using Mini‐Nutritional Assessment—Short Form (MNA‐SF). Patients with MNA‐SF scores of 0–11 and 12–14 were included in the malnutrition and nonmalnutrition groups, respectively.ResultsThe average age of the malnutrition group was higher than that of the nonmalnutrition group, and the levels of body mass index (BMI), hemoglobin (HGB), and albumin (ALB) were significantly lower than those of the nonmalnutrition group, with statistical significance (p < .05). The incidence of all‐cause death in the malnutrition group was higher than that in the nonmalnutrition group (p = .007). Kaplan–Meier curve indicated that malnutrition patients have a higher risk of all‐cause death (log‐rank test, p = .001) and major bleeding events (p = .017). Multivariate Cox proportional hazard regression analysis corrected for confounders showed that malnutrition was an independent risk factor of all‐cause death (HR = 1.780, 95%CI:1.039–3.050, p = .036). The malnutrition group had a significantly high incidence of major bleeding than the nonmalnutrition group (p = .026), and there was no significant difference in the proportion of anticoagulation therapy (p = .082) and the incidence of ischemic stroke/systemic embolism (p = .310) between the two groups.ConclusionsMalnutrition is an independent risk factor of all‐cause death in elderly patients with atrial fibrillation. The incidence of major bleeding in malnourished elderly patients with atrial fibrillation is high, and the benefit of anticoagulation therapy is not obvious.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

Effect of nutritional status on adverse clinical events in elderly patients with nonvalvular atrial fibrillation: A retrospective cohort study

Zhang,

Sun,

Ding

et al. 2024

Noninvasive Electrocardiol

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“…15,17,[45][46][47] Therefore, we used these scoring systems in our study. The predictive effect of malnutrition on the prognosis and recurrence of AF following radiofrequency ablation have been reported; 18,48,49 however, to our knowledge, this is the first study to illustrate the predictive role of varying degrees of malnutrition in the development of NOAF in patients treated with PCI after AMI. Furthermore, we observed that most patients developed NOAF within 5 days after admission and those with worsening nutritional status were more susceptible to NOAF.…”

mentioning

confidence: 82%

Nutritional Status as a Risk Factor for New-Onset Atrial Fibrillation in Acute Myocardial Infarction

Wang

Yang

et al. 2023

CIA

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Our study aimed to identify new-onset atrial fibrillation (NOAF) risk factors in acute myocardial infarction (AMI) patients after treatment with percutaneous coronary intervention (PCI) and investigate whether their nutritional status can be a predicting factor of NOAF. Patients and Methods: We analyzed 662 AMI patients after PCI for NOAF occurrence during follow-up hospitalization and divided them into an NOAF and non-NOAF group. The patients' nutritional status was assessed using the controlling nutritional status (CONUT) score and geriatric nutritional risk index (GNRI). The Kaplan-Meier analysis was used to assess NOAF-free survival in varying degrees of malnutrition. Cox proportional hazards models were used to identify the risk factors for NOAF. Results: Eighty-four (12.7%) patients developed NOAF during hospitalization. There was a statistically significant difference in the occurrence of NOAF among different categories of nutritional status. The CONUT score and GNRI classifications were independent predictors of NOAF. NOAF occurrence was associated with older age, higher uric acid levels, higher N-terminal pro-B-type natriuretic peptide levels, greater left atrial size, and worse Killip class upon admission. Conclusion:The nutritional status can affect NOAF occurrence in AMI patients after PCI. The CONUT score and GNRI are ideal tools for evaluating the nutritional status of AMI patients, with an excellent predictive effect on NOAF.

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Nutritional Risk and Mortality at One Year for Elderly Patients Hospitalized with Nonvalvular Atrial Fibrillation. NONAVASC Registry

Miquélez¹,

Calleja

Gullón

et al. 2020

J Nutr Health Aging

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The nutritional risk and short-, medium- and long-term mortality of hospitalized patients with atrial fibrillation

Cited by 9 publications

References 24 publications

Effect of nutritional status on adverse clinical events in elderly patients with nonvalvular atrial fibrillation: A retrospective cohort study

Effect of nutritional status on adverse clinical events in elderly patients with nonvalvular atrial fibrillation: A retrospective cohort study

Nutritional Status as a Risk Factor for New-Onset Atrial Fibrillation in Acute Myocardial Infarction

Nutritional Risk and Mortality at One Year for Elderly Patients Hospitalized with Nonvalvular Atrial Fibrillation. NONAVASC Registry

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