Prognostic Value of the Nutritional Risk Screening 2002 Scale in Patients With Acute Myocardial Infarction: Insights From the Retrospective Multicenter Study for Early Evaluation of Acute Chest Pain : Journal of Cardiovascular Nursing

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ARTICLES: Nutrition and Cardiovascular Disease

Prognostic Value of the Nutritional Risk Screening 2002 Scale in Patients With Acute Myocardial Infarction

Insights From the Retrospective Multicenter Study for Early Evaluation of Acute Chest Pain

Li, Fanghui MBBS; Li, Dongze MBBS, PhD; Yu, Jing MBBS; Jia, Yu MBBS, PhD; Jiang, Ying MBBS; Chen, Xiaoli RN, MSc; Gao, Yongli RN; Ye, Lei RN, MSc; Wan, Zhi MD; Cao, Yu MD; Zeng, Zhi MD; Zeng, Rui MD

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The Journal of Cardiovascular Nursing 36(6):p 546-555, 11/12 2021. | DOI: 10.1097/JCN.0000000000000786

Abstract

Background 

The Nutritional Risk Screening 2002 (NRS-2002) scale is a rapid and effective screening instrument that assesses nutritional risk among hospitalized patients.

Objective 

The present study aimed to explore the prognostic value of the NRS-2002 scale in acute myocardial infarction (AMI) considering its uncertain role in this particular condition.

Methods 

Patients with AMI included in the Retrospective Multicenter Study for Early Evaluation of Acute Chest Pain were investigated. Kaplan-Meier survival analysis and Cox proportional hazards models were used to analyze the association between NRS-2002 and mortality in patients with AMI. The primary and secondary endpoints were all-cause and cardiac mortality during the follow-up period.

Results 

A total of 2307 patients were enrolled, among whom 246 (10.7%) died within a median follow-up duration of 10.67 (8.04–14.33) months. Kaplan-Meier analysis revealed that patients with an NRS-2002 score of 3 or higher had poorer cumulative survival than those with an NRS-2002 score lower than 3 (P < .001). In the multivariate Cox regression analysis, patients with an NRS-2002 score of 3 or higher had more than double the risk for all-cause mortality (hazard ratio, 2.25; 95% confidence interval, 1.50–3.40; P < .001) and twice the risk for cardiac-related mortality (hazard ratio, 2.01; 95% confidence interval, 1.29–3.13; P = .002) than did patients with lower scores.

Conclusions 

Our results showed that the NRS-2002 screening instrument was an independent prognostic predictor for both all-cause and cardiac mortality in patients with AMI. Nutritional risk assessment based on the NRS-2002 scale may provide useful prognostic information of early nutritional risk stratification in patients with AMI.

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