Correlation of Nutritional Indices on Admission to the Coronary Intensive Care Unit with the Development of Delirium
Delirium is a common occurrence in patients admitted to the intensive care unit and is related to mortality and morbidity. Malnutrition is a predisposing factor for the development of delirium. Nevertheless, whether the nutritional status on admission anticipates the development of delirium in patie...
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| Veröffentlicht in: | Nutrients 2018-11, Vol.10 (11), p.1712 |
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| creator | Sugita, Yurina Miyazaki, Tetsuro Shimada, Kazunori Shimizu, Megumi Kunimoto, Mitsuhiro Ouchi, Shohei Aikawa, Tatsuro Kadoguchi, Tomoyasu Kawaguchi, Yuko Shiozawa, Tomoyuki Takasu, Kiyoshi Hiki, Masaru Takahashi, Shuhei Sumiyoshi, Katsuhiko Iwata, Hiroshi Daida, Hiroyuki |
| description | Delirium is a common occurrence in patients admitted to the intensive care unit and is related to mortality and morbidity. Malnutrition is a predisposing factor for the development of delirium. Nevertheless, whether the nutritional status on admission anticipates the development of delirium in patients with acute cardiovascular diseases remains unknown.
This study aims to assess the correlation between the nutritional status on admission using the nutritional index and the development of delirium in the coronary intensive care unit.
We examined 653 consecutive patients (mean age: 70 ± 14 years) admitted to the coronary intensive care unit of Juntendo University Hospital between January 2015 and December 2016. We evaluated three nutritional indices frequently used to assess the nutritional status, i.e., Geriatric Nutritional Risk Index (GNRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT). We defined delirium as patients with a delirium score >4 using the Intensive Care Delirium Screening Checklist.
Delirium was present in 58 patients. All nutritional indices exhibited a tendency for malnutrition in the delirium group compared with the non-delirium group (GNRI, 86.5 ± 9.38 versus 91.6 ± 9.89; PNI, 36.4 ± 6.95 versus 41.6 ± 7.62; CONUT, 5.88 ± 3.00 versus 3.61 ± 2.56; for all,
< 0.001). Furthermore, the maximum delirium score increased progressively from the low- to the high-risk group, as evaluated by each nutritional index (GNRI, PNI, CONUT; for all,
< 0.001). A multivariate analysis revealed that the PNI and CONUT were independent risk factors for the occurrence of delirium.
A marked correlation exists between the nutritional index on admission, especially PNI and CONUT, and the development of delirium in patients with acute cardiovascular diseases, suggesting that malnutrition assessment upon admission could help identify patients at high risk of developing delirium. |
| doi_str_mv | 10.3390/nu10111712 |
| format | Article |
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This study aims to assess the correlation between the nutritional status on admission using the nutritional index and the development of delirium in the coronary intensive care unit.
We examined 653 consecutive patients (mean age: 70 ± 14 years) admitted to the coronary intensive care unit of Juntendo University Hospital between January 2015 and December 2016. We evaluated three nutritional indices frequently used to assess the nutritional status, i.e., Geriatric Nutritional Risk Index (GNRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT). We defined delirium as patients with a delirium score >4 using the Intensive Care Delirium Screening Checklist.
Delirium was present in 58 patients. All nutritional indices exhibited a tendency for malnutrition in the delirium group compared with the non-delirium group (GNRI, 86.5 ± 9.38 versus 91.6 ± 9.89; PNI, 36.4 ± 6.95 versus 41.6 ± 7.62; CONUT, 5.88 ± 3.00 versus 3.61 ± 2.56; for all,
< 0.001). Furthermore, the maximum delirium score increased progressively from the low- to the high-risk group, as evaluated by each nutritional index (GNRI, PNI, CONUT; for all,
< 0.001). A multivariate analysis revealed that the PNI and CONUT were independent risk factors for the occurrence of delirium.
