Nutritional risk index predicts 3-year outcomes after PCI in patients on hemodialysis

CHICAGO — Geriatric nutritional risk index was a significant predictor of clinical outcomes within 3 years after PCI in patients who were on hemodialysis, according to data presented at the American Heart Association Scientific Sessions.

Keita Koseki, MD, of the division of cardiology at Mitsui Memorial Hospital in Tokyo, analyzed data from 115 patients (mean age, 68 years; 83% men) on hemodialysis who underwent PCI between 2010 and 2015. At baseline, the geriatric nutritional risk index was calculated and incorporated information such as serum albumin and BMI. Patients were then categorized by their geriatric nutritional risk index: high (> 100) and low (< 100).

Outcomes of interest included all-cause death and MACE, which included MI, death, nonfatal stroke and TIMI major bleeding 3 years after PCI.

Compared with patients with a high geriatric nutritional risk index, those with a low index had a higher rate of MACE (45.8% vs. 11.1%; P < .001), all-cause death (37.8% vs. 8.9%; P < .001) and major bleeding (25.9% vs. 4.9%; P = .002).

A low geriatric nutritional risk index was the strongest predictor of MACE based on a multivariate analysis (HR = 7.88; 95% CI, 2.53-24.48). – by Darlene Dobkowski

Reference:

Koseki K. Poster Mo1290. Presented at: American Heart Association Scientific Sessions; Nov. 10-12, 2018; Chicago.

Disclosure: Koseki reports no relevant financial disclosures.