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Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study

Whether malnutrition during the early phase of recovery from acute myocardial infarction (AMI) could be a predictor of mortality or morbidity has not been ascertained. We examined 289 AMI patients. All-cause mortality and composite endpoints (all-cause mortality, nonfatal stroke, nonfatal acute coro...

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Autores principales: Abe, Hiroshi, Miyazaki, Tetsuro, Tomaru, Masato, Nobushima, Yuka, Ajima, Tomohi, Hirabayashi, Koji, Ishiwata, Sayaki, Kakihara, Midori, Maki, Masaaki, Shimai, Ryosuke, Aikawa, Tadao, Isogai, Hiroyuki, Ozaki, Dai, Yasuda, Yuki, Odagiri, Fuminori, Takamura, Kazuhisa, Hiki, Makoto, Iwata, Hiroshi, Yokoyama, Ken, Tokano, Takashi, Minamino, Tohru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10674636/
https://www.ncbi.nlm.nih.gov/pubmed/38004141
http://dx.doi.org/10.3390/nu15224748
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author Abe, Hiroshi
Miyazaki, Tetsuro
Tomaru, Masato
Nobushima, Yuka
Ajima, Tomohi
Hirabayashi, Koji
Ishiwata, Sayaki
Kakihara, Midori
Maki, Masaaki
Shimai, Ryosuke
Aikawa, Tadao
Isogai, Hiroyuki
Ozaki, Dai
Yasuda, Yuki
Odagiri, Fuminori
Takamura, Kazuhisa
Hiki, Makoto
Iwata, Hiroshi
Yokoyama, Ken
Tokano, Takashi
Minamino, Tohru
author_facet Abe, Hiroshi
Miyazaki, Tetsuro
Tomaru, Masato
Nobushima, Yuka
Ajima, Tomohi
Hirabayashi, Koji
Ishiwata, Sayaki
Kakihara, Midori
Maki, Masaaki
Shimai, Ryosuke
Aikawa, Tadao
Isogai, Hiroyuki
Ozaki, Dai
Yasuda, Yuki
Odagiri, Fuminori
Takamura, Kazuhisa
Hiki, Makoto
Iwata, Hiroshi
Yokoyama, Ken
Tokano, Takashi
Minamino, Tohru
author_sort Abe, Hiroshi
collection PubMed
description Whether malnutrition during the early phase of recovery from acute myocardial infarction (AMI) could be a predictor of mortality or morbidity has not been ascertained. We examined 289 AMI patients. All-cause mortality and composite endpoints (all-cause mortality, nonfatal stroke, nonfatal acute coronary syndrome, and hospitalization for acute decompensated heart failure) during the follow-up duration (median 39 months) were evaluated. There were 108 (37.8%) malnourished patients with GNRIs of less than 98 on arrival; however, malnourished patients significantly decreased to 91 (31.4%) during the convalescence period (p < 0.01). The incidence rates of mortality and primary composite endpoints were significantly higher in the malnourished group than in the well-nourished group both on arrival and during the convalescence period (All p < 0.05). Nutrition guidance significantly improved GNRI in a group of patients who were undernourished (94.7 vs. 91.0, p < 0.01). Malnourished patients on admission who received nutritional guidance showed similar all-cause mortality with well-nourished patients, whereas malnourished patients without receiving nutritional guidance demonstrated significantly worse compared to the others (p = 0.03). The assessment of GNRI during the convalescence period is a useful risk predictor for patients with AMI. Nutritional guidance may improve the prognoses of patients with poor nutritional status.
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spelling pubmed-106746362023-11-10 Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study Abe, Hiroshi Miyazaki, Tetsuro Tomaru, Masato Nobushima, Yuka Ajima, Tomohi Hirabayashi, Koji Ishiwata, Sayaki Kakihara, Midori Maki, Masaaki Shimai, Ryosuke Aikawa, Tadao Isogai, Hiroyuki Ozaki, Dai Yasuda, Yuki Odagiri, Fuminori Takamura, Kazuhisa Hiki, Makoto Iwata, Hiroshi Yokoyama, Ken Tokano, Takashi Minamino, Tohru Nutrients Article Whether malnutrition during the early phase of recovery from acute myocardial infarction (AMI) could be a predictor of mortality or morbidity has not been ascertained. We examined 289 AMI patients. All-cause mortality and composite endpoints (all-cause mortality, nonfatal stroke, nonfatal acute coronary syndrome, and hospitalization for acute decompensated heart failure) during the follow-up duration (median 39 months) were evaluated. There were 108 (37.8%) malnourished patients with GNRIs of less than 98 on arrival; however, malnourished patients significantly decreased to 91 (31.4%) during the convalescence period (p < 0.01). The incidence rates of mortality and primary composite endpoints were significantly higher in the malnourished group than in the well-nourished group both on arrival and during the convalescence period (All p < 0.05). Nutrition guidance significantly improved GNRI in a group of patients who were undernourished (94.7 vs. 91.0, p < 0.01). Malnourished patients on admission who received nutritional guidance showed similar all-cause mortality with well-nourished patients, whereas malnourished patients without receiving nutritional guidance demonstrated significantly worse compared to the others (p = 0.03). The assessment of GNRI during the convalescence period is a useful risk predictor for patients with AMI. Nutritional guidance may improve the prognoses of patients with poor nutritional status. MDPI 2023-11-10 /pmc/articles/PMC10674636/ /pubmed/38004141 http://dx.doi.org/10.3390/nu15224748 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Abe, Hiroshi
Miyazaki, Tetsuro
Tomaru, Masato
Nobushima, Yuka
Ajima, Tomohi
Hirabayashi, Koji
Ishiwata, Sayaki
Kakihara, Midori
Maki, Masaaki
Shimai, Ryosuke
Aikawa, Tadao
Isogai, Hiroyuki
Ozaki, Dai
Yasuda, Yuki
Odagiri, Fuminori
Takamura, Kazuhisa
Hiki, Makoto
Iwata, Hiroshi
Yokoyama, Ken
Tokano, Takashi
Minamino, Tohru
Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study
title Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study
title_full Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study
title_fullStr Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study
title_full_unstemmed Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study
title_short Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study
title_sort poor nutritional status during recovery from acute myocardial infarction in patients without an early nutritional intervention predicts a poor prognosis: a single-center retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10674636/
https://www.ncbi.nlm.nih.gov/pubmed/38004141
http://dx.doi.org/10.3390/nu15224748
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