Hospital meal intake in acute heart failure patients and its association with long-term outcomes
Hospital meal intake in acute heart failure patients and its association with long-term outcomes
复制标题
急性心力衰竭患者的住院膳食摄入量及其与长期结局的关系
DOI：
10.1136/openhrt-2020-001248
复制
发表时间：
2020
期刊：
影响因子：
2.7
通讯作者：
Kohsaka Shun
中科院分区：
文献类型：
--
作者：
Yoshida Taizo;Shoji Satoshi;Shiraishi Yasuyuki;Kawana Masataka;Kohno Takashi;Inoue Kenji;Fukuda Keiichi;Heidenreich Paul A;Kohsaka Shun
背景：住院心力衰竭（HF， HHF）患者的风险预测仍然不够理想。我们的目的是确定HHF患者出院前医院食物摄入量（FI）的预后价值。方法对某大学医院255例HHF患者资料进行分析。取出院前一日三餐的FI百分比平均值。患者被分为足够的FI（100%消耗）和不足的FI（低于100%消耗）组。主要终点是1年内全因死亡率和/或心衰再入院的综合结果。结果仅49.3%的HHF患者进食100%。FI不足的患者年龄较大；主要是女性;与FI充足的患者相比，出院时的体重指数较低，脑钠肽水平和临床虚弱量表评分较高。调整后，FI不足与不良结局显著相关（HR 2.00; 95% CI 1.09 ~ 3.67; p=0.026）。射血分数（EF）相互作用的影响非常显著：EF保存的HF（≥40%）与FI不足及不良结局显著相关（HR 4.95; 95% CI 1.71 ~ 14.36; p=0.003），但EF降低的HF（<40%）与之无关（HR 0.77; 95% CI 0.31 ~ 1.95; p=0.590）。结论医院FI评估可能是预测HHF患者风险和分层的一种简单有效的工具。
BackgroundRisk prediction for hospitalised heart failure (HF, HHF) patients remains suboptimal. We aimed to determine the prognostic value of hospital food intake (FI) immediately before discharge among HHF patients.MethodWe analysed the data of 255 HHF patients extracted from the records of a single university hospital. The FI percentage of the three meals the day before hospital discharge was averaged. Patients were stratified into adequate FI (100% consumption) and inadequate FI (less than 100% consumption) groups. The primary outcome was the composite of all-cause mortality and/or HF readmission within 1 year.ResultsOnly 49.3% of HHF patients consumed 100% of their meals. Patients with inadequate FI were older; predominantly women; and had a lower body mass index, higher brain natriuretic peptide levels and Clinical Frailty Scale scores at discharge than those with adequate FI. Inadequate FI was significantly associated with adverse outcomes after adjustments (HR 2.00; 95% CI 1.09 to 3.67; p=0.026). The effect of interaction by ejection fraction (EF) was highly significant: HF with preserved EF (≥40%) was significantly associated with inadequate FI with adverse outcomes (HR 4.95; 95% CI 1.71 to 14.36; p=0.003) but HF with reduced EF (<40%) was not (HR 0.77; 95% CI 0.31 to 1.95; p=0.590).ConclusionsThe hospital FI assessment might be a simple, useful tool for predicting and stratifying risk for HHF patients.
登录
查看更多内容
在日本医院使用视觉估计方法测量患者膳食摄入量：一项定性研究
DOI：
10.1097/tin.0000000000000084
发表时间：
2016
期刊：
影响因子：
--
作者：
Y. Kawasaki;Y. Kojima;R. Akamatsu
通讯作者：
R. Akamatsu
医疗保健相关感染与膳食摄入不足有关：一项观察性横断面研究
影响因子：
3.7
作者：
R. Thibault;A. Makhlouf;M. Kossovsky;J. Iavindrasana;M. Chikhi;R. Meyer;D. Pittet;W. Zingg;C. Pichard
通讯作者：
C. Pichard
影响因子：
13.2
作者：
Eckardt, Kai-Uwe;Berns, Jeffrey S.;Kasiske, Bertram L.
通讯作者：
Kasiske, Bertram L.
心力衰竭的衰弱：对治疗的影响。
影响因子：
--
作者：
C. Vitale;I. Spoletini;G. Rosano
通讯作者：
G. Rosano
影响因子：
6.3
作者：
Tangvik, Randi J.;Tell, Grethe S.;Ranhoff, Anette Hylen
通讯作者：
Ranhoff, Anette Hylen