Evidence map›Paper›PMID 34993906›Full record

ArticleAging clinical and experimental research2022

The prognostic value of the nutritional prognostic index (NPI) and controlling nutritional status (CONUT) scoring systems in non-ST elevated myocardial infarction patients over 65 years of age.

Bedrettin Boyraz, Ersin Ibisoglu, Burhan Aslan

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Article in Aging clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

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8citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

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8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Bedrettin BoyrazCardiology Department, Private Doruk Yıldırım Hospital, Ankara Yolu Cad., No:235, Yıldırım, Bursa, Turkey. bedrettinboyraz@yahoo.com.ORCID http://orcid.org/0000-0003-1831-182X
Ersin IbisogluCardiology Department, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
Burhan AslanCardiology Department, Health Science University, Diyarbakir Gazi Yasargil Education and Research Hospital, Diyarbakir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNutritional status and metabolic responses to inflammation changes with age and comorbid conditions.

aimsWe aimed to compare the predictive values of the nutritional prognostic index (NPI) and controlling nutritional status (CONUT) Score systems with the GRACE score in elderly (non-ST elevated myocardial infarction) NSTEMI patients.

methodsNSTEMI patients over 65 years of age have been included in this study. The factors affecting mortality were determined by regression analysis. ROC curve analysis were performed and predictiveness of the scores was tested.

resultsMean age of patients was 74.49 ± 7.60 years, median GRACE and NPI scores were 118 (107-131.50 IQR) and 50.10 (45.30-54.27 IQR), respectively, and CONUT scores ≥ 3 were 24.4% of all patients. 32 (15.6%) patients died within 6 months. White blood cells and albumin levels maintain their significance in the multivariate regression analysis (OR: 1.386; 0.025, p < 0.001, respectively). ROC curve analysis of NPI, CONUT, Killip, and GRACE scores were performed (AUC: 0.757; 0.744; 0.725; 0.800, p < 0.001, respectively). DISCUSSIONS: The frequency of NSTEMI increases with the effect of increasing age and comorbid conditions. The NPI and CONUT scoring systems have been tested in many previous studies to predict the prognosis of both malignancy and cardiovascular diseases. What makes this scoring system valuable for our study is the thought that our study group will be more prone to malnutrition because they are old and present with an acute presentation.

conclusionsNPI and CONUT scoring systems have been successful at rates approaching the GRACE score system, which is used primarily to predict the prognosis of NSTEMI.

Indexed as

MalnutritionNon-ST Elevated Myocardial InfarctionAgedAged, 80 and overHumansNutritional StatusNutrition AssessmentPrognosisRetrospective StudiesAgedInflammationMalnutritionNon-ST elevated myocardial infarction

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.