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Effect of risk of malnutrition on 30-day mortality among older patients with acute heart failure in Emergency Departments

2019; Elsevier BV; Volume: 65; Linguagem: Inglês

10.1016/j.ejim.2019.04.014

1879-0828

Francisco Javier Martín‐Sánchez, Federico Cuesta Triana, Xavier Rosselló, Rebeca Pardo García, Guillermo García, Francisca Caimari, María Teresa Vidán, Pedro Ruiz‐Artacho, Juan González del Castillo, Pere Llorens, Pablo Herrero, Javier Jacob, Víctor Gil, Cristina Fernández, Pedro Gil, Héctor Bueno, Òscar Miró, Pilar Matía‐Martín, Esther Rodríguez Adrada, Maria Carmen Lopes Ferreira Silva Santos, Lucía Salgado, Berenice Nayla Brizzi, María Luisa Docavo, María del Mar Suárez-Cadenas, Carolina Xipell, Carolina Sánchez, Sira Aguiló, Josep María Gaytán, Alba Jeréz, María José Pérez‐Durá, Pablo Berrocal Gil, María Luisa López‐Grima, Amparo Valero, Alfons Aguirre, María Àngels Pedragosa, Pascual Piñera, Paula LázaroAragues, José Andrés Sánchez Nicolás, Miguel Alberto Rizzi, Sergio Herrera, Aitor Alquézar, Àlex Roset, Carles Ferrer, Ferrán Llopis, José María Álvarez Pérez, María Pilar López Díez, Fernando Richard, José María Fernández‐Cañadas, José Manuel Carratalá, Patricia Javaloyes, Juan Antonio Andueza, J.A. Sevillano Fernández, Rodolfo Romero, Marta Merlo Loranca, Virginia Álvarez Rodríguez, María Teresa Lorca, Luis Calderón, Ester Soy Ferrer, José Manuel Garrido, Enrique Martín Mojarro,

Body Composition Measurement Techniques

Abstract Background Little is known about the prevalence and impact of risk of malnutrition on short-term mortality among seniors presenting with acute heart failure (AHF) in emergency setting. The objective was to determine the impact of risk of malnutrition on 30-day mortality risk among older patients who attended in Emergency Departments (EDs) for AHF. Material and methods We performed a secondary analysis of the OAK-3 Registry including all consecutive patients ≥65 years attending in 16 Spanish EDs for AHF. Risk of malnutrition was defined by the Mini Nutritional Assessment Short Form (MNA-SF) < 12 points. Unadjusted and adjusted logistic regression models were used to assess the association between risk of malnutrition and 30-day mortality. Results We included 749 patients (mean age: 85 (SD 6); 55.8% females). Risk of malnutrition was observed in 594 (79.3%) patients. The rate of 30-day mortality was 8.8%. After adjusting for MEESSI-AHF risk score clinical categories (model 1) and after adding all variables showing a significantly different distribution among groups (model 2), the risk of malnutrition was an independent factor associated with 30-day mortality (adjusted OR by model 1 = 3.4; 95%CI 1.2–9.7; p = .020 and adjusted OR by model 2 = 3.1; 95%CI 1.1–9.0; p = .033) compared to normal nutritional status. Conclusions The risk of malnutrition assessed by the MNA-SF is associated with 30-day mortality in older patients with AHF who were attended in EDs. Routine screening of risk of malnutrition may help emergency physicians in decision-making and establishing a care plan.