营养不良状况作为耳纤颤患者主要不良心血管事件的预测因素

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN Pub Date : 2025-02-07 DOI:10.1016/j.semerg.2025.102458

P. Moltó-Balado , J.L. Clua-Espuny , S. Reverté-Villarroya , M.T. Balado-Albiol , M. García-Olcina , A. Simeó-Monzó , A. Serra-Garcia , J. Canela-Royo

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引用次数: 0

摘要

目的探讨房颤（AF）患者的营养状况及其与主要心血管不良事件（MACE）的关系，并确定营养状况是否是房颤患者发生主要心血管不良事件的危险因素。材料与方法观察性、回顾性、基于社区的研究（n = 40,297），研究对象为2015年至2021年间西班牙加泰罗尼亚地区Terres de l 'Ebre地区65-95岁的患者。共有2574名诊断为房颤的患者被纳入研究。采用CONUT量表评估营养状况并进行Cox回归分析。结果67.91%的AF患者发生MACE。经CONUT量表评估的营养不良在发生MACE的房颤患者中明显更高(P <；措施)。营养不良使MACE的风险增加一倍，并被确定为预后因素(HR: 1.06；95% ci: 1.04-1.08；P & lt;措施)。结论营养不良是房颤患者发生MACE的一个预后因素。较差的营养状况使MACE的风险增加一倍。

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Estado de malnutrición como factor pronóstico de eventos cardiovasculares adversos mayores (MACE) en los pacientes con fibrilación auricular

Objective

To examine nutritional status among patients with atrial fibrillation (AF) and its relationship with major adverse cardiovascular events (MACE), and to determine whether nutritional status is a risk factor for MACE in patients with AF.

Material and methods

Observational, retrospective, community-based study (n = 40,297) aged 65-95 years in Terres de l’Ebre (Catalonia, Spain) between 2015 and 2021. A total of 2,574 patients with a diagnosis of AF were included. The CONUT scale was used to assess nutritional status and Cox regression analyses were performed.

Results

67.91% of AF patients developed MACE. Malnutrition as assessed by the CONUT scale was significantly higher in AF patients who developed MACE (P < .001). Malnutrition doubled the risk of MACE and was identified as a prognostic factor (HR: 1.06; 95% CI: 1.04-1.08; P < .001).