Improved Nutrition Status in Patients With Advanced Heart Failure Implanted With a Left Ventricular Assist Device
| Autor: | Mary Gregory, Ivo K. Genev, Gardner Yost, Patroklos Pappas, Antone Tatooles, Kayeromi Gomez, Geetha Bhat |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty 030309 nutrition & dietetics Heart Ventricles medicine.medical_treatment Population Nutritional Status Medicine (miscellaneous) 03 medical and health sciences 0302 clinical medicine Deconditioning Quality of life Internal medicine Natriuretic Peptide Brain medicine Humans Nutrition Indexes education Aged Heart Failure 0303 health sciences education.field_of_study Nutrition and Dietetics business.industry Cardiovascular Surgical Procedures Retrospective cohort study Prostheses and Implants Middle Aged equipment and supplies medicine.disease Nutrition Assessment Ventricular assist device Heart failure Cardiology Female 030211 gastroenterology & hepatology Heart-Assist Devices business Body mass index |
| Zdroj: | Nutrition in Clinical Practice. 34:444-449 |
| ISSN: | 0884-5336 |
| Popis: | BACKGROUND Left ventricular assist device (LVAD) implantation for advanced heart failure is known to improve survival, functional capacity, and quality of life. Most patients implanted with LVADs suffer from moderate to severe malnutrition and deconditioning due to their advanced disease. The Mini Nutritional Assessment (MNA) and the short form of the survey (MNA-SF) are 2 well-validated clinical tools, previously used to assess patient nutrition status in numerous conditions. Earlier work has demonstrated that low nutrition scores can independently predict mortality in the LVAD population. This study explored changes in MNA scores and other clinical markers following LVAD. METHODS This retrospective study included 74 patients implanted with LVADs between 2012 and 2017. MNA or MNA-SF along with other clinical data and nutrition indices were assessed during the preoperative workup and reassessed on average 423.9 days post LVAD. Paired-samples t-tests were used to evaluate any changes. RESULTS Despite an average body mass index of 30.8, 28.3% of patients were classified by MNA as malnourished, and 58.5% were considered at risk prior to LVAD implantation. Post LVAD implantation, MNA scores improved from an average of 19.2-23.0 (P |
| Databáze: | OpenAIRE |
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