Association with Controlling Nutritional Status (CONUT) Score and In-hospital Mortality and Infection in Acute Heart Failure
Abstract The high controlling nutritional status (CONUT) score that represents poor nutritional status has been acknowledged to have prognostic implications in chronic heart failure. We aimed to investigate its role in acute decompensated heart failure (ADHF). Using the data from an multicenter regi...
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Nature Portfolio
2020
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oai:doaj.org-article:fc929cd98982498ab85f9b66f96eecf92021-12-02T14:28:22ZAssociation with Controlling Nutritional Status (CONUT) Score and In-hospital Mortality and Infection in Acute Heart Failure10.1038/s41598-020-60404-92045-2322https://doaj.org/article/fc929cd98982498ab85f9b66f96eecf92020-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-60404-9https://doaj.org/toc/2045-2322Abstract The high controlling nutritional status (CONUT) score that represents poor nutritional status has been acknowledged to have prognostic implications in chronic heart failure. We aimed to investigate its role in acute decompensated heart failure (ADHF). Using the data from an multicenter registry that enrolled 4056 consecutive patients hospitalized for ADHF in Japan between 2014 and 2016, we analyzed 2466 patients in whom data on the components of the CONUT score at hospital presentation were available. The decrease of lymphocyte count and total cholesterol was assigned with 0, 1, 2, and 3 points and the decrease of albumin was assigned with 0, 2, 4, and 6 points according to the severity. We defined low CONUT score as 0–4 (N = 1568) and high CONUT score as 5–9 (N = 898). The patients in the high CONUT score group were older and more likely to have a smaller body mass index than those in the low CONUT score group. The high CONUT score group was associated with higher rate of death and infection during the index hospitalization compared to the low CONUT score group (9.0% versus 4.4%, and 21.9% versus 12.7%, respectively). After adjusting for confounders, the excess risk of high relative to low CONUT score for mortality and infection was significant (OR: 1.61, 95%CI: 1.05–2.44, and OR: 1.66, 95%CI: 1.30–2.12, respectively). The effect was incremental according to the score. High CONUT score was associated with higher risk for in-hospital mortality and infection in an incremental manner in patients hospitalized for ADHF.Takao KatoHidenori YakuTakeshi MorimotoYasutaka InuzukaYodo TamakiErika YamamotoYusuke YoshikawaTakeshi KitaiRyoji TaniguchiMoritake IguchiMasashi KatoMamoru TakahashiToshikazu JinnaiTomoyuki IkedaKazuya NagaoTakafumi KawaiAkihiro KomasaRyusuke NishikawaYuichi KawaseTakashi MorinagaKanae SuMitsunori KawatoYuta SekoMoriaki InokoMamoru ToyofukuYutaka FurukawaYoshihisa NakagawaKenji AndoKazushige KadotaSatoshi ShizutaKoh OnoYukihito SatoKoichiro KuwaharaNeiko OzasaTakeshi KimuraNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-10 (2020) |
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Medicine R Science Q |
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Medicine R Science Q Takao Kato Hidenori Yaku Takeshi Morimoto Yasutaka Inuzuka Yodo Tamaki Erika Yamamoto Yusuke Yoshikawa Takeshi Kitai Ryoji Taniguchi Moritake Iguchi Masashi Kato Mamoru Takahashi Toshikazu Jinnai Tomoyuki Ikeda Kazuya Nagao Takafumi Kawai Akihiro Komasa Ryusuke Nishikawa Yuichi Kawase Takashi Morinaga Kanae Su Mitsunori Kawato Yuta Seko Moriaki Inoko Mamoru Toyofuku Yutaka Furukawa Yoshihisa Nakagawa Kenji Ando Kazushige Kadota Satoshi Shizuta Koh Ono Yukihito Sato Koichiro Kuwahara Neiko Ozasa Takeshi Kimura Association with Controlling Nutritional Status (CONUT) Score and In-hospital Mortality and Infection in Acute Heart Failure |
