Comparative analysis of three nutrition scores in predicting mortality after acute myocardial infarction

Kim, Hye-Ree; Kang, Min Gyu; Kim, Kyehwan; Koh, Jin‐Sin; Park, Jeong Rang; Hwang, Seok-Jae; Jeong, Young‐Hoon; Ahn, Jong Hwa; Park, Yongwhi; Bae, Jae Seok; Kwak, Choong Hwan; Hwang, Jin‐Yong; Park, Hyun Woong

doi:10.1016/j.nut.2021.111243

Cited by 26 publications

(31 citation statements)

References 33 publications

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“…Figure 1 summarizes the process of study selection. A total of eight studies ( 7 – 12 , 17 , 18 ) involving 9,277 patients with CAD were included in this meta-analysis. The main characteristics of these eligible studies are summarized in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…All the included studies were performed in Asian countries (Republic of Korea, Japan, and China). Five studies ( 7 – 9 , 11 , 18 ) were based on patients with total CAD and three studies ( 10 , 12 , 17 ) were based on the acute stage of CAD. The median or mean age of the patients ranged from 60 to 74 years.…”

Section: Resultsmentioning

confidence: 99%

“…The predictive value of GNRI by categorical analysis for all-cause mortality was available in six studies ( 7 , 9 , 10 , 12 , 17 , 18 ). As shown in Figure 2 , there was no evidence of significant heterogeneity ( I 2 = 0%; p =0.771).…”

Section: Resultsmentioning

confidence: 99%

“…The value of the lowest GNRI in predicting all-cause mortality was consistently observed across multiple subgroups ( Supplementary Table 1 ). In addition, three studies ( 9 , 12 , 17 ) assessed the predictive value of GNRI by continuous data for all-cause mortality. As shown in Figure 3 , the pooled RR of all-cause mortality was 1.08 (95% CI 1.02–1.14) per point decrease in GNRI, with significant heterogeneity ( I 2 = 80.3%; p = 0.006).…”

Section: Resultsmentioning

confidence: 99%

“…Therefore, our meta-analysis only focused on the predictive role of GNRI in patients with CAD. Among patients with acute myocardial infarction, GNRI was reported to have the best value in predicting all-cause mortality than the TCBI and PNI scoring systems ( 17 ). Using the area under the curve analysis, the GNRI score had a stronger predictive value for cardiovascular death than those of the PNI and CONUT score ( 21 ).…”

Section: Discussionmentioning

confidence: 99%

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Predictive Value of Geriatric Nutritional Risk Index in Patients With Coronary Artery Disease: A Meta-Analysis

Fan

Zhou

et al. 2021

Front. Nutr.

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Background: Low Geriatric Nutritional Risk Index has been identified as an index of impaired nutritional state. The objective of the meta-analysis was to assess the association of the Geriatric Nutritional Risk Index (GNRI) with adverse outcomes in patients with coronary artery disease (CAD).Methods: Relevant studies were identified by comprehensively searching PubMed and Embase databases in May 2021. Studies assessing the association of GNRI with all-cause mortality or major adverse cardiovascular events (MACEs) in patients with CAD were included. The predictive value of GNRI was summarized by pooling multivariable adjusted risk ratios (RR) with 95% confidence intervals (CI) per GNRI point decrease or the lowest vs. the highest GNRI group.Results: A total of eight studies involving 9277 patients with CAD were analyzed. Meta-analysis showed that the lowest GNRI was associated with a higher risk of all-cause mortality (RR 2.10; 95% CI 1.68–2.63) and MACEs (RR 2.84; 95% CI 1.56–5.16), respectively. Furthermore, per point decrease in GNRI was associated with 8 and 10% additional risk of all-cause mortality and MACEs. Subgroup analysis indicated that the value of low GNRI in predicting all-cause mortality was not affected by subtype of patients or follow-up duration.Conclusion: Low GNRI score at baseline was associated with a higher risk of all-cause mortality and cardiovascular events in patients with CAD. The nutritional state estimated by the GNRI score could provide important predictive information in patients with CAD.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Predictive Value of Geriatric Nutritional Risk Index in Patients With Coronary Artery Disease: A Meta-Analysis

Fan

Zhou

et al. 2021

Front. Nutr.

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Cut-off values of Geriatric Nutritional Risk Index for cardiovascular events in Japanese patients with acute myocardial infarction

Ito,

Inoue,

Nagoshi

et al. 2024

Heart Vessels

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The Geriatric Nutritional Risk Index (GNRI) is a straightforward nutritional risk assessment tool with an established relationship with poor prognosis in patients with heart failure. However, the utility of the GNRI in patients with acute myocardial infarction (AMI) remains unclear given the time-dependent changes in the pathophysiology of AMI and the selected endpoints. Accordingly, we aimed to evaluate the optimal cut-off values of the GNRI for cardiovascular events in patients with AMI. We used time-dependent receiver operating characteristic analysis to identify the optimal cut-off values for two endpoints, all-cause death and major adverse cardiac events (MACE: all-cause death, non-fatal myocardial infarction, hospitalization for heart failure, and stroke), over 4 years in 360 patients with AMI between 2012 and 2020. The cumulative incidence of MACE was 11.6%. The cut-off value of the GNRI for all-cause death was 82.7 (area under the curve [AUC], 0.834) at 3 months and 90.3 (AUC 0.854) at 4 years. The cut-off value of the GNRI for MACE was 83.0 (AUC 0.841) at 3 months and 95.3 (AUC 0.821) at 4 years. The GNRI demonstrated consistently high reliability relative to other indicators of AMI. Our findings indicated that the optimal cut-off value and reliability of the GNRI for cardiovascular events varied according to the endpoints and observation periods. GNRI emerges as a crucial predictor of prognosis for patients with AMI.

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Predictive values of four nutritional indices for adverse outcomes in patients with hypertension

Ejiri,

Tanaka,

Kimura

et al. 2024

Clin Exp Nephrol

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Comparative analysis of three nutrition scores in predicting mortality after acute myocardial infarction

Cited by 26 publications

References 33 publications

Predictive Value of Geriatric Nutritional Risk Index in Patients With Coronary Artery Disease: A Meta-Analysis

Predictive Value of Geriatric Nutritional Risk Index in Patients With Coronary Artery Disease: A Meta-Analysis

Cut-off values of Geriatric Nutritional Risk Index for cardiovascular events in Japanese patients with acute myocardial infarction

Predictive values of four nutritional indices for adverse outcomes in patients with hypertension

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