A marked correlation exists between the nutritional index on admission, especially PNI and CONUT, and the development of delirium in patients with acute cardiovascular diseases, suggesting that malnutrition assessment upon admission could help identify patients at high risk of developing delirium.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu10111712</identifier><identifier>PMID: 30413062</identifier><language>eng</language><publisher>Switzerland: MDPI</publisher><subject>Aged ; Aged, 80 and over ; Biomarkers - blood ; cardiovascular diseases ; Delirium - etiology ; Female ; Heart Diseases - blood ; Heart Diseases - complications ; Heart Diseases - metabolism ; Heart Diseases - pathology ; hospitals ; Humans ; Intensive Care Units ; Logistic Models ; Male ; malnutrition ; Middle Aged ; morbidity ; mortality ; multivariate analysis ; nutrition assessment ; nutrition risk assessment ; Nutritional Status ; Odds Ratio ; patients ; Risk Factors ; screening</subject><ispartof>Nutrients, 2018-11, Vol.10 (11), p.1712</ispartof><rights>2018 by the authors. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-df68be19f10840d1f31cad507e403d21f82b96b0c102c53c1875d8ff2c8c1bf03</citedby><cites>FETCH-LOGICAL-c455t-df68be19f10840d1f31cad507e403d21f82b96b0c102c53c1875d8ff2c8c1bf03</cites><orcidid>0000-0002-3708-7192</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267104/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267104/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30413062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sugita, Yurina</creatorcontrib><creatorcontrib>Miyazaki, Tetsuro</creatorcontrib><creatorcontrib>Shimada, Kazunori</creatorcontrib><creatorcontrib>Shimizu, Megumi</creatorcontrib><creatorcontrib>Kunimoto, Mitsuhiro</creatorcontrib><creatorcontrib>Ouchi, Shohei</creatorcontrib><creatorcontrib>Aikawa, Tatsuro</creatorcontrib><creatorcontrib>Kadoguchi, Tomoyasu</creatorcontrib><creatorcontrib>Kawaguchi, Yuko</creatorcontrib><creatorcontrib>Shiozawa, Tomoyuki</creatorcontrib><creatorcontrib>Takasu, Kiyoshi</creatorcontrib><creatorcontrib>Hiki, Masaru</creatorcontrib><creatorcontrib>Takahashi, Shuhei</creatorcontrib><creatorcontrib>Sumiyoshi, Katsuhiko</creatorcontrib><creatorcontrib>Iwata, Hiroshi</creatorcontrib><creatorcontrib>Daida, Hiroyuki</creatorcontrib><title>Correlation of Nutritional Indices on Admission to the Coronary Intensive Care Unit with the Development of Delirium</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>Delirium is a common occurrence in patients admitted to the intensive care unit and is related to mortality and morbidity. Malnutrition is a predisposing factor for the development of delirium. Nevertheless, whether the nutritional status on admission anticipates the development of delirium in patients with acute cardiovascular diseases remains unknown.
This study aims to assess the correlation between the nutritional status on admission using the nutritional index and the development of delirium in the coronary intensive care unit.
We examined 653 consecutive patients (mean age: 70 ± 14 years) admitted to the coronary intensive care unit of Juntendo University Hospital between January 2015 and December 2016. We evaluated three nutritional indices frequently used to assess the nutritional status, i.e., Geriatric Nutritional Risk Index (GNRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT). We defined delirium as patients with a delirium score >4 using the Intensive Care Delirium Screening Checklist.
Delirium was present in 58 patients. All nutritional indices exhibited a tendency for malnutrition in the delirium group compared with the non-delirium group (GNRI, 86.5 ± 9.38 versus 91.6 ± 9.89; PNI, 36.4 ± 6.95 versus 41.6 ± 7.62; CONUT, 5.88 ± 3.00 versus 3.61 ± 2.56; for all,
< 0.001). Furthermore, the maximum delirium score increased progressively from the low- to the high-risk group, as evaluated by each nutritional index (GNRI, PNI, CONUT; for all,
< 0.001). A multivariate analysis revealed that the PNI and CONUT were independent risk factors for the occurrence of delirium.
