ジュウジョウ　ケンタロウ   JUJO Kentaro   重城　健太郎    所属   埼玉医科大学  医学部 総合医療センター　心臓内科    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Prevalence and prognostic implications of malnutrition as defined by GLIM criteria in elderly patients with heart failure.
掲載誌名	正式名：Clinical nutrition (Edinburgh, Scotland)
巻・号・頁	40(6),4334-4340頁
著者・共著者	Susumu Hirose,Yuya Matsue,Kentaro Kamiya,Nobuyuki Kagiyama,Masaru Hiki,Taishi Dotare,Tsutomu Sunayama,Masaaki Konishi,Hiroshi Saito,Kazuya Saito,Yuki Ogasahara,Emi Maekawa,Takeshi Kitai,Kentaro Iwata,Kentaro Jujo,Hiroshi Wada,Takatoshi Kasai,Shin-Ichi Momomura,Tohru Minamino
発行年月	2021/06
概要	BACKGROUND&AIMS: Although the Global Leadership Initiative on Malnutrition (GLIM) proposed a consensus scheme for diagnosing malnutrition in adults in clinical settings globally, the prevalence and prognostic value of malnutrition defined by GLIM criteria have yet to be evaluated in elderly patients with heart failure. This study aimed to determine the prevalence and prognostic implication of malnutrition as defined by GLIM criteria in comparison to those for a pre-existing definition of malnutrition, the geriatric nutritional risk index (GNRI), in elderly patients with heart failure METHODS: We evaluated malnutrition by two metrics, the GLIM criteria and geriatric nutritional risk index (GNRI), in 890 hospitalized patients with decompensation of heart failure aged ≥65 years, able to ambulate at discharge. The primary outcome was all-cause death within 1 year of discharge. RESULTS: According to GLIM criteria and GNRI<92, 42.4% and 46.5% of participants, respectively, had malnutrition, with moderate agreement (Cohen's kappa coefficient: 0.46 [95% confidence interval: 0.40-0.51]). During 1 year of follow-up, 101 (11.4%) deaths were observed, and malnutrition defined by either th
DOI	10.1016/j.clnu.2021.01.014
PMID	33551220