ArticleJACC. Advances2023
Cardiovascular Outcomes in Acute Coronary Syndrome and Malnutrition: A Meta-Analysis of Nutritional Assessment Tools.
Article in JACC. Advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Glucagon-like peptide-1 receptor agonist in myocardial infarction and atherosclerotic cardiovascular disease risk reduction: a comprehensive meta-analysis of number needed to treat, efficacy and safety.Cardiovascular diabetology · 2025Pooled it
- Sex differences in survival following acute coronary syndrome with and without standard modifiable risk factors.Clinical research in cardiology : official journal of the German Cardiac Society · 2025Pooled it
- Comparative Performance of HALP, PNI, and CONUT Scores in No-Reflow Among Patients with Acute Coronary Syndrome: A Prospective Study.Journal of clinical medicine · 2026Article
- Article
- Depression-Related Nutritional Risk and Physical Performance in Middle- to Older-Aged Adults: Cross-Sectional Secondary Analysis of Tree-Based and Regression Approaches.JMIR medical informatics · 2026Article
- Myocardial Infarction Without Standard Modifiable Risk Factors From 2025-2040: Forecast Analysis of Multinational, Population-Based Study.JACC. Asia · 2026Article
- Malnutrition and Cachexia in Inpatients With Acute Cardiac Conditions: A Scientific Statement From the American Heart Association.Circulation · 2026Review
- Prognostic Significance of Malnutrition Indices in ST-Elevation Myocardial Infarction: A Comparative Analysis of CONUT and PNI Scores After Primary PCI.Diagnostics (Basel, Switzerland) · 2026Article
- Timing, continuity, and energy dose of oral nutritional supplements in older coronary care unit patients: associations with prognostic nutritional index trajectory and hospitalization burden.Frontiers in nutrition · 2026Article
- Modified body mass index as a novel prognostic indicator of in-hospital mortality after off-pump coronary artery bypass grafting: A nationwide multicenter cohort study.International journal of cardiology. Heart & vasculature · 2025Article
- Global Trends and Forecast of Cardiovascular Diseases, Cancer, and Shared Risk Factors: Insights From the GBD 2021.Journal of the American Heart Association · 2025Article
- Nutritional Status Assessment Tools in Cardiovascular Patients.Nutrients · 2025Review
- The effect of weight change on death and cardiovascular events after Roux-en-Y gastric bypass.The British journal of surgery · 2025Article
- Role of Nutritional Status in Acute Coronary Syndrome Patients with Diabetes.Medicina (Kaunas, Lithuania) · 2025Article
- Nutrition Optimization Among Critically Ill Patients in the Cardiac Intensive Care Unit.Current cardiology reports · 2025Review
- Prevalence of Malnutrition in People Hospitalized for Surgery: Prospective Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Impact of Nutritional Status and Cardiopulmonary Exercise Testing-Based Exercise Education on Long-Term Outcomes in Acute Coronary Syndrome - Insights From the Mie ACS Registry.Circulation reports · 2024Article
- Should Cardiologists Be Concerned About Malnutrition in ACS Patients?JACC. Advances · 2023Article
Corrections and comments
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Authors and funding
22 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: There is emerging evidence that malnutrition is associated with poor prognosis among patients with acute coronary syndrome (ACS). Objectives: This study seeks to elucidate the prognostic impact of malnutrition in patients with ACS and provide a quantitative review of most commonly used nutritional assessment tools. Methods: Medline and Embase were searched for studies reporting outcomes in patients with malnutrition and ACS. Nutritional screening tools of interest included the Prognostic Nutrition Index, Geriatric Nutritional Risk Index, and Controlling Nutritional Status. A comparative meta-analysis was used to estimate the risk of all-cause mortality and cardiovascular events based on the presence of malnutrition and stratified according to ACS type, ACS intervention, ethnicity, and income. Results: Thirty studies comprising 37,303 patients with ACS were included, of whom 33.5% had malnutrition. In the population with malnutrition, the pooled mortality rate was 20.59% (95% CI: 14.95%-27.67%). Malnutrition was significantly associated with all-cause mortality risk after adjusting for confounders including age and left ventricular ejection fraction (adjusted HR: 2.66, 95% CI: 1.78-3.96, Conclusions: Malnutrition was significantly associated with all-cause mortality risk following ACS, regardless of ACS type, ethnicity, and income status, underscoring the importance of screening and interventional strategies for patients with malnutrition.
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