Details

Autor(en) / Beteiligte

• Li-Hung Wu
• Kuan-Rau Chiou
• I-Ju Pan
• Shih-Hung Hsiao

Titel

Malnutrition Affects the Outcomes of Patients with Low-Output Heart Failure and Congestion

Ist Teil von

• Acta Cardiologica Sinica, 2021-05, Vol.37 (3), p.269-277

Ort / Verlag

台灣: 中華民國心臟學會

Erscheinungsjahr

2021

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Background: This study aimed to investigate the relationship between malnutrition and outcomes in patients with decompensated severe systolic heart failure (HF) focusing on clinical presentations and medication use. ＜br＞ Methods: This study prospectively enrolled 108 patients admitted for severe systolic HF with a left ventricular (LV) ejection fraction ＜ 35%, low cardiac output, and high LV filling pressure. Five patients died during the index hospitalization, and the remaining 103 patients were followed up for 2 years. The primary endpoints were HF rehospitalization and all-cause mortality. Nutritional risk index (NRI) was calculated as (1.519 × serum albumin, g/L) + (41.7 × body weight/ideal body weight). ＜br＞ Results: Forty-four patients reached the study endpoints. An NRI ≤ 93 predicted events. The NRI ≤ 93 group had higher pulmonary artery systolic pressure, more edema over dependent parts, longer hospital stay, and more primary endpoints compared to the NRI ＞ 93 group. The NRI ≤ 93 group received fewer