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Frontiers | Evaluating the prognostic significance of the modified prognostic nutritional index-C-reactive protein-to-albumin-to-lymphocyte index in acute decompensated heart failure: special attention to the impact of diabetes
Background Acute decompensated heart failure (ADHF) is one of the leading causes of hospitalization worldwide, characterized by complex pathophysiological mechanisms and poor short-term prognosis (1, 2). Malnutrition represents one of the most common comorbidities in ADHF, significantly influencing disease trajectory (3). Studies indicate that approximately 75–90% of ADHF patients suffer from malnutrition (4–6), and its severity is positively correlated with adverse prognosis (3, 7, 8).
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