Evidence map›Paper›PMID 37006923›Full record

SynthesisFrontiers in nutrition2023

Prognostic nutritional index and prognosis of patients with coronary artery disease: A systematic review and meta-analysis.

Shengjing Zhang, Huanfen Wang, Saiya Chen, Shengsheng Cai, Shigeng Zhou, Congling Wang, Xiuyuan Ni

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Frontiers in nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shengjing ZhangDepartment of Geriatrics, Affiliated Wenzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Wenzhou, China.
Huanfen WangDepartment of Geriatrics, Affiliated Wenzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Wenzhou, China.
Saiya ChenDepartment of Geriatrics, Affiliated Wenzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Wenzhou, China.
Shengsheng CaiDepartment of Geriatrics, Affiliated Wenzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Wenzhou, China.
Shigeng ZhouDepartment of Geriatrics, Wenzhou Geriatric Hospital, Wenzhou, China.
Congling WangDepartment of Geriatrics, Wenzhou Geriatric Hospital, Wenzhou, China.
Xiuyuan NiDepartment of Geriatrics, Wenzhou Geriatric Hospital, Wenzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This review assessed if prognostic nutritional index (PNI) can predict mortality and major adverse cardiac events (MACE) in coronary artery disease (CAD) patients. Methods: PubMed, Web of Science, Scopus, and Embase were searched up to 1st November 2022 for all types of studies reporting adjusted associations between PNI and mortality or MACE in CAD patients. A random-effect meta-analysis was conducted for PNI as categorical or continuous variable. Subgroup analysis were conducted for multiple confounders. Results: Fifteen studies with 22,521 patients were included. Meta-analysis found that low PNI was a significant predictor of mortality in CAD patients as compared to those with high PNI (HR: 1.67 95% CI: 1.39, 2.00 Conclusion: Malnutrition assessed by PNI can independently predict mortality and MACE in CAD patients. Variable PNI cut-offs and high inter-study heterogeneity are major limitations while interpreting the results. Further research focusing on specific groups of CAD and taking into account different cut-offs of PNI are needed to provide better evidence. Systematic Review Registration: No CRD42022365913 https://www.crd.york.ac.uk/prospero/.

Indexed as

acute coronary syndromemortalitymyocardial infarctionnutritionPCIprognosis

Identifiers

PMID37006923
PMCPMC10061069

What OpenQuestion holds

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Registered trials

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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.