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Observational Study
. 2024 Dec 23;24(1):473.
doi: 10.1186/s12871-024-02866-2.

Effect of the modified NUTRIC score in predicting the prognosis of patients admitted to intensive care units

Mustafa Yildirim  1 , Zahide Sahin Yildirim  2 , Mustafa Deniz  3
Affiliations
Observational Study

Effect of the modified NUTRIC score in predicting the prognosis of patients admitted to intensive care units

Mustafa Yildirim et al. BMC Anesthesiol. .

Abstract

Background: Nutritional deficiency is common in critically ill hospitalized patients. This condition may be aggravated by increased dietary requirements and deficiencies in nutrient absorption. This study aimed to evaluate the associations between the modified Nutritional Risk in Critically ill (mNUTRIC) score and mortality and morbidity in patients with sepsis.

Methods: In this prospective observational study, 78 patients with sepsis were enrolled in the general intensive care unit over a 3-month period. Demographic and clinical data and laboratory results were recorded and followed up. The nutrition of each patient was started by the nutrition team, and a modified score (mNUTRIC) was calculated. This score was used to assess the patients' nutritional status and mortality risk.

Results: The mean age of the patients was 77.2 ± 9.9 years, and the majority were men. The median mNUTRIC score was 6. The cohort was divided into two groups: 31 patients (39.7%) with low scores and 47 patients (60.3%) with high mNUTRIC scores. A high mNUTRIC score was associated with an increased need for vasoactive drugs (p < 0.001) and mechanical ventilation (p < 0.001), as well as increased acute kidney injury (p = 0.014) and prolonged hospital stay (p < 0.001) during ICU follow-up. The mNUTRIC score showed high accuracy in predicting mortality (p < 0.001).

Conclusions: In this study, to predict the prognosis of patients with sepsis in the ICU, the mNUTRIC score was associated with mortality. The inclusion of nutritional assessment scoring tools in the routine clinical evaluation of ICU patients is important.

Keywords: Mortality; NUTRIC score; Sepsis; İntensive care unit.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: The Bolu Abant İzzet Baysal University Clinical Research Ethics Committee approved this study with the ethical code 2023/237. Written informed consent was received from all subjects or their care givers before beginning the study. All methods were carried out in accordance with relevant guidelines and regulations or Declaration of Helsinki. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
K‒M survival curves for intensive care unit survival times in the low- and high-nutrient score groups
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References

    1. Koontalay A, Suksatan W, Sadang JM, Prabsangob K. Optimal nutritional factors influencing the duration of mechanical ventilation among adult patients with critical illnesses in an intensive care unit. J Multidiscip Healthc. 2021;14:1385–93. 10.2147/JMDH.S319553. - PMC - PubMed
    1. Fleischmann C, Scherag A, Adhikari NKJ, et al. Assessment of global incidence and mortality of hospital-treated sepsis current estimates and limitations. Am J Respir Crit Care Med. 2016;193(3):259–72. 10.1164/rccm.201504-0781OC. - PubMed
    1. Park S, Park SH, Kim Y, et al. Optimal nutritional support strategy based on the Association between Modified NUTRIC score and 28-Day mortality in critically ill patients: a prospective study. Nutrients. 2023;15(11). 10.3390/nu15112465. - PMC - PubMed
    1. Im KM, Kim EY. Reducing In-Hospital and 60-Day mortality in critically ill patients after surgery with strict nutritional supplementation: a prospective, Single-Labeled, Randomized Controlled Trial. Nutrients. 2023;15(21). 10.3390/nu15214684. - PMC - PubMed
    1. 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. 10.1186/cc10546. - PMC - PubMed

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