Prognostic Value of the Nutritional Risk Index in Heart Transplant Recipients

Barge‐Caballero, Eduardo; García-López, Fernando; Marzoa-Rivas, Raquel; Barge‐Caballero, Gonzalo; Couto‐Mallón, David; Paniagua‐Martin, María J.; Solla-Buceta, Miguel; Velasco-Sierra, Carlos; Pita-Gutiérrez, Francisco; Herrera-Noreña, José M.; Cuenca-Castillo, José J.; Vázquez‐Rodríguez, José Manuel; Crespo‐Leiro, María G.

doi:10.1016/j.rec.2017.01.005

Cited by 15 publications

(22 citation statements)

References 23 publications

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“…The present results are in line with previously published studies showing a good predictive value of pre-operative GNRI in other cardiovascular therapies such as heart failure [17], heart transplant [10] or more recently percutaneous coronary intervention [11]. Other reports have shown low GNRI to delay rehabilitation after cardiac surgery in elderly patients [18], which remains to be studied after TAVR.…”

Section: Discussionsupporting

confidence: 91%

“…Since its introduction, it has been applied in several medical specialties, mainly in the field of oncology [7,8]. NRI has been recently shown to have a better prognostic value than both BMI and albumin in several cardiovascular diseases and procedures, including acute or chronic heart failure [1,9], heart transplants [10], coronary artery disease [2] or percutaneous coronary interventions [11]. NRI is not only an easy tool to assess nutritional status, but it does not require any complex or additional test to those performed routinely on admission.…”

Section: Introductionmentioning

confidence: 99%

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Nutritional risk index is a better predictor of early mortality than conventional nutritional markers after transcatheter aortic valve replacement: A prospective cohort study

et al. 2021

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Background: Nutritional risk index (NRI) has been shown to better predict survival than body mass index (BMI) or albumin after several cardiovascular interventions. Under assessment herein is whether NRI can have higher predictive value than conventional parameters for short-term survival after transcatheter aortic valve replacement (TAVR). Methods: A prospective cohort study was performed. In-hospital, 1-month and 3-month survival was evaluated. Since most patients undergoing TAVR are over 65, the NRI definition for a geriatric population (GNRI) was used. The impact of baseline BMI, albumin levels, and GNRI on in-hospital and short-term survival was assessed.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Nutritional risk index is a better predictor of early mortality than conventional nutritional markers after transcatheter aortic valve replacement: A prospective cohort study

et al. 2021

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“…Diagnostic and other tests [e.g. complete medical history, physical examination, CPET, right heart catheterization, evaluation of peripheral vascular disease, assessment of frailty and nutritional status, determination of organ function (lung, liver and kidney), screening for neoplasms or active infections], prognostic scores (e.g. HFSS, SHFM, IMPACT), and other studies as indicated based on co‐morbidities ( Table ) are used to assess these three components of the pre‐cardiac transplant evaluation.…”

Section: Management Strategies For Patients With Advanced Heart Failurementioning

confidence: 99%

Advanced heart failure: a position statement of the Heart Failure Association of the European Society of Cardiology

Crespo-Leiro

Metra

Lund

et al. 2018

European J of Heart Fail

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677

605

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This article updates the Heart Failure Association of the European Society of Cardiology (ESC) 2007 classification of advanced heart failure and describes new diagnostic and treatment options for these patients. Recognizing the patient with advanced heart failure is critical to facilitate timely referral to advanced heart failure centres. Unplanned visits for heart failure decompensation, malignant arrhythmias, co-morbidities, and the 2016 ESC guidelines criteria for the diagnosis of heart failure with preserved ejection fraction are included in this updated definition. Standard treatment is, by definition, insufficient in these patients. Inotropic therapy may be used as a bridge strategy, but it is only a palliative measure when used on its own, because of the lack of outcomes data. Major progress has occurred with short-term mechanical circulatory support devices for immediate management of cardiogenic shock and long-term mechanical circulatory support for either a bridge to transplantation or as destination therapy. Heart transplantation remains the treatment of choice for patients without contraindications. Some patients will not be candidates for advanced heart failure therapies. For these patients, who are often elderly with multiple co-morbidities, management of advanced heart failure to reduce symptoms and improve quality of life should be emphasized. Robust evidence from prospective studies is lacking for most therapies for advanced heart failure. There is an urgent need to develop evidence-based treatment algorithms to prolong life when possible and in accordance with patient preferences, increase life quality, and reduce the burden of hospitalization in this vulnerable patient population.

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“…119 As expected, malnourished patients with HF who received heart transplantation had a significantly higher incidence of posttransplantation complications (infection, late weaning from mechanical ventilation, stroke) as well as longer postoperative intensive care stay and higher mortality. 120 Similar results have been proven in patients who are candidates for continuous flow left ventricular assist device (LVAD) therapy. 121 Hospitalized patients with advanced HF are at high risk of malnutrition and death, and the Nutritional Risk Index (NRI) is a simple, wellvalidated tool for identifying patients at risk of nutritionrelated complications.…”

Section: Nrs In Ischemic Heart Diseasementioning

confidence: 61%

Nutritional Considerations of Cardiovascular Diseases and Treatments

Boban

Bulj

Zeljković³

et al. 2019

Nutr Metab Insights

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Nutritional considerations of many chronic diseases are not fully understood or taken into consideration in everyday clinical practice. Therefore, it is not surprising that high proportion of hospitalized patients with cardiovascular diseases remains underdiagnosed with malnutrition. Malnourished patients have increased risk of poor clinical outcomes, complications rate, prolonged hospital stay, more frequent rehospitalizations, and lower quality of life. The purpose of this review is to recapitulate recent data on nutritional considerations in cardiovascular medicine.

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Prognostic Value of the Nutritional Risk Index in Heart Transplant Recipients

Cited by 15 publications

References 23 publications

Nutritional risk index is a better predictor of early mortality than conventional nutritional markers after transcatheter aortic valve replacement: A prospective cohort study

Nutritional risk index is a better predictor of early mortality than conventional nutritional markers after transcatheter aortic valve replacement: A prospective cohort study

Advanced heart failure: a position statement of the Heart Failure Association of the European Society of Cardiology

Nutritional Considerations of Cardiovascular Diseases and Treatments

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