ArticleFrontiers in nutrition2025
The prognostic significance of malnutrition in older adult patients with acute ischemic stroke.
Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Albumin-based nutritional-inflammatory indices and prognosis in critically ill patients with acute myocardial infarction: a MIMIC-IV cohort study.BMC cardiovascular disorders · 2026Article
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- Combined nutritional and inflammatory risk stratification for predicting functional outcomes in acute ischemic stroke.Frontiers in nutrition · 2026Article
- Association between PNI and all-cause mortality in ischemic stroke patients: a large-scale retrospective cohort study.Frontiers in nutrition · 2026Article
- The association between acute nutritional changes and prognosis in ischemic stroke patients.Frontiers in nutrition · 2026Article
- Higher Controlling Nutritional Status (CONUT) score indicates increased risk of sarcopenia in elderly hospitalized patients: a single institution study in China.Frontiers in nutrition · 2025Article
- Admission monocyte-to-albumin ratio predicts 3-month functional outcomes after acute ischemic stroke: a retrospective cohort study.Frontiers in neurology · 2025Article
- Development and validation of a novel nutrition-inflammation prognostic score for predicting 30-day mortality in critically ill stroke patients.Frontiers in nutrition · 2025Article
- A vitamin-biomarker risk score for 90-day functional outcome after acute ischemic stroke: development and internal validation in a retrospective cohort.Frontiers in neurologyArticle
- Comparison of PNI, HALP, and modified HALP scores in predicting 90-day mortality in elderly patients with acute ischemic stroke.Frontiers in neurologyArticle
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5 authors.
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Abstract
Background: Malnutrition is associated with an unfavorable prognosis; however, malnutrition in hospitalized patients is frequently overlooked by clinicians. This highlights the importance of accurately assessing nutritional status and providing appropriate nutritional supplementation. The most appropriate nutritional assessment tool for predicting the short-term prognosis of older adult patients with Acute Ischemic Stroke (AIS) was identified from five nutritional assessment tools, including the Prognostic Nutrition Index (PNI), the Hemoglobin, Albumin, Lymphocyte and Platelet (HALP) Score, the Naples Prognostic Score (NPS), the Geriatric Nutritional Risk Index (GNRI), and the Controlling Nutritional Status (CONUT) Score. Methods: A total of 585 older adult patients with Acute Ischemic Stroke (AIS) were retrospectively analyzed and divided into two groups according to the modified Rankin Scale (mRS) score. The first group, comprising 111 cases, was classified as having a poor prognosis (mRS score > 2), while the second group, consisting of 391 cases, was classified as having a good prognosis (mRS score ≤ 2). A total of five nutritional assessment tools, including PNI, HALP Score, NPS, GNRI, and CONUT, were employed to evaluate the nutritional status of older adult patients with AIS and for the analysis of the relationship between nutritional status and prognosis. The incremental value of five nutritional assessment tools in predicting patient prognosis was compared by means of the Integrated Discriminant Improvement Index (IDI) and the Net Reclassification Index (NRI). The efficacy of each nutritional assessment tool in forecasting the incidence of unfavorable outcomes in older adult patients with AIS within a one-year timeframe was evaluated by utilizing the area under the receiver operating characteristic curve (AUC), calibration curves, and decision analysis curves. Comparative analyses were also conducted. Result: Among the five nutritional assessment tools, the PNI (AUC: 0.619, 95% CI: 0.560-0.679, Conclusion: Among the five types of nutritional assessment tools employed in this study, the PNI was the most effective at predicting a poor prognosis at one year in older adult patients with AIS.
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