The Predictive Value of Geriatric Nutritional Risk Index Combined with the GRACE Score in Predicting the Risk of One Year Poor Prognosis in Elderly Patients with Non-ST Segment Elevation Myocardial Infarction After PCI

As a nutritional indicator, a lower level of geriatric nutritional risk index (GNRI) has been suggested as a predictor for poor prognosis in acute coronary syndrome (ACS). However, whether GNRI could improve the predictive value of the Global Registry of Acute Coronary Events (GRACE) score for the p...

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Bibliographic Details
Published in:Clinical interventions in aging 2024-01, Vol.19, p.705-714
Main Authors: Wu, Hong-Li, Hurile, Bater, Li, Zhi-Peng, Zhao, Hong-Wei
Format: Article
Language:English
Subjects:
Aged
Aged patients
Aged, 80 and over
Cardiac patients
elderly
Female
Geriatric Assessment - methods
geriatric nutritional risk index
grace score
Heart attack
Humans
Logistic Models
major adverse cardiac and cerebrovascular event
Male
Non-ST Elevated Myocardial Infarction
non-st segment elevation myocardial infarction
Nutrition Assessment
Nutritional Status
Original Research
pci
Percutaneous Coronary Intervention - adverse effects
Predictive Value of Tests
Prognosis
Risk Assessment
Risk Factors
Transluminal angioplasty
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Summary:As a nutritional indicator, a lower level of geriatric nutritional risk index (GNRI) has been suggested as a predictor for poor prognosis in acute coronary syndrome (ACS). However, whether GNRI could improve the predictive value of the Global Registry of Acute Coronary Events (GRACE) score for the prognosis in elderly patients with non-ST segment elevation myocardial infarction (NSTEMI) after PCI remains unclear. A total of 446 elderly patients with NSTEMI after percutaneous coronary intervention (PCI) were consecutively enrolled. Patients were divided into major adverse cardiovascular and cerebrovascular events (MACCE) group and control group according to the occurrence of MACCE during one year follow up. The clinical parameters including GNRI were compared to investigate the predictors for MACCE. The performance after the addition of GNRI to the GRACE score for predicting MACCE was determined. A total of 68 patients developed MACCE. In unadjusted analyses, the rate of MACCE was significantly higher in the 93.8
ISSN:1178-1998
1176-9092
1178-1998
DOI:10.2147/CIA.S457971