Evidence map›Paper›PMID 41097118›Full record

ArticleNutrients2025

Nutritional Vulnerability and Functional Decline in End-Stage Heart Failure and Chronic Respiratory Disease: Utility of the CONUT Score in a Palliative Cohort.

Martina Pellicé, Andrea Ladino, Karla Belén Treviño-García, Ana Suárez-Lombraña, Marta Arroyo-Huidobro, Aina Capdevila-Reniu, Bryan David Solari, Emilio Sacanella, Juan Manuel Perez-Castejon, Ferran Masanes

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In one paragraph

Article in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

10 authors.

Martina PellicéGeriatric Department, Hospital Clinic of Barcelona, School of Medicine, University of Barcelona, Villarroel Street 170, 08036 Barcelona, Spain.ORCID 0000-0001-5553-3216
Andrea LadinoGeriatric Department, Hospital Clinic of Barcelona, School of Medicine, University of Barcelona, Villarroel Street 170, 08036 Barcelona, Spain.
Karla Belén Treviño-GarcíaInternal Medicine Department, University Hospital Dr. Jose Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey 64460, Mexico.ORCID 0000-0003-0762-306X
Ana Suárez-LombrañaInternal Medicine Department, Hospital Clinic of Barcelona, School of Medicine, University of Barcelona, 08036 Barcelona, Spain.
Marta Arroyo-HuidobroGeriatric Department, Hospital Clinic of Barcelona, School of Medicine, University of Barcelona, Villarroel Street 170, 08036 Barcelona, Spain.ORCID 0000-0001-7693-6591
Aina Capdevila-ReniuGeriatric Department, Hospital Clinic of Barcelona, School of Medicine, University of Barcelona, Villarroel Street 170, 08036 Barcelona, Spain.ORCID 0000-0001-5597-728X
Bryan David SolariGeriatric Department, Hospital Clinic of Barcelona, School of Medicine, University of Barcelona, Villarroel Street 170, 08036 Barcelona, Spain.
Emilio SacanellaInternal Medicine Department, Hospital Clinic of Barcelona, School of Medicine, University of Barcelona, 08036 Barcelona, Spain.ORCID 0000-0001-8018-1523
Juan Manuel Perez-CastejonGeriatric Department, Hospital Clinic of Barcelona, School of Medicine, University of Barcelona, Villarroel Street 170, 08036 Barcelona, Spain.
Ferran MasanesGeriatric Department, Hospital Clinic of Barcelona, School of Medicine, University of Barcelona, Villarroel Street 170, 08036 Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesMalnutrition is common among patients with advanced chronic illnesses receiving palliative care, yet comparative data between diagnostic groups are limited. This study aimed to evaluate and compare the nutritional status of patients with end-stage chronic heart failure (CHF) and chronic respiratory disease (CRD), and to assess the clinical utility of the Controlling Nutritional Status (CONUT) score in this setting.

methodsWe conducted a retrospective analysis of 80 patients (41 with CHF, 39 with CRD) enrolled in a palliative care program (mean age 77.8 ± 6.8 years, 65% male). Nutritional status was assessed using BMI (Body Mass Index), CONUT score, and routine biochemical markers. Functional and clinical variables, including the Palliative Performance Scale (PPS), were also collected.

resultsModerate-to-severe malnutrition (CONUT ≥ 5) was significantly more prevalent in patients with CHF patients (44%) than CRD patients (10%,

conclusionsPatients with CHF receiving palliative care demonstrate higher rates of malnutrition than those with CRD. The CONUT score, derived from standard blood test, may be pragmatic screening tool for identifying nutritional vulnerability and guiding interventions. While it does not predict survival, it may help detect functional decline earlier and support care strategies aimed at maintaining quality of life in end-stage disease.

Indexed as

Heart FailureMalnutritionNutritional StatusNutrition AssessmentPalliative CareAgedAged, 80 and overBody Mass IndexChronic DiseaseFemaleHumansMaleRetrospective Studieschronic heart failurechronic respiratory diseaseCONUTend-stage diseasesmalnutritionnutritional assessmentpalliative care

Identifiers

PMID41097118
PMCPMC12525613

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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.