{"_buckets": {"deposit": "7a7e7d60-96d0-43e3-87aa-ba1e62c19a0a"}, "_deposit": {"id": "51755", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "51755"}, "status": "published"}, "_oai": {"id": "oai:tsukuba.repo.nii.ac.jp:00051755"}, "item_5_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2019-04", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "405", "bibliographicPageStart": "396", "bibliographicVolumeNumber": "6", "bibliographic_titles": [{}, {"bibliographic_title": "ESC Heart Failure", "bibliographic_titleLang": "en"}]}]}, "item_5_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "Aims\nThe objective of the study was to evaluate whether the geriatric nutritional risk index (GNRI) at discharge may be helpful in predicting the long\u2010term prognosis of patients hospitalized with heart failure (HF) with preserved ejection fraction (HFpEF, left ventricular ejection fraction \u226550%), a common HF phenotype in the elderly.\nMethods and results\nOverall, 110 elderly HFpEF patients (\u226565 years) from the Ibaraki Cardiovascular Assessment Study\u2010HF (n = 838) were enrolled. The mean age was 78.5 \u00b1 7.2 years, and male patients accounted for 53.6% (n = 59). All\u2010cause mortality was compared between the low GNRI (\u003c92) with moderate or severe nutritional risk group and the high GNRI (\u226592) with no or low nutritional risk group. Cox proportional hazard regression models were constructed to evaluate the influence of the GNRI on all\u2010cause death with the following covariates using forward stepwise selection: age, sex, nutritional status based on the GNRI as a categorical variable, history of HF hospitalization, haemoglobin level, estimated glomerular filtration rate, log brain natriuretic peptide levels (logBNP), history of hypertension, log C\u2010reactive protein levels, left ventricular ejection fraction, left ventricular mass index, and the New York Heart Association functional classification (I/II or III class). The prognostic value of the GNRI was compared with that of serum albumin using C\u2010statistics. The GNRI was added to the logBNP, serum albumin or the body mass index was added to the logBNP, and the C\u2010statistic was compared using DeLong\u0027s test. Cox regression analysis revealed that age and a low GNRI were independent predictors of all\u2010cause death (P \u003c 0.05, n = 103; hazard ratio = 1.095, 95% confidence interval = 1.031\u20131.163, for age, and hazard ratio = 3.075, 95% confidence interval = 1.244\u20137.600, for the GNRI). DeLong\u0027s test for the two correlated receiver operating characteristic curves [area under the receiver operating characteristic curve (AUROC) of serum albumin, 0.71; AUROC of the GNRI, 0.75] demonstrated significant differences between the groups (P = 0.038). Adding the GNRI to the logBNP increased the AUROC for all\u2010cause death significantly (0.71 and 0.80, respectively; P = 0.040, n = 105). The addition of serum albumin or the body mass index to the logBNP did not significantly increase the AUROC for all\u2010cause death (P = 0.082 and P = 0.29, respectively).\nConclusions\nNutritional screening using the GNRI at discharge is helpful to predict the long\u2010term prognosis of elderly HFpEF patients.", "subitem_description_type": "Abstract"}]}, "item_5_publisher_27": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "Wiley"}]}, "item_5_relation_10": {"attribute_name": "PubMed\u756a\u53f7", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "30706996", "subitem_relation_type_select": "PMID"}}]}, "item_5_relation_11": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1002/ehf2.12405", "subitem_relation_type_select": "DOI"}}]}, "item_5_rights_12": {"attribute_name": "\u6a29\u5229", "attribute_value_mlt": [{"subitem_rights": "\u00a9 2019 The Authors. ESC Heart Failure published by John Wiley \u0026 Sons Ltd on behalf of the European Society of Cardiology."}, {"subitem_rights": "This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium,provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made."}]}, "item_5_select_15": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_5_source_id_7": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "2055-5822", "subitem_source_identifier_type": "ISSN"}]}, "item_5_subject_20": {"attribute_name": "NII\u30b5\u30d6\u30b8\u30a7\u30af\u30c8", "attribute_value_mlt": [{"subitem_subject": "\u533b\u5b66", "subitem_subject_scheme": "Other"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", 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