May 30, 2023Frontiers in Cardiovascular MedicineOpen Access

The impact of geriatric nutritional risk index on one-year outcomes in hospitalized elderly patients with heart failure

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Why the study?

Strategies that accurately predict outcomes in elderly heart failure patients have not been sufficiently established, prompting an investigation into which cardiac rehabilitation factors best predict one-year outcomes.

Population

839 hospitalized HF patients over 65 years of age

Comparison

GNRI vs BI vs SPPB assessed at discharge

Design

Single-center retrospective cohort study

Follow-up

228.0 days

Authors

MMMasakazu MiuraYamaguchi Prefecture Central Hospital SOShinichi OkudaYamaguchi University KMKazuhiro MurataHiroshima University

Discussion

Member takes

Implication

GNRI at HF discharge supports risk stratification beyond functional measures; leaves open whether optimizing nutrition alters prognosis.

Structured PICO

Population

839 hospitalized patients with acute decompensated heart failure (ADHF) over 65 years of age, median age 84.0, 52% female, from a single center in Japan.

Intervention

Geriatric nutritional risk index (GNRI) assessed at discharge

Comparator

Short physical performance battery (SPPB) and Barthel index (BI) assessed at discharge

Outcome

Composite of all-cause death or HF readmission one year after dischargecomposite

In hospitalized elderly patients with heart failure, the Geriatric Nutritional Risk Index (GNRI) at discharge is a stronger predictor of one-year all-cause death or HF readmission compared to physical performance or activities of daily living indices.

Cite This Study

Miura et al. (2023) studied this question.

synapsesocial.com/papers/6a814625ada1eccddc33aca1 https://doi.org/10.3389/fcvm.2023.1190548

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