营养评估与管理在左心室辅助装置植入患者治疗中应用的研究进展

doi:10.3761/j.issn.2096-7446.2025.02.021

Abstract

Abstract:

Orthotopic heart transplantation is the gold standard for the treatment of patients with advanced heart failure（AHF），but the scarcity of organs limits its application. Left ventricular assist device（LVAD） become the important treatment for AHF patients. However，most LVAD implanted patients develop moderate to severe malnutrition due to disease progression. This article reviews the causes of malnutrition in patients with LVAD implantation，the significance and content of nutrition assessment，nutrition assessment tools and whole-course nutrition management，so as to help medical staff to provide a reference for early nutritional assessment and whole-course nutrition management in patients with LVAD implantation.

Key words: Left Ventricular Assist Device, Nutritional Assessment, Nutrition Management, Review Literature as Topic

HE Xiaodi, KONG Minjian, WANG Yike, CHEN Yuaner, LAN Meijuan. Research progress in the application of nutritional assessment and management in the treatment of patients with left ventricular assist device implantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 247-251.

References 23

[1]	王琳, 翁峰霞, 卫建华, 等. 3例左心室辅助装置植入患者术后危重期的护理[J]. 中华护理杂志, 2023, 58(19):2401-2405. doi: 10.3761/j.issn.0254-1769.2023.19.014
	Wang L, Weng FX, Wei JH, et al. Nursing care of 3 patients with critical complications after left ventricular assist device implantation[J]. Chin J Nurs, 2023, 58(19):2401-2405. doi: 10.3761/j.issn.0254-1769.2023.19.014
[2]	Clancy MJ, Jessop AB, Eisen H. Assessment of pre-operative psychosocial function among people receiving left ventricular assist devices:a national survey of US LVAD programs[J]. Heart Lung, 2019, 48(4):302-307.
[3]	胡盛寿, 王现强, 周星彤. 心室辅助装置治疗心力衰竭:现状和下一步思考[J]. 中国循环杂志, 2023, 38(8):791-793.
	Hu SS, Wang XQ, Zhou XT. Ventricular assist devices for the treatment of heart failure:current state and future prospects[J]. Chin Circ J, 2023, 38(8):791-793.
[4]	Genev I, Yost G, Gregory M, et al. Improved nutrition status in patients with advanced heart failure implanted with a left ventricular assist device[J]. Nutr Clin Pract, 2019, 34(3):444-449. doi: 10.1002/ncp.10238 pmid: 30644613
[5]	Rahman A, Jafry S, Jeejeebhoy K, et al. Malnutrition and ca-chexia in heart failure[J]. JPEN J Parenter Enteral Nutr, 2016, 40(4):475-486. doi: 10.1177/0148607114566854 pmid: 25634161
[6]	Yasuhara S, Maekawa M, Bamba S, et al. Energy metabolism and nutritional status in hospitalized patients with chronic heart failure[J]. Ann Nutr Metab, 2020, 76(2):129-139. doi: 10.1159/000507355 pmid: 32259814
[7]	Vest AR, Chan M, Deswal A, et al. Nutrition,obesity,and ca-chexia in patients with heart failure:a consensus statement from the heart failure society of America scientific statement-scommittee[J]. J Card Fail, 2019, 25(5):380-400.
[8]	Ogawa M, Izawa KP, Satomi-Kobayashi S, et al. Effects of pos-toperative dietary intake on functional recovery of patients undergoing cardiac surgery[J]. Nutr Metab Cardiovasc Dis, 2019, 29(1):90-96. doi: S0939-4753(18)30301-6 pmid: 30522928
[9]	Felpel K, Palmese L, Urrutia L, et al. Nutritional assessment and comparison of nutritional indices in predicting adverse outcomes in patients undergoing left ventricular assist device implantation[J]. Nutrition, 2021, 89:111287.
[10]	Vitale C, Jankowska E, Hill L, et al. Heart Failure Associa-tion/European Society of Cardiology position paper on frailty in patients with heart failure[J]. Eur J Heart Fail, 2019, 21(11):1299-1305.
