【摘 要】
：
Background The prevalence of heart failure (HF) appears to be 1％-2％ in adults and increases with age,ranging from approximately 1％ in those younger than 50 years to 10％ in those older than 70 years.Malnutri-tion is associated with increased mortality and
【机 构】
：
Department of Cardiology,Guangdong Key Laboratory of Vascular Diseases,Guangzhou Institute of Cardio
论文部分内容阅读
Background The prevalence of heart failure (HF) appears to be 1％-2％ in adults and increases with age,ranging from approximately 1％ in those younger than 50 years to 10％ in those older than 70 years.Malnutri-tion is associated with increased mortality and readmission in patients with cardiovascular disease.Triglyceride total cholesterol body weight index (TCBI),which is a new nutritional index,can be used as a useful prognostic index for patients with coronary artery disease or heart failure.The incidence of readmission due to heart failure remains high in patients with heart failure.The purpose of this study was to investigate whether there is a corre-lation between the TCBI and readmission rate to facilitate the identification of patients with heart failure at high risk of readmission.Methods This study was a retrospective study that included patients with heart failure who were hospitalized at the Zigong Fourth People\'s Hospital from December 2016 to June 2019.TCBI =Serum level of triglyceride (TG,mg/dL) × total cholesterol (TC,mg/dL) × body weight (BW,kg)/1000.The 1685 pa-tients were enrolled and divided into three groups as follows according to the tertiles of TCBI:Low TCBI group(TCBI ＜460,n=562),medium TCBI group (460≤TCBI ＜806,n=561) and High TCBI group (TCBI ≥806,n=562).The endpoint event was the patient\'s readmission in 6 months.Multivariate Cox regression analysis was used to assess the independent association between TCBI levels and 6-month readmission rate.The Kaplan-Mei-er method was used to draw a time-to-event curve.The Log-rank test was used to determine the difference in event rate among the three TCBI groups.Results During 6-month follow-up,a total of 619 patients (36.7％)applied for readmission,and the low TCBI group had the highest 6-month readmission rate (40.9％ vs.35.1％vs.34.2％,P=0.039).Kaplan-Meier curves showed the highest readmission rate for patients with low TCBI dur-ing the 6-month follow-up (Log-rank test:P=0.044).In the extended multivariate Cox model,the 6-month read-mission hazard ratio (HR) for the low TCBI group was stable in all four models (HRs range:1.24-1.26,P＜0.05 for all).After adjusted for variables,a 25％ higher of 6-month readmission rate could be observed in patients with low TCBI (HR:1.25,95％ CI:1.00-1.56,P=0.046).Conclusions TCBI can be used as an objective indi-cator to assess the nutritional status of patients.In patients with heart failure,there is a correlation between TC-BI levels and the 6-month readmission rate.Lower TCBI level is associated with higher 6-month readmission rate.
