1887
Volume 2022, Issue 4
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Till date, there is no consensus reached on the foremost tool for identifying the propensity of risk in critically sick patients. In this study, we plan to assess the nutritional risk in critically ill patients admitted to the medical ICU using the modified nutrition risk in critically ill (mNUTRIC) score and to anticipate the outcome in terms of overall mortality, 72-hour mortality, and the use of mechanical ventilation. A total of 1,990 patients were analyzed by calculating their mNUTRIC scores using various variables, which were a part of the scoring system, such as age, a thorough history and clinical examination, and pre-existing comorbidities. Group differences were compared using the t-test or the Wilcoxon test for continuously distributed data and the chi-squared test for categorical data. In this study, the mean age of the patients were 50.48 ± 17.58 years. Of them, 395 died while 1,595 survived; and 799 had a high ( ≥ 6) mNUTRIC score, and 1191 had a low ( ≤ 5) mNUTRIC score. The area under the curve for mNUTRIC score in predicting overall mortality and 72-hour mortality was 0.938 and 0.89, respectively, thus demonstrating better diagnostic performance. The discriminative performance of mNUTRIC scores for assessing overall mortality and the need for mechanical ventilation was found to be effective in this study.

Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2022.26
2022-07-05
2024-03-29
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2022/4/jemtac.2022.26.html?itemId=/content/journals/10.5339/jemtac.2022.26&mimeType=html&fmt=ahah

References

  1. Ata ur-Rehman HM, Ishtiaq W, Yousaf M, Bano S, Mujahid AM, Akhtar A. Modified nutrition risk in critically ill (mNUTRIC) score to assess nutritional risk in mechanically ventilated patients: A prospective observational study from the Pakistani population. Cureus. 2018; 10:(12):e3786.
    [Google Scholar]
  2. Chourdakis M, Grammatikopoulou MG, Poulia KA, Passakiotou M, Pafili ZK, Bouras E, et al. Translation of the modified NUTRIC score and adaptation to the Greek ICU setting. Clin Nutr ESPEN. 2019;29:72–6.
    [Google Scholar]
  3. Eslamian G, Ardehali SH, VahdatShariatpanahi Z. Association of intestinal permeability with a NUTRIC score in critically ill patients. Nutrition. 2019;63–64:1–8.
    [Google Scholar]
  4. Kalaiselvan MS, Renuka MK, Arunkumar AS. Use of nutrition risk in critically ill (NUTRIC) score to assess nutritional risk in mechanically ventilated patients: A prospective observational study. Indian J Crit Care Med Peer-Rev Off Publ Indian Soc Crit Care Med. 2017; 21:(5):253–6.
    [Google Scholar]
  5. Mukhopadhyay A, Henry J, Ong V, Leong CS-F, Teh AL, Dam RM van, et al. Association of modified NUTRIC score with 28-day mortality in critically ill patients. Clin Nutr. 2017; 36:(4):1143–8.
    [Google Scholar]
  6. Jeong S. Scoring systems for the patients of intensive care unit. Acute Crit Care. 2018; 33:(2):102–4.
    [Google Scholar]
  7. Heyland DK, Dhaliwal R, Jiang X, Day AG. Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool. Crit Care. 2011; 15:(6):R268.
    [Google Scholar]
  8. Bouch DC, Thompson JP. Severity scoring systems in the critically ill. Contin Educ Anaesth Crit Care & Pain. 2008; 8:(5):181–5.
    [Google Scholar]
  9. Rapsang AG, Shyam DC. Scoring systems in the intensive care unit: A compendium. Indian J Crit Care Med Peer-Rev Off Publ Indian Soc Crit Care Med. 2014; 18:(4):220–8.
    [Google Scholar]
  10. Rahman A, Hasan RM, Agarwala R, Martin C, Day AG, Heyland DK. Identifying critically-ill patients who will benefit most from nutritional therapy: Further validation of the “modified NUTRIC” nutritional risk assessment tool. Clin Nutr. 2016; 35:(1):158–62.
    [Google Scholar]
  11. Vincent J-L, Moreno R. Clinical review: Scoring systems in the critically ill. Crit Care. 2010; 14:(2):207.
    [Google Scholar]
  12. Mendes R, Policarpo S, Fortuna P, Alves M, Virella D, Heyland DK. Nutritional risk assessment and cultural validation of the modified NUTRIC score in critically ill patients—A multicenter prospective cohort study. J Crit Care. 2017;37:45–9.
    [Google Scholar]
  13. Lew CCH, Wong GJY, Cheung KP, Fraser RJL, Chua AP, Chong MFF, et al. When timing and dose of nutrition support were examined, the modified Nutrition Risk in Critically Ill (mNUTRIC) score did not differentiate high-risk patients who would derive the most benefit from nutrition support: a prospective cohort study. Ann Intensive Care. 2018; 8:(1):98.
    [Google Scholar]
  14. Jeong D, Hong S-B, Lim C-M, Koh Y, Seo J, Kim Y, et al. Comparison of accuracy of NUTRIC and modified NUTRIC scores in predicting 28-day mortality in patients with sepsis: A single center retrospective study. Nutrients. 2018; 10:(7):911.
    [Google Scholar]
  15. Heyland DK, Dhaliwal R, Drover JW, Gramlich L, Dodek P, Canadian Critical Care Clinical Practice Guidelines Committee. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. JPEN J Parenter Enteral Nutr. 2003; 27:(5):355–73.
    [Google Scholar]
  16. Demiroluk Ö, YiğitKuplay Y, Meriç Y, Turan G, Yildirim Ar A. The association between modified nutrition risk in critically ill score and mortality in geriatric patients. Turk J Geriatr. 2019; 22:(2):222–7.
    [Google Scholar]
  17. de Vries MC, Koekkoek WK, Opdam MH, van Blokland D, van Zanten AR. Nutritional assessment of critically ill patients: validation of the modified NUTRIC score. Eur J Clin Nutr. 2018; 72:(3):428–35.
    [Google Scholar]
  18. Rosa M, Heyland DK, Fernandes D, Rabito EI, Oliveira ML, Marcadenti A. Translation and adaptation of the NUTRIC Score to identify critically ill patients who benefit the most from nutrition therapy. Clin Nutr ESPEN. 2016;14:31–6.
    [Google Scholar]
  19. Pievsky D, Rotundo L, Apfel T, Persaud A, Nasir UM, Krawitz S, et al. Sa2027 – validation of the modified nutric score in patients with cirrhosis admitted to the intensive care unit. Gastroenterology. 2019 May 1; 156:(6):S476–7.
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/jemtac.2022.26
Loading
/content/journals/10.5339/jemtac.2022.26
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error