| Autor: |
Abe, Hiroshi, Miyazaki, Tetsuro, Tomaru, Masato, Nobushima, Yuka, Ajima, Tomohi, Hirabayashi, Koji, Ishiwata, Sayaki, Kakihara, Midori, Maki, Masaaki, Shimai, Ryosuke, Aikawa, Tadao, Isogai, Hiroyuki, Ozaki, Dai, Yasuda, Yuki, Odagiri, Fuminori, Takamura, Kazuhisa, Hiki, Makoto, Iwata, Hiroshi, Yokoyama, Ken, Tokano, Takashi |
| Zdroj: |
Nutrients; Nov2023, Vol. 15 Issue 22, p4748, 12p |
| Abstrakt: |
Whether malnutrition during the early phase of recovery from acute myocardial infarction (AMI) could be a predictor of mortality or morbidity has not been ascertained. We examined 289 AMI patients. All-cause mortality and composite endpoints (all-cause mortality, nonfatal stroke, nonfatal acute coronary syndrome, and hospitalization for acute decompensated heart failure) during the follow-up duration (median 39 months) were evaluated. There were 108 (37.8%) malnourished patients with GNRIs of less than 98 on arrival; however, malnourished patients significantly decreased to 91 (31.4%) during the convalescence period (p < 0.01). The incidence rates of mortality and primary composite endpoints were significantly higher in the malnourished group than in the well-nourished group both on arrival and during the convalescence period (All p < 0.05). Nutrition guidance significantly improved GNRI in a group of patients who were undernourished (94.7 vs. 91.0, p < 0.01). Malnourished patients on admission who received nutritional guidance showed similar all-cause mortality with well-nourished patients, whereas malnourished patients without receiving nutritional guidance demonstrated significantly worse compared to the others (p = 0.03). The assessment of GNRI during the convalescence period is a useful risk predictor for patients with AMI. Nutritional guidance may improve the prognoses of patients with poor nutritional status. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
