1. Impact of nutritional index on long-term outcomes of elderly patients with coronary artery disease: sub-analysis of the SHINANO 5 year registry
- Author
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Takashi Miura, Takahiro Sakai, Ayumu Nagae, Hirohiko Motoki, Daisuke Kashiwagi, Souichiro Ebisawa, Tatsuya Saigusa, Koichiro Kuwahara, Ayako Okada, Hisanori Yui, Tamon Kato, and Shusaku Maruyama
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,medicine.medical_treatment ,Nutritional Status ,Coronary Artery Disease ,030204 cardiovascular system & hematology ,Coronary artery disease ,03 medical and health sciences ,Percutaneous Coronary Intervention ,0302 clinical medicine ,Japan ,Risk Factors ,Internal medicine ,medicine ,Humans ,Postoperative Period ,Prospective Studies ,Registries ,030212 general & internal medicine ,Myocardial infarction ,Aged ,Aged, 80 and over ,business.industry ,Incidence ,Malnutrition ,Hazard ratio ,Percutaneous coronary intervention ,Retrospective cohort study ,Prognosis ,medicine.disease ,Nutritional index ,Quartile ,Conventional PCI ,Female ,Original Article ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies ,Cohort study - Abstract
Nutritional status is a novel approach to prognostic assessment in patients with cardiovascular disease. However, assessment of nutritional status in elderly patients is challenging due to the significant differences between young patients. The TCBI (Triglycerides × Total cholesterol × Body Weight Index) is a novel and simple nutritional index for predicting long-term outcomes in patients with coronary artery disease. This retrospective study evaluated the efficacy of TCBI in 597 elderly (≥ 75 years) patients enrolled in the SHINANO 5 year registry. The SHINANO 5 year registry, a prospective observational multicenter cohort study, had enrolled 1501 consecutive patients who underwent elective/urgent percutaneous coronary intervention (PCI). In this study, patients were categorized into TCBI quartile groups. The primary endpoints were the occurrence of major adverse cardiac and cerebrovascular events (MACCE), including all-cause death, stroke, and myocardial infarction at 5 year. The mean duration of follow up was 4.3 ± 1.7 years. The average patient age was 80.9 ± 4.3 years. MACCE was observed in 61 (40.9%) patients in the lowest TCBI quartile group. Kaplan–Meier analysis demonstrated an inverse relationship between MACCE and TCBI (log-lank P
- Published
- 2020