Prevalence and Prognostic Significance of Malnutrition Using 3 Scoring Systems Among Outpatients With Heart Failure
Prevalence and Prognostic Significance of Malnutrition Using 3 Scoring Systems Among Outpatients With Heart Failure
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DOI：
10.1016/j.jchf.2018.02.018
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发表时间：
2018-06-01
影响因子：
13
通讯作者：
Clark, Andrew Lawrence
中科院分区：
文献类型：
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作者：
Sze, Shirley;Pellicori, Pierpaolo;Clark, Andrew Lawrence
作者试图报道营养不良在心力衰竭（HF）门诊患者中的患病率、临床相关性和预后结果。背景营养不良在HF中可能很常见，并与不良结局相关，但存在的数据很少。和预后营养指数（PNI）的连续患者疑似HF转诊到诊所服务当地人口结果：在4,021例患者中，3386例确诊为心力衰竭（61%男性;中位年龄：75岁;四分位距[IQR]：67至81岁，中位N-末端B型利钠肽原[NT-proBNP]：1，103 ng/l [IQR：415至2，631纳克/升]）。左室射血分数
OBJECTIVES The authors sought to report the prevalence, clinical associations, and prognostic consequences of malnutrition in outpatients with heart failure (HF).BACKGROUND Malnutrition may be common in HF and associated with adverse outcomes, but few data exist.METHODS We applied the genatric nutritional risk index (GNRI), controlling nutritional status (CONUT) score, and prognostic nutritional index (PNI) to consecutive patients referred with suspected HF to a clinic serving a local population (n = 550,000).RESULTS Of 4,021 patients enrolled, HF was confirmed in 3,386 (61% men; median age: 75 years; interquartile range [IQR]: 67 to 81 years, median N-terminalpro-B-type natriuretic peptide [NT-proBNP]: 1,103 ng/l [IQR: 415 to 2,631 ng/l]). Left ventricular ejection fraction was