ArticleCurrent developments in nutrition2020
Agreement and Classification Performance of Malnutrition Tools in Patients with Chronic Heart Failure.
Article in Current developments in nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- CONUT Score as a Predictor of Mortality Risk in Acute and Chronic Heart Failure: A Meta-Analytic Review.Nutrients · 2025Pooled it
- Association between controlling nutritional status score and the prognosis of patients with heart failure: a systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2025Pooled it
- Malnutrition as a critical predictor of in-hospital outcomes and resource utilization in heart failure: a 6-year nationwide analysis.BMC cardiovascular disorders · 2026Article
- Establishment and validation of a machine learning model to stratify malnutrition risk in hospitalized older patients with chronic heart failure.Asia Pacific journal of clinical nutrition · 2026Article
- Correlation of Controlling Nutritional Status Score and Systemic Immune-Inflammation Index With Frailty and Prognosis in Chronic Heart Failure Patients With Atrial Fibrillation.Cardiology research and practice · 2026Article
- Patients' and healthcare professionals' experiences of malnutrition risk management in heart failure: a qualitative study.Frontiers in nutrition · 2026Article
- Which screening tool performs best in identifying malnutrition risk among hospitalized older adults with cardiovascular disease? A diagnostic accuracy study comparing six different screening tools with GLIM criteria.European geriatric medicine · 2025Article
- Loop Diuretic Dose and Nutritional Status of Patients with Heart Failure with Reduced Ejection Fraction.Nutrients · 2025Article
- Nutritional Behaviors of Patients With Heart Failure.Nursing research and practice · 2025Article
- Correlates of malnutrition in patients with heart failure: the role of social support.ESC heart failure · 2024Article
- Prognostic nutritional index as a predictor of cardiovascular and all-cause mortality in American adults with hypertension: results from the NHANES database.Frontiers in cardiovascular medicine · 2024Article
- Prognostic value of malnutrition evaluated using the Global Leadership Initiative on Malnutrition criteria and its association with psoas muscle volume in non-ischemic dilated cardiomyopathy.Heart and vessels · 2022Article
- Association of malnutrition with SARS-CoV-2 vaccine response in patients undergoing hemodialysis.Clinical nutrition (Edinburgh, Scotland) · 2022Article
- Assessment of Malnutrition in Heart Failure and Its Relationship with Clinical Problems in Brazilian Health Services.International journal of environmental research and public health · 2022Article
- Relationship of immunonutritional factor with changes in liver volume after portal vein embolization.Surgery open science · 2022Article
- Prognostic Value of Nutritional Indexes in Evaluating the 1-Year Results after Implantation of the Carillon Mitral Contour System.Acta Cardiologica Sinica · 2022Article
- Nutrition Assessment and Dietary Interventions in Heart Failure: JACC Review Topic of the Week.Journal of the American College of Cardiology · 2022Review
- Combined prognostic value of malnutrition using GLIM criteria and renal insufficiency in elderly heart failure.ESC heart failure · 2022Article
- Tools for the Assessment of the Malnutrition Status and Possible Interventions in Elderly with Cardiovascular Diseases.Journal of clinical medicine · 2021Review
- Medical and nutritional implications in chronic heart failure: strengths and limitations.Archivos de cardiologia de Mexico · 2021Article
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5 authors.
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Abstract
backgroundMalnutrition is common in patients with chronic heart failure (CHF) and is associated with adverse outcome, but few data exist.
objectivesThe objective of this study was to compare the agreement and classification performance of 6 malnutrition tools in patients with CHF.
methodsWe evaluated the performance of 6 malnutrition tools: COntrolling NUTritional Status Index (CONUT), Geriatric Nutritional Risk Index (GNRI), Prognostic Nutritional Index (PNI), Malnutrition Universal Screening Tool (MUST), Mini Nutritional Assessment-Short Form (MNA-SF), and Subjective Global Assessment (SGA), in 467 consecutive patients with CHF who attended our clinic for follow-up. We used Venn diagrams and Kappa statistics to study the agreement of different tools. Because there is no "gold standard" for malnutrition evaluation, for each of the malnutrition tools, we used the results of the other 5 tools to produce a standard combined index for evaluating at least moderate malnutrition. Subjects were considered as having at least moderate malnutrition if so identified by ≥3/5 tools. We evaluated the sensitivity, specificity, and predictive values of different tools in identifying significant malnutrition as defined by the combined index.
resultsMen comprised 67% of patients, median age was 76 years, and median N-terminal pro-B-type natriuretic peptide (NTproBNP) was 1156 ng/L. The prevalence of any degree and at least moderate malnutrition ranged between 6-60% and 3-9%, respectively, with CONUT classifying the highest proportion of subjects as malnourished. Malnourished patients tended to be older and have worse symptoms, higher NTproBNP, and more comorbidities. CONUT had the highest sensitivity (80%), MNA-SF and SGA had the highest specificity (99%), and MNA-SF had the lowest misclassification rate (2%) in identifying at least moderate malnutrition as defined by the combined index.
conclusionsMalnutrition is common in patients with CHF. The prevalence of malnutrition varies depending on the tool used. Among the 6 malnutrition tools studied, MNA-SF has the best classification performance in identifying significant malnutrition as defined by the combined index.
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