Malnutrition is Associated With Cognitive Impairment in Patients With Repeated Hospitalization for Acute Heart Failure

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Title
Malnutrition is Associated With Cognitive Impairment in Patients With Repeated Hospitalization for Acute Heart Failure
Creator
SUGIHARA Shinobu
YASUHARA Mizuho
SUYAMA Ryuji
SUYAMA Tomoko
SHIROTA Kinya
Source Title
Shimane Journal of Medical Science
Volume 41
Issue 2
Start Page 29
End Page 40
Journal Identifire
ISSN 03865959
EISSN 24332410
Descriptions
The purpose was to assess the nutritional characteristics of patients repeatedly hospitalized with acute heart failure (AHF). We enrolled 60 patients with hospitalized at least three times within four years. The Geriatric Nutritional Risk Index (GNRI) was used as a nutritional index. The patients were divided into three groups based on changes in GNRI: (1) Good group, good or mild decrease in nutritional status (GNRI ≥ 92); (2) Change group, nutritional status changed; and (3) Poor group, moderate to severe malnutrition status (GNRI <92). Of the 60 patients, there were 23 in the Good group (38.3%), 23 in the Change group (38.3%), and 14 in the Poor group (23.4%). The overall GNRI decreased at every hospitalization. The rate of cognitive impairment (CI) was highest and handgrip strength was lowest in the Poor group. In multivariate analysis, CI was independently associated with the Poor group. The patients with persistent malnutrition were characterized by CI.
Subjects
acute heart failure
cognitive impairment
Geriatric Nutritional Risk Index
Language
eng
Resource Type departmental bulletin paper
Publisher
Faculty of Medicine, Shimane University
島根大学医学部
Date of Issued 2024-06
Rights
Faculty of Medicine, Shimane University
権利関係(リンク) Creative Commons License
This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Publish Type Version of Record
Access Rights open access
Relation
[NCID] AA00841586
[DOI] 10.51010/sjms.41.2_29