Figure 2 - available via license: Creative Commons Attribution-NonCommercial 4.0 International
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-A) Forrest plot of hazard ratio (HR) for the association between serum albumin (SA) and all-cause mortality; B) Forrest plot of the hazard ratio for the association between SA and the composite endpoint of all-cause mortality and HF rehospitalization; C) Forrest plot of the hazard ratio for the association between geriatric nutritional risk index (GNRI) and all-cause mortality; D) Forrest plot of the hazard ratio for the association between GNRI and cardiovascular mortality; E) Forrest plot of the hazard ratio for the association between prognostic nutritional index (PNI) and all-cause mortality. Heterogeneity among studies was determined using I2 statistics at a significance level of p < 0.05. CI: confidence interval; HR: hazard ratio.
Source publication
Background:
The prognostic significance of nutrition indicators in patients with heart failure with preserved ejection fraction (HFpEF) is unclear.
Objectives:
This systematic review and meta-analysis aimed to assess the prognostic value of serum albumin (SA), the geriatric nutritional risk index (GNRI), and the prognostic nutritional index (PNI...
Contexts in source publication
Context 1
... = 0.002; I 2 = 83.6%; Figure 2A), and the Egger's test (p = 0.584) did not identify publication bias. Three studies analyzed the composite endpoint of all-cause mortality and HF rehospitalization with SA, a fixed effects model (HR = 1.768; 95% CI = 1.483-2.108, ...
Context 2
... studies analyzed the composite endpoint of all-cause mortality and HF rehospitalization with SA, a fixed effects model (HR = 1.768; 95% CI = 1.483-2.108, p = 0.000; I 2 = 22.3%; Fig 2B) was statistically significant, and Egger's test (p = 0.661) showed no publication bias. ...
Context 3
... meta-analysis revealed a significantly increased allcause mortality (HR: 1.812; 95% CI: 1.064-3.086, p = 0.029; Figure 2C) for HFpEF patients with lower GNRI. However, there may be publication bias, as supported by Egger's test (p = 0.014). ...
Context 4
... data showed that lower GNRIs were related to higher cardiovascular mortality, and the fixed effects model (HR = 1.922; 95% CI = 1.504-2.457, p = 0.000; I 2 = 0.00%; Figure 2D) was statistically significant, and Egger's test (p = 0.41) showed there was no publication bias. ...
Context 5
... was estimated using a random model in two studies, and the pooled HR revealed no statistical difference in allcause mortality between the patients with a high and low level of PNI (HR: 1.176; 95% CI: 0.858-1.612, p = 0.314, I 2 =80.6%; Figure 2E), and Egger's test (p < 0.05) showed certain publication bias, as seen in some studies. ...
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Citations
Objetivo: Analisar com base na literatura as estratégias da enfermagem em emergência a pacientes com insuficiência cardíaca descompensada. Metodologia: Trata-se de um estudo bibliométrico de abordagem qualitativa, realizado nos meses de março e abril de 2024, utilizando as bases de dados na biblioteca digital Scientific Electronic Library Online (SciELO) e produções literárias do Ministério da Saúde, como manuais e portarias. Foram utilizados os descritores (DeCS) da Biblioteca Virtual de Saúde: Insuficiência Cardíaca, Cuidados de Enfermagem, Enfermagem de Cuidados Críticos, Enfermagem em Emergência. Operadores booleanos (AND) ou (OR) foram aplicados para refinar a busca e garantir a inclusão de artigos pertinentes. Resultados: Evidenciou-se a caracterização do perfil dos 04 estudos selecionados, com ênfase nas estratégias da enfermagem em emergência a pacientes com insuficiência cardíaca descompensada. Discussão: O desenvolvimento e a implementação de protocolos específicos para a gestão de insuficiência cardíaca descompensada são essenciais. Esses protocolos devem incluir diretrizes para o manejo de crises, uso de medicamentos e intervenções não farmacológicas. Enfermeiros devem estar familiarizados com esses protocolos e preparados para aplicá-los rapidamente em situações de emergência. Considerações finais: Este estudo permitiu conhecer as principais estratégias dos enfermeiros no cuidado de pacientes com insuficiência cardíaca descompensada, com o objetivo de fornecer mais conhecimento para profissionais de saúde que atuam em setores de urgência e emergência.
