Value of echocardiographic parameters combined with geriatric nutritional risk index in predicting the prognosis of elderly chronic heart failure
10.3969/j.issn.1009-0126.2025.11.011
- VernacularTitle:超声心动图参数及老年营养风险指数联合预测老年慢性心力衰竭患者预后的价值
- Author:
Xin LUO
1
;
Yan XU
;
Chaoyang DU
;
Yanting KANG
;
Yan WANG
Author Information
1. 宜春市人民医院功能科,江西宜春 336000
- Publication Type:Journal Article
- Keywords:
heart failure;
aged;
echocardiography;
prognosis;
nutrition assessment
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2025;27(11):1494-1497
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of combination of echocardiographic(ECG)parameters and geriatric nutritional risk index(GNRI)in predicting the prognosis of elderly chronic heart failure(CHF).Methods A retrospective study was conducted on 102 elderly CHF patients admitted to our hospital from February 2023 to July 2024.According to their clinical outcomes after 6 months of follow-up,they were divided into a good prognosis group(67 cases)and a poor prognosis group(35 cases).The clinical data,such as left ventricular ejection fraction(LVEF),left ventricular end-diastolic inner diameter(LVEDD)and left ventricular end-systolic inner diameter(LVESD),and GNRI were compared between two groups.Logistic regression analysis was adopted to identify the influencing factors of prognosis of elderly CHF patients,and ROC curve was plotted to analyze the predictive efficiency of ECG parameters and GNRI for the prognosis.Results The poor prognosis group exhibited significantly advanced age,higher LVEDD and LVESD,longer course of CHF,and lower LVEF and GNRI in comparison with the good prognosis group(P＜0.01).Multivariate logistic regression analysis indicated that LVEF,LVEDD,LVESD and GNRI were identified as influencing factors for elderly CHF prognosis(P＜0.05,P＜0.01).In evaluating the poor prognosis,LVEF,LVEDD,LVESD,GNRI and their combination presented an AUC value of 0.854,0.773,0.785,0.850 and 0.902,respectively.The evaluation efficiency of combined detection was superior to that of single detection in assessing the poor prognosis in elderly CHF patients(P＜0.01).Conclusion ECG parameters and GNRI are related to the prognosis in elderly CHF patients,and combined detection has good evaluation efficiency for the poor prognosis.
