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Prognostic value of nutritional screening tools in hospitalized patients with decompensated heart failure: A systematic review and meta-analysis

NUTRITION RESEARCH (2023)

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Prevalence and prognostic importance of malnutrition, as assessed by four different scoring systems, in elder patients with heart failure

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Summary: This study aimed to investigate the prevalence, associations, and prognostic significance of malnutrition among elder patients with heart failure (HF). The study found that malnutrition was common among elder patients with HF and was associated with increased mortality risk. Among the nutritional scoring systems studied, the CONUT score was most effective in predicting mortality risk.

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Summary: Heart failure is becoming more prevalent due to factors such as the aging population, development of new drugs, and healthcare processes. Malnutrition, often associated with frailty or other comorbidities, has been identified as a poor prognostic factor in these patients, highlighting the importance of early diagnosis and treatment. This paper reviews key aspects of the pathophysiology, detection, and management of malnutrition in heart failure patients.

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Prognostic impact of cachexia by multi-assessment in older adults with heart failure: FRAGILE-HF cohort study

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Changes in prognostic nutritional index during hospitalization and outcomes in patients with acute heart failure

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A Comparative Study of Three Nutritional Risk/Screening Indices for Predicting Cardiac Events and Physical Functioning Among Patients with Acute Heart Failure

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Lang Zhao et al.

Summary: This study investigated the interrelationship of nutritional status and hyponatremia in mortality risk prediction in heart failure patients. The results showed that heart failure patients with both the lowest prognostic nutritional index (PNI) quartile and hyponatremia had a higher risk of all-cause mortality. Combining PNI and serum sodium level improved the predictive value for all-cause mortality in hospitalized heart failure patients.

NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES (2022)

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Prediction of all-cause mortality with malnutrition assessed by nutritional screening and assessment tools in patients with heart failure:a systematic review

Yule Hu et al.

Summary: This study aimed to evaluate the prognostic value of nutritional screening and assessment tools for all-cause mortality in heart failure patients. The meta-analysis of relevant studies showed that poor nutritional status predicted all-cause mortality in heart failure patients, and the Mini Nutritional Assessment (MNA) may be the best nutritional assessment tool.

NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES (2022)

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Potential association with malnutrition and allocation of combination medical therapies in hospitalized heart failure patients with reduced ejection fraction

Yumiko Kawakubo et al.

Summary: Malnutrition is common in patients with heart failure with reduced ejection fraction (HFrEF) and may influence the long-term prognosis and allocation of combination medical therapy. The study found that malnourished patients had lower rates of combination medical therapy use and the GNRI score was independently associated with the occurrence of adverse events.

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Diagnostic performance of nutritional indicators in patients with heart failure

Yoshiharu Kinugasa et al.

Summary: This study aimed to compare the diagnostic performance of three nutritional indicators (MNA-SF, GNRI, and CONUT) in heart failure patients. The findings showed that the MNA-SF score had the highest diagnostic ability in assessing nutritional status, while the CONUT score had the lowest diagnostic ability, especially in patients receiving statins.

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Jian Liu et al.

Summary: In Chinese hospitalized patients with heart failure, malnutrition is common and significantly increases the risk of readmission. The Controlling Nutritional Status (CONUT) score is a validated screening tool that provides valuable prognostic information.

ESC HEART FAILURE (2022)

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Article Cardiac & Cardiovascular Systems

Nutritional status during hospitalization is associated with the long-term prognosis of patients with heart failure

Takuma Takada et al.

Summary: This study investigated the impact of CONUT score changes on the clinical outcomes of patients with heart failure after discharge. The results showed that nutritional status changes during hospitalization were associated with cardiovascular events after discharge. Patients with persistently high CONUT scores had the highest composite endpoint rate.

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Prevalence and prognostic implications of malnutrition as defined by GLIM criteria in elderly patients with heart failure

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Energy intake during hospital stay predicts all-cause mortality after discharge independently of nutritional status in elderly heart failure patients

Satoshi Katano et al.

Summary: This study found that low daily energy intake was independently associated with higher mortality in elderly HF patients, and inclusion of energy intake in addition to established predictors improved mortality risk stratification. Patients who consumed 31.5 kcal/kg/day of energy had the lowest risk of all-cause mortality.

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Shubin Lv et al.

Summary: This study conducted a meta-analysis on the prevalence of malnutrition and its impact on all-cause mortality in patients with chronic heart failure, finding a total malnutrition prevalence of 46% and an increased risk of all-cause mortality in patients with malnutrition.

PLOS ONE (2021)

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Differential effect of malnutrition between patients hospitalized with new-onset heart failure and worsening of chronic heart failure

Koichiro Matsumura et al.

Summary: This study aimed to compare the differences in malnutrition between patients with new-onset heart failure and worsening of chronic heart failure. The findings showed that malnutrition was an independent prognostic factor in patients with new-onset heart failure.

ESC HEART FAILURE (2021)

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Nutritional status during hospitalization is associated with the long-term prognosis of patients with heart failure

Takuma Takada et al.

Summary: The study found that changes in the nutritional status of heart failure patients during hospitalization can affect the occurrence of cardiovascular events after discharge, suggesting that improving patients' nutritional status may help improve clinical outcomes.

ESC HEART FAILURE (2021)

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Changes in Appetite During the Heart Failure Trajectory and Association With Fatigue, Depressive Symptoms, and Quality of Life

Christina Andreae et al.

Summary: The study found that appetite improved after discharge in patients with heart failure, but a small percentage of patients still reported decreased appetite. Factors associated with decreased appetite include fatigue, depressive symptoms, and low quality of life.

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