Nutritional Risk and Mortality at One Year for Elderly Patients Hospitalized with Nonvalvular Atrial Fibrillation. NONAVASC Registry

Objectives To determine whether nutritional risk is associated with the mortality of elderly patients hospitalized with nonvalvular atrial fibrillation (NVAF). Design Prospective, multicenter cohort study. Setting Internal medicine departments in Spain. Participants Inpatients >75 years with NVAF...

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Bibliographic Details
Published in:The Journal of nutrition, health & aging health & aging, 2020-09, Vol.24 (9), p.981-986
Main Authors: Arenas Miquélez, A., Requena Calleja, M. A., Gullón, A., Pose Reino, A., Formiga, F., Camafort, M., Cepeda Rodrigo, J. M., Mostaza, J. M., Fernández, C. Suárez, Díez-Manglano, Jesús
Format: Article
Language:English
Subjects:
Aging
Anticoagulants
Cardiac arrhythmia
Cohort analysis
Geriatrics/Gerontology
Hospitalization
Malnutrition
Medicine
Medicine & Public Health
Mortality
Neurosciences
Nutrition
Older people
Primary Care Medicine
Quality of Life Research
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Summary:Objectives To determine whether nutritional risk is associated with the mortality of elderly patients hospitalized with nonvalvular atrial fibrillation (NVAF). Design Prospective, multicenter cohort study. Setting Internal medicine departments in Spain. Participants Inpatients >75 years with NVAF. Measurements We measured the thrombotic and hemorrhagic risk at admission using the CHA2DS2-VASc and HAS-BLED scales, respectively, and the nutritional risk with the controlling nutritional status (CONUT) index. We established 4 degrees of nutritional risk: null (CONUT score 0–1 point), low (2–4 points), moderate (5–8 points) and high (9–12 points). We also conducted a 1-year follow-up. Results We included 449 patients, with a mean age of 85.2(5.2) years. The nutritional risk was null for 70(15.6%) patients, low for 206 45.9%), moderate for 152(33.8%) and high for 21(4.7%). At the end of one year, 177(39.4%) patients had died. The score on the CONUT index was higher for the deceased patients (4.6 vs. 3.6, p
ISSN:1279-7707
1760-4788
DOI:10.1007/s12603-020-1507-0