Nutritional status of geriatric outpatients with systolic heart failure and its prognostic value regarding death or hospitalization, biomarkers and quality of life

• DOI: 10.1007/s12603-013-0030-y
• Publication Date: 2013-03-18T02:19:33Z
• Authors: Luis Sargento; M. Satendra; I. Almeida; C. Sousa; S. Gomes; F. Salazar; N. Lousada; R. Palma dos Reis
• Keywords: Outpatient clinic

The prevalence of malnutrition in ambulatory patients with heart failure is difficult to determine, depending on the timing and methodology. To determine nutritional status outpatients systolic Mini Nutritional Assessment (MNA) full short-form versions, evaluate its relationship short-term prognosis, biomarkers quality life. Fifty consecutive (70% male), geriatric (74.3+ 6.2years old) stable outpatient (NYHA class II 68%, III 32%) left ventricular ejection fraction 26.7 +11.5% were included followed during 12 months. At a routine visit clinic, MNA, Minnesota Living Heart Failure questionnaire (MLHFQ) applied. According MNA screening score was classified using (MNA-F) versions questionnaire. recorded events death hospitalization. Statistics: The-survival hospitalizations curves evaluated Log-Rank test Cox Regression analysis. association between parameters analyzed Pearson Spearmann correlation coefficient. (1) mortality hospitalization rates 12% 42%, respectively. (2) With MNA-SF 7.6% had 20% at risk malnutrition. There good agreement (90%) MNA-F classifications. (3) significant MLHFQ (rs= −0.592 p<0.00l), Nt-ProBNP −0.49 p<0.001) total plasma protein (r= 0.672 p=0.006); The-MNA-SF classification associated months survival (Log-Rank p=0.044) p=0.005) curves. (4) Those by greater (HR= 8.0 p=0.059) (HR 8.1 p=0.008). useful for evaluation elderly failure. It predictor outcome also life Nt-ProBNP.