{"id":"3f82b542dbbb","type":"article","url":"https://hartvaat.nl/2021/05/11/geindividualiseerde-voedingsondersteuning-bij-gehospitaliseerd-chronisch-hf/","title":"Geïndividualiseerde voedingsondersteuning bij gehospitaliseerd chronisch HF","title_en":"Individualized Nutritional Support for Hospitalized Patients With Chronic Heart Failure.","category":"hartfalen","category_label":"Hartfalen","professions":["cardioloog"],"tags":["acuut-hartfalen","chronische-nierziekte","vrouwen"],"journal":"Journal of the American College of Cardiology","doi":"10.1016/j.jacc.2021.03.232","source_url":"https://doi.org/10.1016/j.jacc.2021.03.232","authors":["Lara Hersberger","Anna Dietz","Helene Bürgler","Annika Bargetzi","Laura Bargetzi","Nina Kägi-Braun","Pascal Tribolet","Filomena Gomes","Claus Hoess","Vojtech Pavlicek","Stefan Bilz","Sarah Sigrist","Michael Brändle","Christoph Henzen","Robert Thomann","Jonas Rutishauser","Drahomir Aujesky","Nicolas Rodondi","Jacques Donzé","Zeno Stanga","Beat Mueller","Philipp Schuetz"],"significance":6,"published":"2021-05-11","source_date":"2021-05-11","image":"","kennis":[],"congress":"","summary_en":"This study showed that individualized nutritional support during hospitalization for chronic heart failure improves clinical outcomes, supporting targeted nutrition assessment and intervention as part of inpatient heart failure management.","created":"2026-07-03T10:29:11Z","updated":"2026-07-03T13:28:19Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Studie naar geïndividualiseerde voedingsondersteuning bij gehospitaliseerde patiënten met chronisch hartfalen.","abstract_original":"BACKGROUND: Deterioration of nutritional status during hospitalization in patients with chronic heart failure increases mortality. Whether nutritional support during hospitalization reduces these risks, or on the contrary, may be harmful due to an increase in salt and fluid intake, remains unclear. OBJECTIVES: The purpose of this trial was to study the effect of nutritional support on mortality in patients hospitalized with chronic heart failure who are at nutritional risk. METHODS: A total of 645 patients with chronic heart failure (36% [n = 234] with acute decompensation) participated in the investigator-initiated, open-label EFFORT (Effect of early nutritional support on Frailty, Functional Outcomes and Recovery of malnourished medical inpatients) trial. Patients were randomized to protocol-guided individualized nutritional support to reach energy, protein, and micronutrient goals (intervention group) or standard hospital food (control group). The primary endpoint was all-cause mortality at 30 days. RESULTS: Mortality over 180 days increased with higher severity of malnutrition (odds ratio per 1-point increase in Nutritional Risk Screening 2002 score: 1.65; 95% confidence interval [CI]: 1.21 to 2.24; p = 0.001). By 30 days, 27 of 321 intervention group patients (8.4%) died, compared with 48 of 324 (14.8%) control group patients (odds ratio: 0.44; 95% CI: 0.26 to 0.75; p = 0.002). Patients at high nutritional risk showed the most benefit from nutritional support. Mortality effects remained significant at 180-day follow-up. Intervention group patients also had a lower risk for major cardiovascular events at 30 days (17.4% vs. 26.9%; odds ratio: 0.50; 95% CI: 0.34 to 0.75; p = 0.001). CONCLUSIONS: Among hospitalized patients with chronic heart failure at high nutritional risk, individualized nutritional support reduced the risk for mortality and major cardiovascular events compared with standard hospital food. These data support malnutrition screening upon hospital admission followed by an individualized nutritional support strategy in this vulnerable patient population. (Effect of Early Nutritional Therapy on Frailty, Functional Outcomes and Recovery of Undernourished Medical Inpatients Trial [EFFORT]; NCT02517476)."}