Evidence map›Paper›PMID 37614379›Full record

ArticleDiabetes, metabolic syndrome and obesity : targets and therapy2023

Prognostic Nutritional Index (PNI) as a Predictor in Patients with Metabolic Syndrome and Heart Failure.

Xuehe Zhang, Jixin Zhang, Fen Liu, Wenling Li, Tong Zhang, Binbin Fang, Zhiyang Zhang, Qian Xie, Yining Yang, Xiaomei Li

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Article in Diabetes, metabolic syndrome and obesity : targets and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

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20citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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

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  5. Prognostic Value of HALP and PNI Scores in Predicting 6-Month Mortality Among Geriatric Hip Fracture Patients.Medical science monitor : international medical journal of experimental and clinical research · 2026
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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Xuehe Zhang *Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.ORCID 0000-0002-3275-2173
Jixin Zhang *Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
Fen LiuState Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, Clinical Medical Research Institute, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
Wenling LiDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
Tong ZhangDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.ORCID 0000-0002-0423-7414
Binbin FangState Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, Clinical Medical Research Institute, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
Zhiyang ZhangDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
Qian XieDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
Yining YangDepartment of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, People's Republic of China.ORCID 0000-0002-8332-8508
Xiaomei LiDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: There is a lack of research on nutritional status and poor prognosis in patients with metabolic syndrome and heart failure. This study evaluated the relationship between nutritional status as defined by the PNI and adverse outcomes in patients with metabolic syndrome and heart failure. Methods: A total of 1048 heart failure patients with metabolic syndrome admitted to the Heart Center of the First Affiliated Hospital of Xinjiang Medical University from January 2015 to December 2019 were consecutively. PNI was used to assess their nutritional status. Results: A total of 51.0% of the patients were in the nonmalnutrition group (PNI≥45), 27.9% were in the mild malnutrition group (40≤PNI<45), and 21.1% of patients were in the malnutrition group (PNI<40). At 36 months of follow-up, after adjusting for other confounding factors, malnutrition (PNI<40) was independently associated with all-cause death (HR: 1.787, 95% CI: 1.451-2.201, P<0.001) and cardiovascular death (HR: 1.837, 95% CI: 1.467-2.301, P<0.001). PNI showed additional prognostic predictive value when included in the established risk factor model, both for all-cause death (AUC: 0.620, 95% CI: 0.579-0.661, P<0.001) and cardiovascular death (AUC: 0.596, 95% CI: 0.555-0.636, P<0.001). Conclusion: In patients with metabolic syndrome and heart failure, malnutrition assessed by PNI is an independent predictor for all-cause death and cardiovascular death, and PNI is negatively correlated with the occurrence of adverse outcomes.

Indexed as

heart failuremalnutritionmetabolic syndromeprognosisprognostic nutritional index

Identifiers

PMID37614379
PMCPMC10443633

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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.