We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Prognostic value of a novel dNLR-PNI score in patients with acute coronary syndrome undergoing percutaneous coronary intervention.
- Authors
Fan, Wenjun; Liu, Yixiang; Zhang, Ying; Gao, Xiuxin; Shi, Fei; Liu, Jingyi; Sun, Lixian
- Abstract
There is currently limited information on the prognostic value of the dNLR-PNI (the combination of the derived neutrophil-to-lymphocyte ratio [dNLR] and prognostic nutritional index [PNI]) score for patients with acute coronary syndrome (ACS). We aimed to explore the predictive value of a dNLR-PNI score on the long-term prognosis of patients with ACS undergoing percutaneous coronary intervention (PCI). A total of 1773 patients with ACS who underwent PCI were consecutively enrolled from January 2016 to December 2018. The cutoff values of dNLR and PNI to predict major adverse cardiovascular events (MACE) were calculated using receiver operating characteristic curves. The patients were divided into three groups based on the dNLR-PNI score, and Kaplan–Meier curves and Cox regression models were used for survival analysis. The endpoints were MACE, including all-cause mortality and rehospitalisation for severe heart failure during follow-up. A total of 1542 patients with ACS who underwent PCI were included. Kaplan–Meier curves showed that a higher level of dNLR, PNI, or dNLR-PNI score was associated with a higher risk of MACE (all p <.001). In multivariate Cox regression models, the dNLR-PNI two score (hazard ratio 3.049, 95% confidence interval 1.503–6.184, p =.002) was found to be an independent predictor of all-cause mortality and rehospitalization for severe heart failure. A high dNLR-PNI score was independently associated with a higher risk of developing MACE in patients with ACS undergoing PCI. The dNLR-PNI score may be a useful prognostic parameter for identifying high-risk ACS patients after PCI.
- Subjects
BIOMARKERS; STATISTICS; KRUSKAL-Wallis Test; PREDICTIVE tests; PERCUTANEOUS coronary intervention; CONFIDENCE intervals; MAJOR adverse cardiovascular events; MULTIVARIATE analysis; AGE distribution; LOG-rank test; ACUTE coronary syndrome; SURGERY; PATIENTS; PATIENT readmissions; BLOOD collection; ACQUISITION of data; MANN Whitney U Test; NEUTROPHIL lymphocyte ratio; SERUM albumin; RISK assessment; SEVERITY of illness index; KAPLAN-Meier estimator; SURVIVAL analysis (Biometry); DESCRIPTIVE statistics; MEDICAL records; CHI-squared test; PLATELET count; RESEARCH funding; RECEIVER operating characteristic curves; ANALYTICAL chemistry techniques; SENSITIVITY &; specificity (Statistics); DATA analysis; DATA analysis software; LYMPHOCYTE count; PROPORTIONAL hazards models; HEART failure; LONGITUDINAL method; DISEASE risk factors
- Publication
Perfusion, 2023, Vol 38, Issue 5, p973
- ISSN
0267-6591
- Publication type
Article
- DOI
10.1177/02676591221090620