A marked correlation exists between the nutritional index on admission, especially PNI and CONUT, and the development of delirium in patients with acute cardiovascular diseases, suggesting that malnutrition assessment upon admission could help identify patients at high risk of developing delirium.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biomarkers - blood</subject><subject>cardiovascular diseases</subject><subject>Delirium - etiology</subject><subject>Female</subject><subject>Heart Diseases - blood</subject><subject>Heart Diseases - complications</subject><subject>Heart Diseases - metabolism</subject><subject>Heart Diseases - pathology</subject><subject>hospitals</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Logistic Models</subject><subject>Male</subject><subject>malnutrition</subject><subject>Middle Aged</subject><subject>morbidity</subject><subject>mortality</subject><subject>multivariate analysis</subject><subject>nutrition assessment</subject><subject>nutrition risk assessment</subject><subject>Nutritional Status</subject><subject>Odds Ratio</subject><subject>patients</subject><subject>Risk Factors</subject><subject>screening</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtP3TAQhS1UBAjY8ANQlqjSbWdsx0k2SOjSBxKim7K2EmfMdZXEt7Zzq_77OuVRusMb2zOfj874MHaG8EGIBj5OMwIiVsj32BGHiq-UkuLdq_MhO43xByyrgkqJA3YoQKIAxY9YWvsQaGiT81PhbXE3p-CWSzsUN1PvDMUid6760cW4MMkXaUNFfpaZ8DtDiabodrnUBiruJ5eKXy5t_lLXtKPBb0ea0iJ-TYMLbh5P2L5th0inT_sxu__86fv66-r225eb9dXtysiyTKveqrojbCxCLaFHK9C0fQkVSRA9R1vzrlEdGARuSmGwrsq-tpab2mBnQRyzy0fd7dyN1JtsI7SD3gY3Zuvat07_35ncRj_4nVZcVQgyC1w8CQT_c6aYdP4GQ8PQTuTnqDmvVcOlbN6AouBcohJNRt8_oib4GAPZF0cIeglV_ws1w-evZ3hBnyMUfwARMJ4Y</recordid><startdate>20181108</startdate><enddate>20181108</enddate><creator>Sugita, Yurina</creator><creator>Miyazaki, Tetsuro</creator><creator>Shimada, Kazunori</creator><creator>Shimizu, Megumi</creator><creator>Kunimoto, Mitsuhiro</creator><creator>Ouchi, Shohei</creator><creator>Aikawa, Tatsuro</creator><creator>Kadoguchi, Tomoyasu</creator><creator>Kawaguchi, Yuko</creator><creator>Shiozawa, Tomoyuki</creator><creator>Takasu, Kiyoshi</creator><creator>Hiki, Masaru</creator><creator>Takahashi, Shuhei</creator><creator>Sumiyoshi, Katsuhiko</creator><creator>Iwata, Hiroshi</creator><creator>Daida, Hiroyuki</creator><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3708-7192</orcidid></search><sort><creationdate>20181108</creationdate><title>Correlation of Nutritional Indices on Admission to the Coronary Intensive Care Unit with the Development of Delirium</title><author>Sugita, Yurina ; Miyazaki, Tetsuro ; Shimada, Kazunori ; Shimizu, Megumi ; Kunimoto, Mitsuhiro ; Ouchi, Shohei ; Aikawa, Tatsuro ; Kadoguchi, Tomoyasu ; Kawaguchi, Yuko ; Shiozawa, Tomoyuki ; Takasu, Kiyoshi ; Hiki, Masaru ; Takahashi, Shuhei ; Sumiyoshi, Katsuhiko ; Iwata, Hiroshi ; Daida, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-df68be19f10840d1f31cad507e403d21f82b96b0c102c53c1875d8ff2c8c1bf03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biomarkers - blood</topic><topic>cardiovascular diseases</topic><topic>Delirium - etiology</topic><topic>Female</topic><topic>Heart Diseases - blood</topic><topic>Heart Diseases - complications</topic><topic>Heart Diseases - metabolism</topic><topic>Heart Diseases - pathology</topic><topic>hospitals</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Logistic Models</topic><topic>Male</topic><topic>malnutrition</topic><topic>Middle Aged</topic><topic>morbidity</topic><topic>mortality</topic><topic>multivariate analysis</topic><topic>nutrition assessment</topic><topic>nutrition risk assessment</topic><topic>Nutritional Status</topic><topic>Odds Ratio</topic><topic>patients</topic><topic>Risk