Valor pronostico de mortalidad del indice de control nutricional (CONUT) en pacientes ingresados por insuficiencia cardiaca aguda
espanolObjetivos: Analizar el papel pronostico de mortalidad de un indice nutricional en pacientes ingresados por insuficiencia cardiaca aguda (ICA) Material Y Metodos: Evaluacion prospectiva de 253 pacientes ingresados por ICA. Se evaluo su estado nutricional al ingreso mediante dos indices: el Mini Nutritional Assessment Short Form (MNA SF) y el indice de control nutricional (CONUT) y se compararon para documentar la correlacion entre ellos. Ademas, se dividieron los pacientes en dos grupos: CONUT 0 1 (nutricion correcta) vs 2 (malnutricion) comparando la mortalidad intrahospitalaria y al ano en ambos casos. Resultados: Se detecto riesgo de malnutricion en 162 pacientes (62% con el indice CONUT, solo 27 (10,6% con el MNA SF, sin observar correlacion al comparar los valores de ambos. No se observaron diferencias en funcion del estado nutricional segun el CONUT en la tasa de mortalidad intrahospitalaria y al ano de seguimiento. Conclusiones: El indice CONUT no parece presentar correlacion con el indice MNA SF sobre el estado nutricional de los pacientes ingresados por ICA y tampoco aportar informacion pronostica sobre el riesgo de mortalidad intrahospitalaria y al ano del ingreso. EnglishObjectives: To analyze the prognostic value of an easily available nutritional index in hospitalized patients for acute heart failure (AHF) Material And Methods: Clinical and laboratory variables of 253 admitted patients due to AHF were prospectively evaluated. The Nutritional Control Index (CONUT) and the Mini Nutritional Assessment Short Form (MNA SF) were calculated on admission and compared. Patients were divided into two groups: CONUT 0 1 (proper nutrition) vs CONUT 2 (malnutrition) and inhospital mortality and after one year of follow up were assessed. Results: 162 patients (62% had detectable risk of malnutrition on admission by CONUT score, when only 27 (10.6 by MNA SF, showing no statistical. There were no differences between patients with proper nutrition and malnutrition by CONUT score in terms of inhospital mortality and after one year of follow up. Conclusions: No correlation was shown between CONUT and MNA SF scores for detecting nutritional status in hospitalized patients with AHF. Furthermore, CONUT score does not seem to provide useful prognostic informa tion for detecting risk of inhospital mortality and after one year of follow up.