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The effect of nutritional status on long-term mortality in very elderly patients with ST segment elevation myocardial infarction   
Yazarlar
Cengiz Burak
Türkiye
Muhammed Süleymanoğlu
Türkiye
Ayça Gümüşdağ
Türkiye
Murat Çap
Türkiye
İbrahim Yıldız
Türkiye
Dr. Öğr. Üyesi Doğan İLİŞ Dr. Öğr. Üyesi Doğan İLİŞ
Türkiye
Şerif Hamideyin
Türkiye
Fatma Köksal
Türkiye
Prof. Dr. İbrahim RENCÜZOĞULLARI Prof. Dr. İbrahim RENCÜZOĞULLARI
Kafkas Üniversitesi, Türkiye
Doç. Dr. Yavuz KARABAĞ Doç. Dr. Yavuz KARABAĞ
Türkiye
Özet
Introduction: This study aimed to evaluate the predictive role of the Geriatric Nutrition Risk Index in long-term mortality of very elderly patients with ST-segment elevation myocardial infarction and to compare it with the other known objective nutritional indices, namely the Prognostic Nutritional Index and Controlling Nutritional Status. Materials and Methods: A total of 212 eligible patients, aged 80 years or older, who were hospitalized with a diagnosis of ST-segment elevation myocardial infarction and underwent primary percutaneous coronary intervention were included in the study. Baseline patient characteristics, echocardiographic assessments, laboratory findings, and nutritional indices were assessed. Results: During the median follow-up period of 34 months, 60 (28.3%) allcause mortalities were identified, and event-free cumulative rates were 46.3%, 81.4%, and 90.1% for Geriatric Nutrition Risk Index <100.5, 100.5–112.6, and >112.6, respectively (log-rank test, p < 0.0001). Receiver operating characteristic curve comparison analysis revealed that the Geriatric Nutrition Risk Index was a better predictor than the Controlling Nutritional Status, Prognostic Nutritional Index, Body Mass Index, and serum albumin (p < 0.001 for each pairwise comparison of Receiver operating characteristic curves). Conclusion: It is important to evaluate malnutrition that is known to be associated with mortality in very elderly patients with ST-segment elevation myocardial infarction, who are more fragile than young people, and Geriatric Nutrition Risk Index -a simple and easy-to-calculate index- can be a guide in this regard.
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı The Turkish Journal of Geriatrics
Dergi ISSN 1304-2947
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 01-2021
Cilt No 24
Sayı 1
Sayfalar 87 / 94
Doi Numarası 10.31086/tjgeri.2021.203
Makale Linki http://dx.doi.org/10.31086/tjgeri.2021.203