Abstract 11433: Protein-Energy Malnutrition is Associated with Higher Mortality and Adverse Clinical Outcomes in Patients with Systolic Heart Failure with History of Atrial Fibrillation

• Published in: Circulation (New York, N.Y.) N.Y.), 2021-11, Vol.144 (Suppl_1), p.A11433-A11433
• Main Authors: Fatuyi, Michael, Pereira, Leanne, Zain elabidin, Awfa, Namdarizandi, Vahid, Tappuni, Bassman, Akuna, Emmanuel, Kaseer, Belal, Otulana, Rukayat, Sharma, Vivek, Ansari, Asimul H, Shemisa, Kamal
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/circ.144.suppl_1.11433

IntroductionPoor nutritional status worsens clinical outcomes in multiple disease states. Protein-Energy Malnutrition (PEM) worsens outcomes for patients with systolic heart failure (SysHF). Similarly, Atrial Fibrillation (AF) worsens outcomes of SysHF. The impact of PEM on patients with SysHF & AF is not known. Therefore, our study sought to measure the effect of PEM on clinical outcomes in patients with SysHF & AF. MethodsWe queried the National Inpatient Sample (NIS) between 2016 & 2017. NIS was searched for adult patients hospitalized with SysHF with a history of AF as a principal diagnosis with & without PEM as a secondary diagnosis using ICD-10 codes. The primary outcome was inpatient mortality, while secondary outcomes were the length of stay (LOS), total hospital charge, cardiac arrest, cardiogenic shock, & respiratory failure. A multivariable logistic & linear regression analysis was applied to estimate the odds for the clinical outcome. A p-value