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Hospital meal intake in acute heart failure patients and its association with long-term outcomes.
- Source :
-
Open heart [Open Heart] 2020 May; Vol. 7 (1). - Publication Year :
- 2020
-
Abstract
- Background: Risk prediction for hospitalised heart failure (HF, HHF) patients remains suboptimal. We aimed to determine the prognostic value of hospital food intake (FI) immediately before discharge among HHF patients.<br />Method: We analysed the data of 255 HHF patients extracted from the records of a single university hospital. The FI percentage of the three meals the day before hospital discharge was averaged. Patients were stratified into adequate FI (100% consumption) and inadequate FI (less than 100% consumption) groups. The primary outcome was the composite of all-cause mortality and/or HF readmission within 1 year.<br />Results: Only 49.3% of HHF patients consumed 100% of their meals. Patients with inadequate FI were older; predominantly women; and had a lower body mass index, higher brain natriuretic peptide levels and Clinical Frailty Scale scores at discharge than those with adequate FI. Inadequate FI was significantly associated with adverse outcomes after adjustments (HR 2.00; 95% CI 1.09 to 3.67; p=0.026). The effect of interaction by ejection fraction (EF) was highly significant: HF with preserved EF (≥40%) was significantly associated with inadequate FI with adverse outcomes (HR 4.95; 95% CI 1.71 to 14.36; p=0.003) but HF with reduced EF (<40%) was not (HR 0.77; 95% CI 0.31 to 1.95; p=0.590).<br />Conclusions: The hospital FI assessment might be a simple, useful tool for predicting and stratifying risk for HHF patients.<br />Competing Interests: Competing interests: SK reports investigator-initiated grant funding from Bayer and Daiichi Sankyo. The other authors declare no conflict of interest.<br /> (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Acute Disease
Aged
Aged, 80 and over
Female
Heart Disease Risk Factors
Heart Failure diagnosis
Heart Failure mortality
Heart Failure physiopathology
Hospitals, University
Humans
Male
Middle Aged
Patient Discharge
Patient Readmission
Prognosis
Prospective Studies
Registries
Risk Assessment
Time Factors
Tokyo
Eating
Food Service, Hospital
Heart Failure therapy
Meals
Subjects
Details
- Language :
- English
- ISSN :
- 2053-3624
- Volume :
- 7
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Open heart
- Publication Type :
- Academic Journal
- Accession number :
- 32393659
- Full Text :
- https://doi.org/10.1136/openhrt-2020-001248