Evidence map›Paper›PMID 41141258›Full record

ArticleFrontiers in nutrition2025

Geriatric nutritional risk index predicts perioperative cardiovascular events in older patients with coronary artery disease undergoing non-cardiac surgery: a multicenter retrospective cohort study.

Xiaolin Li, Congying Wang, Haodong Jiang, Jia Zhu, Runzhe Wu, Yongquan Niu, Feiyu Chen, Yunpeng Jin

Abstract read
In one paragraph

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Xiaolin LiDepartment of Nutrition, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang, China.
Congying WangDepartment of Cardiology, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang, China.
Haodong JiangDepartment of Cardiology, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang, China.
Jia ZhuDepartment of Cardiology, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang, China.
Runzhe WuDepartment of Cardiology, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang, China.
Yongquan NiuDepartment of Cardiology, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang, China.
Feiyu ChenDepartment of Cardiology, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang, China.
Yunpeng JinDepartment of Cardiology, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The relationship between geriatric nutritional risk index (GNRI) and perioperative cardiovascular events (PCE) remains underexplored. This study aimed to evaluate the predictive utility of GNRI for PCEs in older patients with coronary artery disease (CAD) undergoing non-cardiac surgery. Methods: This multicenter retrospective study analyzed consecutive patients aged ≥ 65 years with documented CAD undergoing non-cardiac surgery between 2013 and 2024 at two Chinese tertiary medical centers. The primary outcome was a composite of PCEs, including death, resuscitated cardiac arrest, myocardial infarction, heart failure, and stroke, occurring intraoperatively or during postoperative hospitalization. Results: Among 7,272 participants, 408 (5.6%) experienced PCEs. GNRI exhibited a significant inverse linear correlation with PCEs (OR = 0.92; 95% CI: 0.91-0.93; Conclusion: The GNRI independently predicted PCEs in older CAD patients undergoing non-cardiac surgery. Integrating GNRI into clinical decision-making may enhance perioperative risk stratification and management in this high-risk population, though further validation is warranted.

Indexed as

coronary artery diseasegeriatric nutritional risk indexnon-cardiac surgeryperioperative cardiovascular eventsrevised cardiac risk index

Identifiers

PMID41141258
PMCPMC12549302

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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.