Sex-related differences in the impact of nutritional status on in-hospital mortality in heart failure: a retrospective cohort study

  1. Kwaśny, Adrian 3
  2. Uchmanowicz, Izabella 45
  3. Juárez-Vela, Raúl 2
  4. Młynarska, Agnieszka 6
  5. Łokieć, Katarzyna 1
  6. Czapla, Michał 245
  1. 1 Medical University of Lodz
    info

    Medical University of Lodz

    Łódź, Polonia

    ROR https://ror.org/02t4ekc95

  2. 2 Universidad de La Rioja
    info

    Universidad de La Rioja

    Logroño, España

    ROR https://ror.org/0553yr311

  3. 3 Institute of Dietetics, The Academy of Business and Health Science , 90-361 Lodz , Poland
  4. 4 Institute of Heart Diseases, University Hospital , ul. Borowska 213, 50-556 Wroclaw , Poland
  5. 5 Wrocław Medical University
    info

    Wrocław Medical University

    Breslavia, Polonia

    ROR https://ror.org/01qpw1b93

  6. 6 Medical University of Silesia
    info

    Medical University of Silesia

    Katowice, Polonia

    ROR https://ror.org/005k7hp45

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Revista:
European Journal of Cardiovascular Nursing

ISSN: 1474-5151,  1873-1953

Año de publicación: 2023

Tipo: Artículo

DOI: 10.1093/EURJCN/ZVAD050 GOOGLE SCHOLAR

Otras publicaciones en: European Journal of Cardiovascular Nursing

Resumen

AimsA nutritional status is related to the length of hospitalization and in-hospital mortality of patients with heart failure (HF). The aim of this study is to assess the prognostic impact of nutritional status and body mass index (BMI) on in-hospital mortality among patients with HF relative to their sex.Methods and resultsWe conducted a retrospective study and analysis of 809 medical records of patients admitted to the Institute of Heart Disease of the University Clinical Hospital in Wroclaw (Poland). Women were statistically significantly older than men (74.67 ± 11.15 vs. 66.76 ± 17.78; P < 0.001). In unadjusted model, significant predictors of the odds of in-hospital mortality for men were underweight (OR = 14.81, P = 0.001) and the risk of malnutrition (OR = 8.979, P < 0.001). In the case of women, none of the traits analysed was significant. In age-adjusted model, significant independent predictors of the odds of in-hospital mortality in the case of men were BMI < 18.5 (OR = 15.423, P = 0.001) and risk of malnutrition (OR = 5.557, P = 0.002). In the case of women, none of the nutritional status traits analysed were significant. In multivariable-adjusted model in men, significant independent predictors of the odds of in-hospital mortality were BMI < 18.5 (OR = 15.978, P = 0.007) compared with having normal body weight and the risk of malnutrition (OR = 4.686, P = 0.015). In the case of women, none of the nutritional status traits analysed were significant.ConclusionBoth underweight and the risk of malnutrition are direct predictors of the odds of in-hospital mortality in men, but not in women. The study did not find a relationship between nutritional status and in-hospital mortality in women.

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