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Effect of risk of malnutrition on 30-day mortality among older patients with acute heart failure in Emergency Departments

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Martin-Sanchez, FJ
  • Triana, FC
  • Bossello, X
  • Garcia, RP
  • Garcia, GL
  • Caimari, F
  • Vidan, MT
  • Artacho, PR
  • del Castillo, JG
  • Llorens, P
  • Herrero, P
  • Jacob, J
  • Gil, V
  • Perez, CF
  • Gil, P
  • Bueno, H
  • Miro, O
  • Martin, PM
  • Adrada, ER
  • Santos, MC
  • Salgado, L
  • Brizzi, BN
  • Docavo, ML
  • Suarez-Cadenas, MD
  • Xipell, C
  • Sanchez, C
  • Aguilo, S
  • Gaytan, JM
  • Jerez, A
  • Lopez-Grima, ML
  • Valero, A
  • Aguirre, A
  • Pedragosa, MA
  • Pinera, P
  • LazaroAragues, P
  • Nicolas, JAS
  • Rizzi, MA
  • Mateo, SH
  • Alquezar, A
  • Roset, A
  • Ferrer, C
  • Llopis, F
  • Perez, JMA
  • Diez, MPL
  • Richard, F
  • Fernandez-Canadas, JM
  • Carratala, JM
  • Javaloyes, P
  • Andueza, JA
  • Fernandez, JAS
  • Romero, R
  • Loranca, MM
  • Rodriguez, VA
  • Lorca, MT
  • Calderon, L
  • Ferrer, ES
  • Garrido, JM
  • Mojarro, EM
  • OAK Register Investigators

Grupos

Abstract

Background: Little is known about the prevalence and impact of risk of malnutrition on short-term mortality among seniors presenting with acute heart failure (AHF) in emergency setting. The objective was to determine the impact of risk of malnutrition on 30-day mortality risk among older patients who attended in Emergency Departments (EDs) for AHF. Material and methods: We performed a secondary analysis of the OAK-3 Registry including all consecutive patients >= 65 years attending in 16 Spanish EDs for AHF. Risk of malnutrition was defined by the Mini Nutritional Assessment Short Form (MNA-SF) < 12 points. Unadjusted and adjusted logistic regression models were used to assess the association between risk of malnutrition and 30-day mortality. Results: We included 749 patients (mean age: 85 (SD 6); 55.8% females). Risk of malnutrition was observed in 594 (79.3%) patients. The rate of 30-day mortality was 8.8%. After adjusting for MEESSI-AHF risk score clinical categories (model 1) and after adding all variables showing a significantly different distribution among groups (model 2), the risk of malnutrition was an independent factor associated with 30-day mortality (adjusted OR by model 1 = 3.4; 95% CI 1.2-9.7; p = .020 and adjusted OR by model 2 = 3.1; 95% CI 1.1-9.0; p = .033) compared to normal nutritional status. Conclusions: The risk of malnutrition assessed by the MNA-SF is associated with 30-day mortality in older patients with AHF who were attended in EDs. Routine screening of risk of malnutrition may help emergency physicians in decision-making and establishing a care plan.

Datos de la publicación

ISSN/ISSNe:
0953-6205, 1879-0828

European Journal of Internal Medicine  ELSEVIER

Tipo:
Article
Páginas:
69-77
PubMed:
31076345
Factor de Impacto:
1,017 SCImago ℠
Cuartil:
Q2 SCImago ℠

Citas Recibidas en Web of Science: 26

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Keywords

  • Older; Elderly; Frailty; Malnutrition; Heart failure; Emergency department

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