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Association Between Prognostic Nutritional Index and Prognosis in Patients With Heart Failure: A Meta-Analysis

BACKGROUND: The prognostic nutritional index (PNI) has been proposed as a marker of malnutrition and associated with the prognosis of cardiovascular disease. However, whether PNI can serve as a potential biomarker for the prognosis of heart failure (HF) upon those established risk factors were still...

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Autores principales: Chen, Mei-Yu, Wen, Jiang-Xiong, Lu, Mei-Ting, Jian, Xiang-Yu, Wan, Xiao-Liang, Xu, Zhi-Wen, Liang, Jian-Qiu, Wu, Jian-Di
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9226429/
https://www.ncbi.nlm.nih.gov/pubmed/35757355
http://dx.doi.org/10.3389/fcvm.2022.918566
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author Chen, Mei-Yu
Wen, Jiang-Xiong
Lu, Mei-Ting
Jian, Xiang-Yu
Wan, Xiao-Liang
Xu, Zhi-Wen
Liang, Jian-Qiu
Wu, Jian-Di
author_facet Chen, Mei-Yu
Wen, Jiang-Xiong
Lu, Mei-Ting
Jian, Xiang-Yu
Wan, Xiao-Liang
Xu, Zhi-Wen
Liang, Jian-Qiu
Wu, Jian-Di
author_sort Chen, Mei-Yu
collection PubMed
description BACKGROUND: The prognostic nutritional index (PNI) has been proposed as a marker of malnutrition and associated with the prognosis of cardiovascular disease. However, whether PNI can serve as a potential biomarker for the prognosis of heart failure (HF) upon those established risk factors were still controversial. This meta-analysis aimed to generate comprehensive evidence on the prognostic value of PNI in patients with HF. METHODS: Multiple databases (PubMed, Embase, the Cochrane Library, and Google Scholar) were searched for related studies up to January 31, 2022. Observational studies accessed associations between PNI levels and the prognosis in patients with HF were included for meta-analysis. The hazard ratios (HRs) and 95% confidence intervals (CI) were calculated. RESULTS: Fourteen studies, comprising 19,605 patients with HF were included for meta-analysis. The median follow-up duration was 18.5 months. Compared with those with higher PNI (normal nutritional status), patients with HF with lower PNI (malnourished) were associated with a higher risk of all-cause mortality (HR 1.53, 95% CI 1.27–1.85) and composite major adverse cardiac outcomes (MACEs; HR 2.26, 95% CI 1.54–3.31) in the multivariable-adjusted model. Furthermore, when PNI was defined as per 1 increment as a continuous metric, higher PNI was associated with a decrease in all-cause mortality (per 1 increment of PNI: HR 0.94, 95% CI 0.88–0.96) and MACEs (per 1 increment of PNI: HR 0.97, 95% CI 0.95–0.98). CONCLUSIONS: The PNI can serve as an easily calculated bedside “malnutrition-inflammation” biomarker in HF. Lower PNI was associated with a worse prognosis in patients with HF.
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spelling pubmed-92264292022-06-25 Association Between Prognostic Nutritional Index and Prognosis in Patients With Heart Failure: A Meta-Analysis Chen, Mei-Yu Wen, Jiang-Xiong Lu, Mei-Ting Jian, Xiang-Yu Wan, Xiao-Liang Xu, Zhi-Wen Liang, Jian-Qiu Wu, Jian-Di Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: The prognostic nutritional index (PNI) has been proposed as a marker of malnutrition and associated with the prognosis of cardiovascular disease. However, whether PNI can serve as a potential biomarker for the prognosis of heart failure (HF) upon those established risk factors were still controversial. This meta-analysis aimed to generate comprehensive evidence on the prognostic value of PNI in patients with HF. METHODS: Multiple databases (PubMed, Embase, the Cochrane Library, and Google Scholar) were searched for related studies up to January 31, 2022. Observational studies accessed associations between PNI levels and the prognosis in patients with HF were included for meta-analysis. The hazard ratios (HRs) and 95% confidence intervals (CI) were calculated. RESULTS: Fourteen studies, comprising 19,605 patients with HF were included for meta-analysis. The median follow-up duration was 18.5 months. Compared with those with higher PNI (normal nutritional status), patients with HF with lower PNI (malnourished) were associated with a higher risk of all-cause mortality (HR 1.53, 95% CI 1.27–1.85) and composite major adverse cardiac outcomes (MACEs; HR 2.26, 95% CI 1.54–3.31) in the multivariable-adjusted model. Furthermore, when PNI was defined as per 1 increment as a continuous metric, higher PNI was associated with a decrease in all-cause mortality (per 1 increment of PNI: HR 0.94, 95% CI 0.88–0.96) and MACEs (per 1 increment of PNI: HR 0.97, 95% CI 0.95–0.98). CONCLUSIONS: The PNI can serve as an easily calculated bedside “malnutrition-inflammation” biomarker in HF. Lower PNI was associated with a worse prognosis in patients with HF. Frontiers Media S.A. 2022-06-10 /pmc/articles/PMC9226429/ /pubmed/35757355 http://dx.doi.org/10.3389/fcvm.2022.918566 Text en Copyright © 2022 Chen, Wen, Lu, Jian, Wan, Xu, Liang and Wu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Chen, Mei-Yu
Wen, Jiang-Xiong
Lu, Mei-Ting
Jian, Xiang-Yu
Wan, Xiao-Liang
Xu, Zhi-Wen
Liang, Jian-Qiu
Wu, Jian-Di
Association Between Prognostic Nutritional Index and Prognosis in Patients With Heart Failure: A Meta-Analysis
title Association Between Prognostic Nutritional Index and Prognosis in Patients With Heart Failure: A Meta-Analysis
title_full Association Between Prognostic Nutritional Index and Prognosis in Patients With Heart Failure: A Meta-Analysis
title_fullStr Association Between Prognostic Nutritional Index and Prognosis in Patients With Heart Failure: A Meta-Analysis
title_full_unstemmed Association Between Prognostic Nutritional Index and Prognosis in Patients With Heart Failure: A Meta-Analysis
title_short Association Between Prognostic Nutritional Index and Prognosis in Patients With Heart Failure: A Meta-Analysis
title_sort association between prognostic nutritional index and prognosis in patients with heart failure: a meta-analysis
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9226429/
https://www.ncbi.nlm.nih.gov/pubmed/35757355
http://dx.doi.org/10.3389/fcvm.2022.918566
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