The ability of the prognostic nutritional index to predict short-term mortality in geriatric acute heart failure
Abstract Background Heart failure is a critical cardiovascular condition, necessitating comprehensive treatment approaches and contributing to elevated mortality rates. This study aimed to evaluate the effect of the prognostic nutritional index (PNI) on the prognosis of geriatric patients diagnosed...
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SpringerOpen
2025-01-01
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| Series: | The Egyptian Heart Journal |
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| Online Access: | https://doi.org/10.1186/s43044-024-00604-0 |
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| author | Hilal Akça Hatice Şeyma Akça Abuzer Özkan Serdar Özdemir |
| author_facet | Hilal Akça Hatice Şeyma Akça Abuzer Özkan Serdar Özdemir |
| author_sort | Hilal Akça |
| collection | DOAJ |
| description | Abstract Background Heart failure is a critical cardiovascular condition, necessitating comprehensive treatment approaches and contributing to elevated mortality rates. This study aimed to evaluate the effect of the prognostic nutritional index (PNI) on the prognosis of geriatric patients diagnosed with acute heart failure. Results A total of 104 patients were included and evaluated retrospectively in this study; 57.7% of them were females, and 19.24% of the patients died. A statistically significant difference was identified between high (≥ 35.6) and low PNI (< 35.6) groups in terms of lymphocyte count, neutrophil–lymphocyte ratio, C-reactive protein, and albumin (p values: < 0.001, < 0.001, 0.011, and < 0.001, respectively). The area under the curve (AUC) value for albumin was 0.53 (95% CI: 0.30–0.83) with a cutoff value of 3.1 g/dL; for lymphocyte count, it was 0.61 (95% CI: 0.57–0.84) with a cutoff value of 0.34 × 103/µL; and for PNI, it was 0.58 (95% CI: 41.18–85.06) with a cutoff value of 34.6. Conclusion The low PNI group exhibited a significantly higher mortality rate; nonetheless, PNI alone does not hold clinical significance as a prognostic marker. However, when combined with other clinical parameters, it can contribute to a more comprehensive assessment of patients. |
| format | Article |
| id | doaj-art-45ecb382b59c496a873489d1f68d7427 |
| institution | Kabale University |
| issn | 2090-911X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj-art-45ecb382b59c496a873489d1f68d74272025-01-12T12:28:57ZengSpringerOpenThe Egyptian Heart Journal2090-911X2025-01-017711710.1186/s43044-024-00604-0The ability of the prognostic nutritional index to predict short-term mortality in geriatric acute heart failureHilal Akça0Hatice Şeyma Akça1Abuzer Özkan2Serdar Özdemir3Department of Anesthesia and Reanimation, Başakşehir Çam Ve Sakura City HospitalDepartment of Emergency Medicine, Karaman Education and Research Hospital, University of Karamanoğlu Mehmet BeyDepartment of Emergency Medicine, Bağcılar Education and Research Hospital, University of Health SciencesDepartment of Emergency Medicine, Ümraniye Education and Research Hospital, University of Health SciencesAbstract Background Heart failure is a critical cardiovascular condition, necessitating comprehensive treatment approaches and contributing to elevated mortality rates. This study aimed to evaluate the effect of the prognostic nutritional index (PNI) on the prognosis of geriatric patients diagnosed with acute heart failure. Results A total of 104 patients were included and evaluated retrospectively in this study; 57.7% of them were females, and 19.24% of the patients died. A statistically significant difference was identified between high (≥ 35.6) and low PNI (< 35.6) groups in terms of lymphocyte count, neutrophil–lymphocyte ratio, C-reactive protein, and albumin (p values: < 0.001, < 0.001, 0.011, and < 0.001, respectively). The area under the curve (AUC) value for albumin was 0.53 (95% CI: 0.30–0.83) with a cutoff value of 3.1 g/dL; for lymphocyte count, it was 0.61 (95% CI: 0.57–0.84) with a cutoff value of 0.34 × 103/µL; and for PNI, it was 0.58 (95% CI: 41.18–85.06) with a cutoff value of 34.6. Conclusion The low PNI group exhibited a significantly higher mortality rate; nonetheless, PNI alone does not hold clinical significance as a prognostic marker. However, when combined with other clinical parameters, it can contribute to a more comprehensive assessment of patients.https://doi.org/10.1186/s43044-024-00604-0Prognostic nutritional indexAcute heart failureAlbuminLymphocyte |
| spellingShingle | Hilal Akça Hatice Şeyma Akça Abuzer Özkan Serdar Özdemir The ability of the prognostic nutritional index to predict short-term mortality in geriatric acute heart failure The Egyptian Heart Journal Prognostic nutritional index Acute heart failure Albumin Lymphocyte |
| title | The ability of the prognostic nutritional index to predict short-term mortality in geriatric acute heart failure |
| title_full | The ability of the prognostic nutritional index to predict short-term mortality in geriatric acute heart failure |
| title_fullStr | The ability of the prognostic nutritional index to predict short-term mortality in geriatric acute heart failure |
| title_full_unstemmed | The ability of the prognostic nutritional index to predict short-term mortality in geriatric acute heart failure |
| title_short | The ability of the prognostic nutritional index to predict short-term mortality in geriatric acute heart failure |
| title_sort | ability of the prognostic nutritional index to predict short term mortality in geriatric acute heart failure |
| topic | Prognostic nutritional index Acute heart failure Albumin Lymphocyte |
| url | https://doi.org/10.1186/s43044-024-00604-0 |
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