Can malnutrition predict mortality in heart failure with low ejection fraction? Implications for multidisciplinary care.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2026-01-01 DOI:10.47391/JPMA.21138

Elisa Calisgan, Bayram Ozturk, Betul Akyol, Kemal Gocer

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引用次数: 0

Abstract

Objective: To evaluate malnutrition's predictive potential and significance with respect to overall mortality related to heart failure with low ejection fraction.

Methods: The cross-sectional, prospective study was conducted from June to August 2022 at the Kahramanmaras Sutcu Imam University and the Osmaniye Duzici State Hospital, Turkiye, and comprised heart failure patients with low ejection fraction. Malnutrition status was evaluated using the Global Leadership Initiative on Malnutrition criteria. The patients were divided into malnutrition group A and healthy group B. Prognostic nutritional index and contro ling nutritional status scores were calculated and compared. All the patients were followed up either through telephone or clinic visits for up to one year. The number of hospitalisations and length of hospital stay within a year were recorded and compared. Data was analysed using SPSS 22.

Results: Of the 216 patients with mean age 67.10±5.59 years, 110(50.9%) were males and 106(49.1%) were females. There were 57(26.4%) subjects in group A and 159(73.6%) in group B. Malnutrition, length of hospital stay and increased neutrophils were independent predictors of death (p<0.05).

Conclusion: Malnutrition was found to be common among heart failure outpatients, and could significantly help identify those at increased mortality risk.

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营养不良能否预测低射血分数心力衰竭患者的死亡率？对多学科护理的影响。

目的：评价营养不良对低射血分数心力衰竭总死亡率的预测潜力和意义。方法：横断面前瞻性研究于2022年6月至8月在Kahramanmaras Sutcu Imam大学和土耳其Osmaniye Duzici国立医院进行，研究对象包括低射血分数的心力衰竭患者。根据全球营养不良领导倡议的标准对营养不良状况进行评估。将患者分为营养不良A组和健康b组，计算预后营养指数和控制营养状态评分并进行比较。所有患者通过电话或门诊随访长达一年。记录和比较一年内的住院次数和住院时间。数据采用SPSS 22进行分析。结果：216例患者平均年龄67.10±5.59岁，其中男性110例（50.9%），女性106例（49.1%）。A组有57人（26.4%），b组有159人（73.6%）。营养不良、住院时间和中性粒细胞增加是死亡的独立预测因素。结论：营养不良在心力衰竭门诊患者中很常见，可以显著帮助识别死亡风险增加的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.