| description |
Abstract The high controlling nutritional status (CONUT) score that represents poor nutritional status has been acknowledged to have prognostic implications in chronic heart failure. We aimed to investigate its role in acute decompensated heart failure (ADHF). Using the data from an multicenter registry that enrolled 4056 consecutive patients hospitalized for ADHF in Japan between 2014 and 2016, we analyzed 2466 patients in whom data on the components of the CONUT score at hospital presentation were available. The decrease of lymphocyte count and total cholesterol was assigned with 0, 1, 2, and 3 points and the decrease of albumin was assigned with 0, 2, 4, and 6 points according to the severity. We defined low CONUT score as 0–4 (N = 1568) and high CONUT score as 5–9 (N = 898). The patients in the high CONUT score group were older and more likely to have a smaller body mass index than those in the low CONUT score group. The high CONUT score group was associated with higher rate of death and infection during the index hospitalization compared to the low CONUT score group (9.0% versus 4.4%, and 21.9% versus 12.7%, respectively). After adjusting for confounders, the excess risk of high relative to low CONUT score for mortality and infection was significant (OR: 1.61, 95%CI: 1.05–2.44, and OR: 1.66, 95%CI: 1.30–2.12, respectively). The effect was incremental according to the score. High CONUT score was associated with higher risk for in-hospital mortality and infection in an incremental manner in patients hospitalized for ADHF. |
| format |
article |
| author |
Takao Kato Hidenori Yaku Takeshi Morimoto Yasutaka Inuzuka Yodo Tamaki Erika Yamamoto Yusuke Yoshikawa Takeshi Kitai Ryoji Taniguchi Moritake Iguchi Masashi Kato Mamoru Takahashi Toshikazu Jinnai Tomoyuki Ikeda Kazuya Nagao Takafumi Kawai Akihiro Komasa Ryusuke Nishikawa Yuichi Kawase Takashi Morinaga Kanae Su Mitsunori Kawato Yuta Seko Moriaki Inoko Mamoru Toyofuku Yutaka Furukawa Yoshihisa Nakagawa Kenji Ando Kazushige Kadota Satoshi Shizuta Koh Ono Yukihito Sato Koichiro Kuwahara Neiko Ozasa Takeshi Kimura |
| author_facet |
Takao Kato Hidenori Yaku Takeshi Morimoto Yasutaka Inuzuka Yodo Tamaki Erika Yamamoto Yusuke Yoshikawa Takeshi Kitai Ryoji Taniguchi Moritake Iguchi Masashi Kato Mamoru Takahashi Toshikazu Jinnai Tomoyuki Ikeda Kazuya Nagao Takafumi Kawai Akihiro Komasa Ryusuke Nishikawa Yuichi Kawase Takashi Morinaga Kanae Su Mitsunori Kawato Yuta Seko Moriaki Inoko Mamoru Toyofuku Yutaka Furukawa Yoshihisa Nakagawa Kenji Ando Kazushige Kadota Satoshi Shizuta Koh Ono Yukihito Sato Koichiro Kuwahara Neiko Ozasa Takeshi Kimura |
| author_sort |
Takao Kato |
| title |
Association with Controlling Nutritional Status (CONUT) Score and In-hospital Mortality and Infection in Acute Heart Failure |
| title_short |
Association with Controlling Nutritional Status (CONUT) Score and In-hospital Mortality and Infection in Acute Heart Failure |
| title_full |
Association with Controlling Nutritional Status (CONUT) Score and In-hospital Mortality and Infection in Acute Heart Failure |
| title_fullStr |
Association with Controlling Nutritional Status (CONUT) Score and In-hospital Mortality and Infection in Acute Heart Failure |
| title_full_unstemmed |
Association with Controlling Nutritional Status (CONUT) Score and In-hospital Mortality and Infection in Acute Heart Failure |
| title_sort |
association with controlling nutritional status (conut) score and in-hospital mortality and infection in acute heart failure |
| publisher |
Nature Portfolio |
| publishDate |
2020 |
| url |
https://doaj.org/article/fc929cd98982498ab85f9b66f96eecf9 |
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