Predictive value of CONUT score combined with PNI index for malnutrition in patients with acute myo-cardial infarction after PCI
10.3969/j.issn.1008-0074.2024.05.11
- VernacularTitle:CONUT评分联合PNI指数对急性心肌梗死PCI术后患者营养不良的预测价值
- Author:
Wan LI
1
;
Wei-Hui MENG
;
Fang XIE
Author Information
1. 中国人民武装警察部队特色医学中心心血管内科,天津市 300074
- Keywords:
Myocardial infarction;
Angioplasty,balloon,coronary;
Malnutrition
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(5):564-568
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the predictive value of Controlling Nutritional status(CONUT)score combined with Prognostic Nutritional Index(PNI)for malnutrition after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods:A total of 50 AMI patients with normal nutrition,mild to moderate malnutrition and severe malnutrition who underwent PCI in Chinese People's Armed Police Force Specialty Medical Center between July 2019 and July 2023 were randomly selected and included in the normal group,mild to moderate malnutrition group and se-vere malnutrition group.PNI index and CONUT score were compared among all groups before and one week after PCI.ROC curve was drawn to analyze diagnostic value of PNI index,CONUT score alone and their combination for malnutrition one week after PCI in these patients.Results:Compared with the normal group on one week after PCI,mild to moderate malnutrition group and severe malnutrition group had significant lower PNI index[(40.86±1.01)points vs.(36.26±1.21)points vs.(32.14±1.32)points],and significant higher CONUT score[(0.53±0.03)points vs.(4.51±1.03)points vs.(9.56±1.01)points],and compared with mild to moderate malnutrition group,severe malnutrition group had significant lower PCI index and significant higher CONUT score(P＜0.001 all).AUC of PNI index combined CONUT score diagnosing malnutrition after PCI in AMI patients was significantly higher than the single diagnosis(0.897 vs.0.737 vs.0.797,P＜0.05 or＜0.01).Conclusion:CONUT score combined PNI index possess good diagnostic value for malnu-trition after PCI in AMI patients.The combination can provide data support for following clinical nutritional therapeutic program adjustment and prognosis evaluation.