其他文献
目的 探析在椎基底动脉缺血性眩晕诊断中应用经颅多普勒超声的价值.方法 选取青岛市第五人民医院2019年11月至2021年1月收治的129例疑似椎基底动脉缺血性眩晕患者的临床资料,所选对象均进行经颅多普勒超声(TCD)诊断,以数字减影造影(DSA)检查结果为金标准,对其诊断结果进行回顾性分析.观察TCD检查结果,并依据诊断结果进行阳阴性组别划分,观察两组患者基底动脉(BA)、椎基底动脉(VA)、大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)等血流速度及搏动指数.结果 TCD诊断敏感度、特异
目的 分析六成汤对老年慢性功能性便秘患者的临床疗效.方法 选取2019年5月至2020年5月宿迁市第一人民医院收治的老年性慢性功能性便秘患者50名,随机均分为治疗组和对照组(分组方式:随机数字表法).予对照组患者乳果糖口服溶液治疗,治疗组加用六成汤.比较两组患者临床有效率、便秘症状量化评分、生活质量评分(PAC-QOL评分)及不良反应发生情况.结果 两组患者治疗后便秘症状量化各项评分及PAC-QOL评分均降低,且治疗组低于对照组(均P0.05).结论 六成汤联合乳果糖口服液能够改善老年慢性功能性便秘患者临
目的 观察2型糖尿病诊断中血清C肽、糖化血红蛋白联合检验的应用价值.方法 选取2020年3月至2021年8月烟台市芝罘区妇幼保健院收治57例2型糖尿病患者为观察组、57例体检健康者作为对照组,进行回顾性分析.观察组患者按照症状分为无糖尿病肾病(NDRD)组(36例),合并糖尿病肾病(DN)组(21例).均采集空腹静脉血,并进行血清C肽、糖化血红蛋白单独及联合检验,观察检测结果.结果 观察组受检者血清C肽水平低于对照组,糖化血红蛋白水平、空腹血糖水平、餐后2 h血糖水平均高于对照组(均P<0.05);无糖尿
目的 分析运动再学习疗法对脑卒中患者上肢康复训练产生的临床效果观察.方法 选取2018年7月至2020年12月在睢宁县中医院接受治疗的脑卒中患者43例作为研究对象,随机分成观察组与对照组,对照组22例采用常规康复训练模式,观察组21例在对照组的训练基础上,结合运动再学习疗法.对不同治疗方法下,患者的康复效果进行对比.结果 康复训练两个月后,观察组患者的治疗有效率高于对照组,差异有统计学意义(P<0.05).两组患者经过治疗后的改良Barthel指数评定量表(MBI)、简易Fugl-Meyer评定量表(FM
目的 研究两种不同术式治疗上尿路结石的作用机制.方法 选取122例上尿路结石患者,根据随机数字表法分为肾镜取石组(61例)和输尿管软镜组(61例).统计两组患者手术情况及并发症发生情况,比较两组患者术后6、12、24、48 h疼痛情况及术后6、12、24、48 h血清血红蛋白(Hb)、肌酐(Scr)水平变化情况.结果 输尿管软镜组手术时间、住院时间短于肾镜取石组,差异有统计学意义(P<0.05).术后两组患者视觉模拟评分(VAS)均呈逐渐降低趋势(P<0.05);且上述时间点输尿管软镜组VAS评分均低于肾
Background Early identification of patients at risk for adverse outcomes is imperative to improve the progno-sis of infective endocarditis (IE).Sequential Organ Failure Assessment (SOFA) score has been reported as an ef-fective assessment tool for predict
肿瘤患者发生营养不良的几率相当高,营养不良降低患者的生活质量,影响患者的临床结局.营养支持治疗已成为和手术、放疗、化疗、靶向治疗等同样重要的治疗手段,但是如何给肿瘤患者提供营养支持却存在很多的误区.rn误区1:“发物”不能吃rn“发物”是中医的术语,其实指的这三种食物:一是食物中含有某些激素,会促使人体内的某些机能亢进或代谢紊乱.如糖皮质类固醇超过生理剂量时可以诱发感染扩散、溃疡出血、癫痫发作等.二是某些食物所含的异性蛋白成为过敏原,引起变态反应性疾病复发.如海鱼、虾蟹往往引起皮肤过敏者荨麻疹、湿疹、神经
目的 探究中药处方点评在中成药合理使用中的实施要点.方法 选取2019年7月至2020年6月泗洪县中医院开具的1500例中成药处方,进行回顾性研究.以2019年7月至2019年12月开具的750例中成药处方作为对照组,以2020年1月至2020年6月期间开具的750例中成药处方作为试验组.对照组按照传统模式开展工作,予以试验组中药处方点评.对比两组中成药处方不合理用药发生情况、用药合理性评分、医患纠纷发生情况及对用药满意度.结果 试验组实施中药处方点评后共有9例中成药处方出现了不合理用药情况,而未实施中药
新华社北京10月13日电 在中国传统节日重阳节来临之际,中共中央总书记、国家主席、中央军委主席习近平对老龄工作作出重要指示,代表党中央祝全国老年人健康长寿、生活幸福.rn习近平指出,各级党委和政府要高度重视并切实做好老龄工作,贯彻落实积极应对人口老龄化国家战略,把积极老龄观、健康老龄化理念融入经济社会发展全过程,加大制度创新、政策供给、财政投入力度,健全完善老龄工作体系,强化基层力量配备,加快健全社会保障体系、养老服务体系、健康支撑体系.
Background Patients with decreased cardiac and renal function,as well as old age suffer from poor out-comes when undergoing cardiac surgery.The aim of this study was to evaluate the association of age,creatinine and ejection fraction (ACEF) score with in-