A novel and useful predictive indicator of prognosis in ST-segment elevation myocardial infarction, the prognostic nutritional index

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dc.contributor.authorKeskin, Muhammed
dc.contributor.authorHayıroğlu, Mert İlker
dc.contributor.authorKeskin, Taha
dc.contributor.authorKaya, Adnan
dc.contributor.authorTatlısu, Mustafa Adem
dc.contributor.authorAltay, Servet
dc.contributor.authorKozan, Ömer
dc.date.accessioned2020-04-30T22:38:46Z
dc.date.available2020-04-30T22:38:46Z
dc.date.issued2017
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionAltay, Servet/0000-0001-7112-3970; Guvenc, Tolga Sinan/0000-0002-6738-266X; Keskin, Muhammed/0000-0002-4938-0097en_US
dc.descriptionWOS: 000403554000009en_US
dc.descriptionPubMed: 28392077en_US
dc.description.abstractBackground and aim: The prognostic impact of poor nutritional status and cardiac cachexia in myocardial infarction is not clearly understood. Recent studies have implied a prognostic value of the prognostic nutritional index (PNI) in colorectal surgeries and postoperative septic complications. The present study aimed to evaluate the prognostic value of PNI in ST-segment elevation myocardial infarction (STEMI) patients. Methods and results: We evaluated the in-hospital and long-term (3 years) prognostic impact of PNI on 1823 patients with STEMI undergoing primary percutaneous coronary intervention. Patients with lower PNI had significantly higher in-hospital and long-term mortality and major adverse cardiac events. After adjustment for all confounders, the in-hospital mortality rates were 7.9 times higher at the lower PNI level (95% CI: 5.0-15.8) than those at the higher PNI level. The long-term mortality rates were also 6.4 times higher at the lower PNI level (95% CI: 4.4-12.4) than those at the higher PNI level. Conclusion: The present study demonstrated that the PNI, calculated based on the serum albumin level and lymphocyte count, is an independent prognostic factor for mortality in patients with STEMI. (C) 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.en_US
dc.identifier.doi10.1016/j.numecd.2017.01.005en_US
dc.identifier.endpage446en_US
dc.identifier.issn0939-4753
dc.identifier.issn1590-3729
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage438en_US
dc.identifier.urihttps://doi.org/10.1016/j.numecd.2017.01.005
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2430
dc.identifier.volume27en_US
dc.identifier.wosWOS:000403554000009en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofNutrition Metabolism And Cardiovascular Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMortalityen_US
dc.subjectMyocardial infarctionen_US
dc.subjectPrognostic nutritional indexen_US
dc.subjectPrognosisen_US
dc.titleA novel and useful predictive indicator of prognosis in ST-segment elevation myocardial infarction, the prognostic nutritional indexen_US
dc.typeArticleen_US

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