Nutritional Status Predicts the Length of Stay and Mortality in Patients Undergoing Electrotherapy Procedures
(1) Background: Nutritional status is a factor that impacts the patients’ outcomes in various medical conditions including cardiovascular patients or surgical procedures. However, there is limited available information about its impact on the short-term outcomes of cardiac implantable electronic dev...
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| Format: | Article |
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MDPI AG
2024-03-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/16/6/843 |
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| author | Joanna Popiolek-Kalisz Tomasz Chrominski Marcin Szczasny Piotr Blaszczak |
| author_facet | Joanna Popiolek-Kalisz Tomasz Chrominski Marcin Szczasny Piotr Blaszczak |
| author_sort | Joanna Popiolek-Kalisz |
| collection | DOAJ |
| description | (1) Background: Nutritional status is a factor that impacts the patients’ outcomes in various medical conditions including cardiovascular patients or surgical procedures. However, there is limited available information about its impact on the short-term outcomes of cardiac implantable electronic device (CIED) implantations. This study aimed to assess the relationship between nutritional status, complications, mortality risk, and length of stay at the hospital in patients undergoing CIED implantations. (2) Material and Methods: 588 patients who underwent CIED implantation in 2022 and 2023 were included in the retrospective analysis. The nutritional status assessment was performed using NRS 2002 and BMI. The implanted devices were single-chamber pacemakers (<i>n</i> = 82), dual-chamber pacemakers (<i>n</i> = 329), one-chamber ICDs (<i>n</i> = 83), dual-chamber ICDs (<i>n</i> = 19), CRT-P (<i>n</i> = 19), and CRT-D (<i>n</i> = 56). (3) Results: The regression analysis showed that the NRS 2002 score predicted the length of stay (age-adjusted: β = 1.02, <i>p</i> = 0.001) among the CIED-implanted patients. The CRT-D subgroup was particularly responsible for this relationship (β = 4.05, <i>p</i> = 0.003 after age adjustment). The analysis also revealed significant differences between the NRS 2002 score in the in-hospital death subgroups (1.75 ± 1.00 points for deaths vs. 1.00 ± 1.00 points for survivors; <i>p</i> = 0.04). There were no significant differences in nutritional status parameters regarding early complications subgroups. (4) Conclusions: This study showed that nutritional risk assessed with NRS 2002 is a predictor of length of stay (particularly for CRT-D) and mortality among patients undergoing CIED implantations. The results of the analysis point out the impact of patients’ nutritional status on short-term outcomes of CIED implantations, particularly in CRT-D implants where 1 NRS 2002 point was a predictor of a mean 4.05 days (77.2%) longer hospitalization. |
| first_indexed | 2024-04-24T17:57:44Z |
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| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-04-24T17:57:44Z |
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| series | Nutrients |
| spelling | doaj.art-ec40d16f101e44418a032790425d8c402024-03-27T13:58:14ZengMDPI AGNutrients2072-66432024-03-0116684310.3390/nu16060843Nutritional Status Predicts the Length of Stay and Mortality in Patients Undergoing Electrotherapy ProceduresJoanna Popiolek-Kalisz0Tomasz Chrominski1Marcin Szczasny2Piotr Blaszczak3Clinical Dietetics Unit, Department of Bioanalytics, Medical University of Lublin, ul. Chodzki 7, 20-093 Lublin, PolandDepartment of Cardiology, Cardinal Wyszynski Hospital in Lublin, al. Krasnicka 100, 20-718 Lublin, PolandDepartment of Cardiology, Cardinal Wyszynski Hospital in Lublin, al. Krasnicka 100, 20-718 Lublin, PolandDepartment of Cardiology, Cardinal Wyszynski Hospital in Lublin, al. Krasnicka 100, 20-718 Lublin, Poland(1) Background: Nutritional status is a factor that impacts the patients’ outcomes in various medical conditions including cardiovascular patients or surgical procedures. However, there is limited available information about its impact on the short-term outcomes of cardiac implantable electronic device (CIED) implantations. This study aimed to assess the relationship between nutritional status, complications, mortality risk, and length of stay at the hospital in patients undergoing CIED implantations. (2) Material and Methods: 588 patients who underwent CIED implantation in 2022 and 2023 were included in the retrospective analysis. The nutritional status assessment was performed using NRS 2002 and BMI. The implanted devices were single-chamber pacemakers (<i>n</i> = 82), dual-chamber pacemakers (<i>n</i> = 329), one-chamber ICDs (<i>n</i> = 83), dual-chamber ICDs (<i>n</i> = 19), CRT-P (<i>n</i> = 19), and CRT-D (<i>n</i> = 56). (3) Results: The regression analysis showed that the NRS 2002 score predicted the length of stay (age-adjusted: β = 1.02, <i>p</i> = 0.001) among the CIED-implanted patients. The CRT-D subgroup was particularly responsible for this relationship (β = 4.05, <i>p</i> = 0.003 after age adjustment). The analysis also revealed significant differences between the NRS 2002 score in the in-hospital death subgroups (1.75 ± 1.00 points for deaths vs. 1.00 ± 1.00 points for survivors; <i>p</i> = 0.04). There were no significant differences in nutritional status parameters regarding early complications subgroups. (4) Conclusions: This study showed that nutritional risk assessed with NRS 2002 is a predictor of length of stay (particularly for CRT-D) and mortality among patients undergoing CIED implantations. The results of the analysis point out the impact of patients’ nutritional status on short-term outcomes of CIED implantations, particularly in CRT-D implants where 1 NRS 2002 point was a predictor of a mean 4.05 days (77.2%) longer hospitalization.https://www.mdpi.com/2072-6643/16/6/843nutritional statusmalnutritionelectrotherapypacingcardiac resynchronization therapyarrhythmia |
| spellingShingle | Joanna Popiolek-Kalisz Tomasz Chrominski Marcin Szczasny Piotr Blaszczak Nutritional Status Predicts the Length of Stay and Mortality in Patients Undergoing Electrotherapy Procedures Nutrients nutritional status malnutrition electrotherapy pacing cardiac resynchronization therapy arrhythmia |
| title | Nutritional Status Predicts the Length of Stay and Mortality in Patients Undergoing Electrotherapy Procedures |
| title_full | Nutritional Status Predicts the Length of Stay and Mortality in Patients Undergoing Electrotherapy Procedures |
| title_fullStr | Nutritional Status Predicts the Length of Stay and Mortality in Patients Undergoing Electrotherapy Procedures |
| title_full_unstemmed | Nutritional Status Predicts the Length of Stay and Mortality in Patients Undergoing Electrotherapy Procedures |
| title_short | Nutritional Status Predicts the Length of Stay and Mortality in Patients Undergoing Electrotherapy Procedures |
| title_sort | nutritional status predicts the length of stay and mortality in patients undergoing electrotherapy procedures |
| topic | nutritional status malnutrition electrotherapy pacing cardiac resynchronization therapy arrhythmia |
| url | https://www.mdpi.com/2072-6643/16/6/843 |
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