To clarify whether geriatric nutritional risk index (GNRI) is useful for predicting
the prognosis of patients hospitalized with preserved ejection fraction (HFpEF). A
total of 117 HFpEF elderly patients (more than or equal 65 years) from the Ibaraki
Cardiovascular Assessment Study-HF (N = 838) were enrolled. All-cause mortality was
compared between 2 groups: low GNRI (<92) with moderate or severe nutritional risk;
and high GNRI (more than or equal 92) with no or low nutritional risk. A Kaplan-Meier
analysis revealed that all-cause deaths occurred more frequently in HFpEF patients
with low GNRI (n = 19 [40.4%]) than in those with high GNRI (n = 8 [11.4%]; log-rank
P < .01) (Fig. 1). This study suggests that nutritional screening using GNRI is helpful
in predicting the prognosis of elderly patients hospitalized with HFpEF in a multicenter
registry setting.
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