Evidence map›Paper›PMID 38932572›Full record

Observational studyAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2024

Effect of nutritional status on adverse clinical events in elderly patients with nonvalvular atrial fibrillation: A retrospective cohort study.

Kan Zhang, Ying Sun, Jiancao Ding, Qing Ma, Dai Zhang, Wei Huang, Yunli Xing

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Effect of nutritional status on adverse clinical events in elderly patients with nonvalvular atrial fibrillation: A retrospective cohort study.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
    Observational
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.

Kan ZhangDepartment of Geriatrics, Affiliated Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Ying SunDepartment of Geriatrics, Affiliated Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Jiancao DingDepartment of Geriatrics, Affiliated Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Qing MaDepartment of Geriatrics, Affiliated Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Dai ZhangDepartment of Geriatrics, Affiliated Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Wei HuangDepartment of Geriatrics, Affiliated Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Yunli XingDepartment of Geriatrics, Affiliated Beijing Friendship Hospital, Capital Medical University, Beijing, China.ORCID 0009-0007-6872-3028

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the influence of nutritional status on adverse clinical events in elderly patients with nonvalvular atrial fibrillation.

methodsThis retrospective observational cohort study included 196 patients, 75-102-years-old, with nonvalvular atrial fibrillation, hospitalized in our hospital. The nutritional status was assessed using Mini-Nutritional Assessment-Short Form (MNA-SF). Patients with MNA-SF scores of 0-11 and 12-14 were included in the malnutrition and nonmalnutrition groups, respectively.

resultsThe average age of the malnutrition group was higher than that of the nonmalnutrition group, and the levels of body mass index (BMI), hemoglobin (HGB), and albumin (ALB) were significantly lower than those of the nonmalnutrition group, with statistical significance (p < .05). The incidence of all-cause death in the malnutrition group was higher than that in the nonmalnutrition group (p = .007). Kaplan-Meier curve indicated that malnutrition patients have a higher risk of all-cause death (log-rank test, p = .001) and major bleeding events (p = .017). Multivariate Cox proportional hazard regression analysis corrected for confounders showed that malnutrition was an independent risk factor of all-cause death (HR = 1.780, 95%CI:1.039-3.050, p = .036). The malnutrition group had a significantly high incidence of major bleeding than the nonmalnutrition group (p = .026), and there was no significant difference in the proportion of anticoagulation therapy (p = .082) and the incidence of ischemic stroke/systemic embolism (p = .310) between the two groups.

conclusionsMalnutrition is an independent risk factor of all-cause death in elderly patients with atrial fibrillation. The incidence of major bleeding in malnourished elderly patients with atrial fibrillation is high, and the benefit of anticoagulation therapy is not obvious.

Indexed as

Atrial FibrillationMalnutritionNutritional StatusAgedAged, 80 and overCohort StudiesFemaleGeriatric AssessmentHumansMaleNutrition AssessmentRetrospective StudiesRisk Factorsall‐cause deathatrial fibrillationbleedingelderlymalnutrition

Identifiers

PMID38932572
PMCPMC11208721

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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.