title: Nutritional State Predicts All-Cause Death Independent of Comorbidities in Geriatric Patients with Coronary Artery Disease.
abstract: OBJECTIVE
  To explore whether nutritional risk is associated with poor outcomes independent of complicated clinical status in older patients with coronary artery disease (CAD).
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Patients referred for coronary angiography in West China Hospital, Sichuan University, China.
  
  
  METHODS
  1772 patients with angiographic documented CAD whose age was above 65 years.
  
  
  METHODS
  Nutritional state was appraised using geriatric nutritional risk index (GNRI). Nutritional risk was defined as the GNRI below 98. The event rate of all-cause death was observed among patients with nutritional risk and those without.
  
  
  RESULTS
  During a median follow-up period of 27 months, 224 patients died. Multivariate Cox regression analysis showed that nutritional risk was associated with all-cause death (adjusted hazard ratio 1.99; 95% confidence interval 1.35-2.95; P=0.001). Subgroup analysis verified the association between nutritional risk and death among patients with distinct clinical features, comorbidities, and medication. There was no interaction between nutritional risk and clinical characteristics with regard to all-cause death.
  
  
  CONCLUSIONS
  Nutritional state is independently associated with the risk of all-cause death in geriatric patients with CAD. Whether nutritional support in appropriate patients improves clinical outcomes deserves further investigation.
authors.affiliation: Mao Chen, Department of Cardiology, West China Hospital, Sichuan University, 37 Guoxue Street, Chengdu 610041, Sichuan, China. Telephone: 86-189 8060 2046. Email: hmaochen@vip.sina.com.
authors.forename: B-T
authors.initials: BT
authors.lastname: Huang
authors.forename: Y
authors.initials: Y
authors.lastname: Peng
authors.forename: W
authors.initials: W
authors.lastname: Liu
authors.forename: C
authors.initials: C
authors.lastname: Zhang
authors.forename: H
authors.initials: H
authors.lastname: Chai
authors.forename: F-Y
authors.initials: FY
authors.lastname: Huang
authors.forename: Z-L
authors.initials: ZL
authors.lastname: Zuo
authors.forename: Y-B
authors.initials: YB
authors.lastname: Liao
authors.forename: T-L
authors.initials: TL
authors.lastname: Xia
authors.forename: M
authors.initials: M
authors.lastname: Chen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D002681:China / Q000453:epidemiology; D015331:Cohort Studies; D015897:Comorbidity; D003324:Coronary Artery Disease / Q000150:complications* / Q000401:mortality; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000150:complications* / Q000401:mortality; D009752:Nutritional Status; D018529:Nutritional Support; D016016:Proportional Hazards Models; D012044:Regression Analysis; D012307:Risk Factors
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