[11]	叶绍东, 陈纪春, 刘鹏举, 等. 中国高龄患者心脏围术期营养评估专家共识[J]. 中华老年心脑血管病杂志, 2023, 25(4):361-367.
	Ye SD, Chen JC, Liu PJ, et al. Expert consensus on perio-perative nutritional assessment of elderly patients in China[J]. Chin J Geriatr Heart Brain Vessel Dis, 2023, 25(4):361-367.
[12]	Rose AV, Duhamel T, Hyde C, et al. Randomised controlled trial protocol for the PROTECT-CS Study:protein to Enhance outComes of (pre)frail paTients undergoing Cardiac Surgery[J]. BMJ Open, 2021, 11(1):e037240.
[13]	Holdy K, Dembitsky W, Eaton LL, et al. Nutrition assessment and management of left ventricular assist device patients[J]. J Heart Lung Transplant, 2005, 24(10):1690-1696.
[14]	中国医疗保健国际交流促进会心脏重症专业委员会, 中国心脏重症营养支持专家委员会. 中国成人心脏外科围手术期营养支持治疗专家共识(2019)[J]. 中华危重病急救医学, 2019, 31(7):801-810.
	Cardiac Critical Care Committee of China Inter-national Ex-change and Promotion Association for Medical and Health-care,Chinese Expert Committee of Nutritional Support for Cardiac Critical Care. Chinese consensus guideline for nutri-tion support therapy in the perioperative period of adult car-diac surgery in 2019[J]. Chin Crit Care Med, 2019, 31(7):801-810.
[15]	Aggarwal A, Kumar A, Gregory MP, et al. Nutrition assessment in advanced heart failure patients evaluated for ventricular assist devices or cardiac transplantation[J]. Nutr Clin Pract, 2013, 28(1):112-119. doi: 10.1177/0884533612457948 pmid: 23054394
[16]	Yost G, Gregory M, Bhat G. Short-form nutrition assessment in patients with advanced heart failure evaluated for ventricular assist device placement or cardiac transplantation[J]. Nutr Clin Pract, 2014, 29(5):686-691. doi: 10.1177/0884533614535269 pmid: 24866345
[17]	Yost G, Tatooles A, Bhat G. Preoperative nutritional assess-ment with the prognostic nutrition index in patients undergo-ing left ventricular assist device implantation[J]. ASAIO J, 2018, 64(1):52-55.
[18]	Milaniak I, Tomaszek L, Wiśniowska-Śmiałek S, et al. Nutritio-nal risk assessment and adverse events in patients under-going left ventricular assist device implantation-a retrospective cohort study using hospital information system[J]. J Clin Med, 2023, 12(22):7181.
[19]	Balcioglu O, Kahraman Ü, Ertugay S, et al. Association of nutri-tional risk index with continuous flow left ventricular assist device complications[J]. Transplant Proc, 2023, 55(5):1278-1282.
[20]	Uribarri A, Rojas SV, Hanke JS, et al. Prognostic value of the nutritional risk index in candidates for continuous flow left ventricular assist device therapy[J]. Rev Esp Cardiol, 2019, 72(8):608-615. doi: 10.1016/j.rec.2018.05.029
[21]	Saito A, Amiya E, Hatano M, et al. Controlling nutritional status score As a predictive marker for patients with implantable left ventricular assist device[J]. ASAIO J, 2020, 66(2):166-172. doi: 10.1097/MAT.0000000000000972 pmid: 30913100
[22]	Malekahmadi M, Pahlavani N, Firouzi S, et al. Effect of enteral immunomodulatory nutrition formula on mortality and critical care parameters in critically ill patients:a systematic review with meta-analysis[J]. Nurs Crit Care, 2022, 27(6):838-848.
[23]	Esteban-Fernández A, Villar-Taibo R, Alejo M, et al. Diagnosis and management of malnutrition in patients with heart failure[J]. J Clin Med, 2023, 12(9):3320.

Research progress in the application of nutritional assessment and management in the treatment of patients with left ventricular assist device implantation

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