GNRI for predicting mortality and heart failure in sepsis patients:An analysis using the MIMIC-Ⅳ database
10.3969/j.issn.1673-9701.2025.30.009
- VernacularTitle:GNRI预测脓毒症患者死亡率及心力衰竭:MIMIC-Ⅳ数据库分析
- Author:
Pei ZHOU
1
;
Chengcheng LIU
Author Information
1. 长沙市第三医院湖南大学附属长沙医院呼吸与危重症医学科,湖南长沙 410015
- Publication Type:Journal Article
- Keywords:
Geriatric nutritional risk index;
Sepsis;
Heart failure;
Prognosis
- From:
China Modern Doctor
2025;63(30):38-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the predictive value of the geriatric nutritional risk index(GNRI)for short-term mortality and the presence of concomitant heart failure in intensive care unit(ICU)patients with sepsis.Methods Based on the medical information mart for intensive care(MIMIC)-Ⅳ database,we analyzed the relationship between GNRI and 30-day and 90-day mortality in sepsis patients,and further evaluated its potential value in predicting sepsis complicated by heart failure.Results Patients with low GNRI had significantly higher 30-day and 90-day mortality and were effective in predicting the presence of combined heart failure in sepsis patients.Conclusion GNRI is a reliable predictor of short-term mortality in elderly sepsis patients and can also assist in assessing the risk of heart failure in these patients,which is valuable for clinical prognosis assessment and treatment decisions.