Institute of Dietetics, The Academy of Business and Health Science, 90-361 Lodz, Poland.
Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, ul. Bartla 5, 51-618 Wroclaw, Poland.
Eur J Cardiovasc Nurs. 2024 Mar 12;23(2):176-187. doi: 10.1093/eurjcn/zvad050.
A nutritional status is related to the length of hospitalization and in-hospital mortality of patients with heart failure (HF). The aim of this study is to assess the prognostic impact of nutritional status and body mass index (BMI) on in-hospital mortality among patients with HF relative to their sex.
We conducted a retrospective study and analysis of 809 medical records of patients admitted to the Institute of Heart Disease of the University Clinical Hospital in Wroclaw (Poland). Women were statistically significantly older than men (74.67 ± 11.15 vs. 66.76 ± 17.78; P < 0.001). In unadjusted model, significant predictors of the odds of in-hospital mortality for men were underweight (OR = 14.81, P = 0.001) and the risk of malnutrition (OR = 8.979, P < 0.001). In the case of women, none of the traits analysed was significant. In age-adjusted model, significant independent predictors of the odds of in-hospital mortality in the case of men were BMI < 18.5 (OR = 15.423, P = 0.001) and risk of malnutrition (OR = 5.557, P = 0.002). In the case of women, none of the nutritional status traits analysed were significant. In multivariable-adjusted model in men, significant independent predictors of the odds of in-hospital mortality were BMI < 18.5 (OR = 15.978, P = 0.007) compared with having normal body weight and the risk of malnutrition (OR = 4.686, P = 0.015). In the case of women, none of the nutritional status traits analysed were significant.
Both underweight and the risk of malnutrition are direct predictors of the odds of in-hospital mortality in men, but not in women. The study did not find a relationship between nutritional status and in-hospital mortality in women.
营养状况与心力衰竭（HF）患者的住院时间和住院死亡率有关。本研究旨在评估营养状况和体重指数（BMI）对 HF 患者住院死亡率的预后影响及其与性别之间的关系。
我们进行了一项回顾性研究，分析了 809 例入住弗罗茨瓦夫大学临床医院心脏病研究所的患者的病历。女性的年龄明显大于男性（74.67±11.15 岁比 66.76±17.78 岁；P<0.001）。在未调整模型中，男性住院死亡率的odds 比的显著预测因素为体重过轻（OR=14.81，P=0.001）和营养不良风险（OR=8.979，P<0.001）。对于女性，分析的特征均无统计学意义。在年龄调整模型中，男性住院死亡率的odds 比的显著独立预测因素为 BMI<18.5（OR=15.423，P=0.001）和营养不良风险（OR=5.557，P=0.002）。对于女性，分析的营养状况特征均无统计学意义。在男性的多变量调整模型中，BMI<18.5（OR=15.978，P=0.007）与正常体重和营养不良风险（OR=4.686，P=0.015）相比，是住院死亡率的 odds 比的显著独立预测因素。对于女性，分析的营养状况特征均无统计学意义。
体重过轻和营养不良风险是男性住院死亡率的直接预测因素，但不是女性的。该研究未发现女性营养状况与住院死亡率之间存在关系。
