Summary:
A study published in Nutrients found that the severity of malnutrition at hospital admission predicts outcomes in older adults with acute heart failure. Among 214 patients aged 65 years and above (mean age 85), those with moderate to severe nutritional risk based on the Geriatric Nutritional Risk Index (GNRI) had a significantly higher risk of all-cause mortality over nearly one year of follow-up, even after adjusting for confounding factors. The findings underscore the importance of routine nutritional assessment at admission to better evaluate risk and guide treatment in this population.
A study published in Nutrients examined whether the degree of malnutrition at the time of hospital admission can predict outcomes in older adults admitted with acute heart failure. The study involved 214 patients aged 65 years and above, with an average age of 85 years. Researchers evaluated nutritional status using the Geriatric Nutritional Risk Index (GNRI), classifying participants into normal, mild, moderate, or severe risk categories.
During a median follow-up of almost one year, patients in progressively worse GNRI categories were generally older and more likely to be frail, underweight, and anemic. After adjusting for potential confounding factors, those in the moderate and severe GNRI risk groups had a significantly higher risk of all-cause mortality compared with individuals who had normal nutritional status. GNRI also demonstrated a consistent inverse relationship with mortality and maintained its prognostic significance even among patients aged 85 years or older.
These results highlight the clinical value of conducting routine nutritional assessments at admission to improve risk stratification and inform management strategies for older patients with acute heart failure.
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