Factors</topic><topic>screening</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sugita, Yurina</creatorcontrib><creatorcontrib>Miyazaki, Tetsuro</creatorcontrib><creatorcontrib>Shimada, Kazunori</creatorcontrib><creatorcontrib>Shimizu, Megumi</creatorcontrib><creatorcontrib>Kunimoto, Mitsuhiro</creatorcontrib><creatorcontrib>Ouchi, Shohei</creatorcontrib><creatorcontrib>Aikawa, Tatsuro</creatorcontrib><creatorcontrib>Kadoguchi, Tomoyasu</creatorcontrib><creatorcontrib>Kawaguchi, Yuko</creatorcontrib><creatorcontrib>Shiozawa, Tomoyuki</creatorcontrib><creatorcontrib>Takasu, Kiyoshi</creatorcontrib><creatorcontrib>Hiki, Masaru</creatorcontrib><creatorcontrib>Takahashi, Shuhei</creatorcontrib><creatorcontrib>Sumiyoshi, Katsuhiko</creatorcontrib><creatorcontrib>Iwata, Hiroshi</creatorcontrib><creatorcontrib>Daida, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nutrients</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sugita, Yurina</au><au>Miyazaki, Tetsuro</au><au>Shimada, Kazunori</au><au>Shimizu, Megumi</au><au>Kunimoto, Mitsuhiro</au><au>Ouchi, Shohei</au><au>Aikawa, Tatsuro</au><au>Kadoguchi, Tomoyasu</au><au>Kawaguchi, Yuko</au><au>Shiozawa, Tomoyuki</au><au>Takasu, Kiyoshi</au><au>Hiki, Masaru</au><au>Takahashi, Shuhei</au><au>Sumiyoshi, Katsuhiko</au><au>Iwata, Hiroshi</au><au>Daida, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation of Nutritional Indices on Admission to the Coronary Intensive Care Unit with the Development of Delirium</atitle><jtitle>Nutrients</jtitle><addtitle>Nutrients</addtitle><date>2018-11-08</date><risdate>2018</risdate><volume>10</volume><issue>11</issue><spage>1712</spage><pages>1712-</pages><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>Delirium is a common occurrence in patients admitted to the intensive care unit and is related to mortality and morbidity. Malnutrition is a predisposing factor for the development of delirium. Nevertheless, whether the nutritional status on admission anticipates the development of delirium in patients with acute cardiovascular diseases remains unknown.
This study aims to assess the correlation between the nutritional status on admission using the nutritional index and the development of delirium in the coronary intensive care unit.
We examined 653 consecutive patients (mean age: 70 ± 14 years) admitted to the coronary intensive care unit of Juntendo University Hospital between January 2015 and December 2016. We evaluated three nutritional indices frequently used to assess the nutritional status, i.e., Geriatric Nutritional Risk Index (GNRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT). We defined delirium as patients with a delirium score >4 using the Intensive Care Delirium Screening Checklist.
Delirium was present in 58 patients. All nutritional indices exhibited a tendency for malnutrition in the delirium group compared with the non-delirium group (GNRI, 86.5 ± 9.38 versus 91.6 ± 9.89; PNI, 36.4 ± 6.95 versus 41.6 ± 7.62; CONUT, 5.88 ± 3.00 versus 3.61 ± 2.56; for all,
< 0.001). Furthermore, the maximum delirium score increased progressively from the low- to the high-risk group, as evaluated by each nutritional index (GNRI, PNI, CONUT; for all,
< 0.001). A multivariate analysis revealed that the PNI and CONUT were independent risk factors for the occurrence of delirium.
A marked correlation exists between the nutritional index on admission, especially PNI and CONUT, and the development of delirium in patients with acute cardiovascular diseases, suggesting that malnutrition assessment upon admission could help identify patients at high risk of developing delirium.</abstract><cop>Switzerland</cop><pub>MDPI</pub><pmid>30413062</pmid><doi>10.3390/nu10111712</doi><orcidid>https://orcid.org/0000-0002-3708-7192</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Aged Aged, 80 and over Biomarkers - blood cardiovascular diseases Delirium - etiology Female Heart Diseases - blood Heart Diseases - complications Heart Diseases - metabolism Heart Diseases - pathology hospitals Humans Intensive Care Units Logistic Models Male malnutrition Middle Aged morbidity mortality multivariate analysis nutrition assessment nutrition risk assessment Nutritional Status Odds Ratio patients Risk Factors screening |
| title | Correlation of Nutritional Indices on Admission to the Coronary Intensive Care Unit with the Development of Delirium |
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