预后营养指数对急性心肌梗死患者不良事件的预测价值OACSTPCD
Predictive value of prognostic nutritional index for adverse events in patients with acute myocardial infarction
目的:探讨预后营养指数(PNI)对老年急性心肌梗死(AMI)患者不良事件的预测价值.方法:回顾性分析经皮冠状动脉介入治疗的 192 例老年AMI患者临床资料,分析患者发生不良事件的影响因素及PNI对患者不良事件的预测价值.结果:本组患者中有 78 例(40.63%)患者发生不良事件;两组年龄、Killip心功能分级≥3 级、白蛋白、PNI、左心室射血分数组间比较差异有统计学意义(P＜0.05).多因素分析显示,年龄、Killip心功能分级≥3级、PNI是老年AMI患者不良事件发生的独立危险因素(P均＜0.05).PNI预测老年AMI患者不良事件发生的曲线下面积(AUC)为 0.831,灵敏度和特异度分别为 94.9%和 52.6%.结论:PNI对老年AMI患者发生不良事件具有较好的预测价值.
Objective:To investigate the predictive value of prognostic nutritional index(PNI)for adverse events in elderly patients with acute myocardial infarction(AMI).Methods:The clinical data of 192 elderly patients with AMI who underwent percutaneous coronary intervention were analyzed retrospectively,and we analyzed the influencing factors of adverse events and the predictive value of PNI for adverse events.Results:Adverse events occurred in 78(40.63%)patients in our cohort.There were significant differences in age,Killip cardiac grade≥3,albumin,PNI,and left ventricular ejection fraction between the two groups(P<0.05).Multivariate analysis showed that age,Killip cardiac grade≥3,and PNI were independent risk factors for adverse endpoint events in elderly patients with AMI(all P<0.05).The area under the curve(AUC)of PNI for predicting adverse events of elderly AMI was 0.831,and the sensitivity and specificity were 94.9%and 52.6%,respectively.Conclusion:PNI has a good predictive value for adverse events in elderly patients with AMI.
章功庆;徐邦夫;陈付磊
界首市人民医院急诊科,安徽阜阳 236500界首市人民医院急诊科,安徽阜阳 236500界首市人民医院急诊科,安徽阜阳 236500
临床医学
急性心肌梗死预后营养指数不良事件预测价值
sacute myocardial infarctionprognostic nutritional indexadverse eventspredictive value
《现代科学仪器》 2024 (2)
141-144,4
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