| Autor: |
A, Arenas Miquélez, M A, Requena Calleja, A, Gullón, A, Pose Reino, F, Formiga, M, Camafort, J M O, Cepeda Rodrigo, J M, Mostaza, C, Suárez Fernández, J, Díez-Manglan |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
The journal of nutrition, healthaging. 24(9) |
| ISSN: |
1760-4788 |
| Popis: |
To determine whether nutritional risk is associated with the mortality of elderly patients hospitalized with nonvalvular atrial fibrillation (NVAF).Prospective, multicenter cohort study.Internal medicine departments in Spain.Inpatients75 years with NVAF.We measured the thrombotic and hemorrhagic risk at admission using the CHA2DS2-VASc and HAS-BLED scales, respectively, and the nutritional risk with the controlling nutritional status (CONUT) index. We established 4 degrees of nutritional risk: null (CONUT score 0-1 point), low (2-4 points), moderate (5-8 points) and high (9-12 points). We also conducted a 1-year follow-up.We included 449 patients, with a mean age of 85.2(5.2) years. The nutritional risk was null for 70(15.6%) patients, low for 206 45.9%), moderate for 152(33.8%) and high for 21(4.7%). At the end of one year, 177(39.4%) patients had died. The score on the CONUT index was higher for the deceased patients (4.6 vs. 3.6, p0.001). The CONUT score (HR, 1.076; 95%CI 1.009-1.148; p=0.025), the Charlson index (HR, 1.080; 95%CI 1.017-1.148; p=0.013) and the presence of pressure ulcers (HR, 1.700; 95%CI 1.028-2.810; p=0.039) were independently associated with increased mortality at one year of follow-up. The prescription of oral anticoagulants at discharge was associated with lower mortality (HR, 0.440; 95%CI 0.304-0.638; p0.001).More than a third of elderly patients hospitalized with NVAF have a moderate to high nutritional risk. These patients have greater mortality at the end of one year. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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