The effect of nutritional status on long-term mortality in very elderly patients with ST segment elevation myocardial infarction
  
Yazarlar (10)
Cengiz Burak Kafkas Üniversitesi, Türkiye
Muhammed Süleymanoğlu Kafkas Üniversitesi, Türkiye
Ayça Gümüşdağ Kafkas Üniversitesi, Türkiye
Murat Çap T.C. Sağlık Bakanlığı, Türkiye
İbrahim Yıldız T.C. Sağlık Bakanlığı, Türkiye
Şerif Hamideyin Kafkas Üniversitesi, Türkiye
Fatma Köksal T.C. Sağlık Bakanlığı, Türkiye
Prof. Dr. İbrahim RENCÜZOĞULLARI Kafkas Üniversitesi, Türkiye
Prof. Dr. Yavuz KARABAĞ Kafkas Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Türk Geriatri Dergisi (Q4)
Dergi ISSN 1304-2947 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 01-2021
Cilt / Sayı / Sayfa 24 / 1 / 87–94 DOI 10.31086/tjgeri.2021.203
Makale Linki http://dx.doi.org/10.31086/tjgeri.2021.203
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
Nutritional Status | Mortality | Myocardial Infarction | Aged