研究进展

GNRI 与 CONUT 评分预测高龄射血分数保留心衰的预后

来源:Cardiology research · PMID 42964223 · DOI 10.14740/cr2282 · 来源:IMA 知识库《文献层·文献监控卡片》2026-11-01 期 · 全文级(file_id dlMXdlgtPZzo,实际下载核验) · 全文已获取并通过归属校验

时间标签:数据日期 2026-11-01 · 生成时间 2026-11-01 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/10/31–2026/11/01 | 情报发生日期 2026-11-01

研究问题

Elderly HF patients usually have a poorer prognosis due to comorbidities and physiological decline [ ].;Heart failure with preserved ejection fraction (HFpEF) is the most prevalent phenotype among elderly patients, characterized by left ventricular ejection fraction ≥ 50%, typical signs and/or symptoms of HF, and

方法

All participants were uniformly diagnosed with HFpEF in accordance with the 2023 ESC Guidelines [ ].

核心结论

Survival analysis of different groups of patients under CONUT score and GNRI score For CONUT scores, higher scores were linked to increased all-cause mortality risk and decreased survival probability, and for GNRI scores, lower scores were associated with…;As the CONUT scores increased, the rates of all-cause death, cardiovascular death, all-cause readmission, and HF-related readmission rose significantly (P < 0.05).;By contrast, GNRI score was independently associated with lower mortality, indicating that better nutritional status correlated with reduced death risk.;Accumulating evidence suggests that malnutrition is associated with adverse outcomes in HF patients, potentially through its effects on myocardial energy metabolism and immune function [ , , ].

局限

Future prospective, multicenter studies with larger sample sizes and comprehensive multivariable adjustment are warranted to validate the prognostic value of CONUT and GNRI in elderly HFpEF patients.;This observation may reflect the known heterogeneity of HFpEF, but our cross-sectional data cannot determine whether nutritional status is directly associated with cardiac remodeling.

对本项目的价值

人群纵向证据,可用于假说生成与终点选择:炎症衰老是多数慢病共病的上游枢纽,可用于分层与联合干预设计。 | 价值分 1.0/5(★☆☆☆☆)

全文来源

PubMed PMC JATS 全文(正文 22,219 字符,已过 DOI 逐字 + 题名指纹双重归属校验)

原文题录

  • 英文标题:Prognostic Value of the Geriatric Nutritional Risk Index and Controlling Nutritional Status Score in Patients Aged ≥ 75 Years With Heart Failure With Preserved Ejection Fraction.
  • 期刊与标识:Cardiology research · PMID 42964223 · DOI 10.14740/cr2282

A 级证据分级:A 级(同行评议人体研究)

本文属人体研究证据,但需注意:观察性或小样本干预的结论不等于已证实临床获益;效应量与长期安全性仍需更大规模、更长随访的试验验证。

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