Evidence map›Paper›PMID 39649109›Full record

ArticleClinical interventions in aging2024

Prognostic Value of Four Objective Nutritional Indices in Predicting Long-Term Prognosis in Elderly Patients with Atrial Fibrillation: A Retrospective Cohort Study.

Qingwei He, Xingman Fan, Bowen Li, Qiongyi He, Yukun Cao, Haitao Zhang

Abstract read
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Article in Clinical interventions in aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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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

6 authors.

Qingwei He *The Fifth School of Clinical Medicine, Air Force Clinical Medical School, Anhui Medical University, Hefei, Anhui, 230032, People's Republic of China.ORCID 0009-0002-0392-8376
Xingman Fan *Department of Cardiology, Air Force Medical Center, Air Force Medical University, PLA, Beijing, 100142, People's Republic of China.ORCID 0009-0006-3163-1587
Bowen LiGraduate School, Hebei North University, Zhangjiakou, Hebei, 075000, People's Republic of China.ORCID 0009-0007-8696-2313
Qiongyi HeThe Fifth School of Clinical Medicine, Air Force Clinical Medical School, Anhui Medical University, Hefei, Anhui, 230032, People's Republic of China.
Yukun CaoDepartment of Cardiology, Air Force Medical Center, Air Force Medical University, PLA, Beijing, 100142, People's Republic of China.
Haitao ZhangThe Fifth School of Clinical Medicine, Air Force Clinical Medical School, Anhui Medical University, Hefei, Anhui, 230032, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Several objective and comprehensive nutritional assessment methods have been used for predicting adverse outcomes in elderly patients with various diseases. However, their predictive value for long-term adverse outcomes in elderly patients with atrial fibrillation (AF) is unclear. This study aimed to explore the prognostic significance of the four nutritional indices, namely Prognostic Nutritional Index (PNI), Geriatric Nutritional Risk Index (GNRI), Controlling Nutritional Status (CONUT), and High-Sensitivity Modified Glasgow Prognostic Score (HS-mGPS), in evaluating the long-term prognosis in elderly patients with AF. Methods: This retrospective study was conducted at a single center and included a total of 261 elderly patients with AF from December 2015 to December 2021. Patients were divided into all-cause death and survival groups based on the follow-up results. Kaplan-Meier analysis and COX regression were conducted to explore the relationship between all-cause mortality and nutritional scores. In addition, Receiver Operating Characteristic (ROC) curves were used to compare the predictive value of the four nutritional screening tools for the endpoint event. Results: During the follow-up period, 119 cases (45.59%) of all-cause mortality were recorded. The cumulative incidence of all-cause death was significantly higher in participants with a lower PNI, lower GNRI, higher CONUT, and higher HS-mGPS levels. And the low PNI (HR 1.325, 95% CI 1.032-2.857, P=0.025) and the high HS-mGPS (HR 2.166, 95% CI 1.281-4.326, P=0.023) groups were independently and significantly associated with increased risk of all-cause death analyzed by multivariate COX regression. Additionally, PNI showed the best area under the curve value (AUC: 0.696, 95% CI 0.632-0.760 P < 0.001) for the prediction of all-cause mortality compared with the other nutritional indices. Conclusion: Among the four nutritional risk screening tools, PNI might be a simple and useful indicator in predicting the long-term prognosis of elderly patients with AF.

Indexed as

Atrial FibrillationGeriatric AssessmentNutritional StatusNutrition AssessmentROC CurveAgedAged, 80 and overCause of DeathFemaleHumansKaplan-Meier EstimateMalePredictive Value of TestsPrognosisProportional Hazards ModelsRetrospective StudiesAFagedatrial fibrillationmortalitynutritionprognosis

Identifiers

PMID39649109
PMCPMC11625436

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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.