High nutritional risk is associated with unfavorable outcomes in patients admitted
            to an intensive care unit

Marchetti, Júlia Rossetto; Reis, Audrey Machado dos; Santos, Amanda Forte dos; Franzosi, Oellen Stuani; Luft, Vivian Cristine; Steemburgo, Thais

doi:10.5935/0103-507x.20190041

Cited by 17 publications

(10 citation statements)

References 24 publications

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“…In recent studies on ICU patients, a high NRS‐2002 score has been shown to have a positive correlation with patients’ mortality as well as the risk of malnutrition 18,23,25,34,35 . In our study, a statistically significant relationship was found between the NRS‐2002 score and mortality.…”

Section: Discussionsupporting

confidence: 69%

“…In recent studies on ICU patients, a high NRS-2002 score has been shown to have a positive correlation with patients' mortality as well as the risk of malnutrition. 18,23,25,34,35 In our study, a statistically significant relationship was found between the NRS-2002 score and mortality. In their study on patients who were 19 years of age and older, Maciel et al 28 stated that when the cutoff value of NRS-2002 was ≥5, it was associated with poor clinical results and ICU mortality.…”

Section: Discussionsupporting

confidence: 55%

“…NRS‐2002 25 is the first screening tool developed using evidence‐based medicine to assess nutrition status and can be applied to all hospitalized patients. When calculating NRS‐2002, nutrition properties such as body mass index (BMI) <20.5 kg/m 2 , weight loss in the last 3 months, and reduction in food intake in the last week and clinical scores such as APACHE II are considered 26 .…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Nutrition Risk in Patients Over 65 Years of Age With Nontraumatic Acute Abdominal Syndrome

et al. 2020

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Background: The objective of this study is to investigate the power of CRP/Albumin ratio, NRS-2002, mNUTRIC scores to predict nutritional needs and mortality in patients over 65 years of age diagnosed with acute abdominal syndrome in the emergency department and then transferred to the surgical intensive care unit. Material and Method: CRP/Albumin ratio, APACHE II, SOFA, NRS-2002 and mNUTRIC scores were calculated. The analysis of the data was conducted in IBM SPSS Statistics Base 22.0 package program. Results: In the analytical evaluation made for nutritional needs, AUC value for mNUTRIC was found to be: 0,683, 95% CI 0,611-0,755, p < 0.001. It was found out that mortality of patients had a statistically significant and moderate correlation with mNUTRIC score (r = 0.537; p < 0.001). In the analytical evaluation made for mortality, mNUTRIC's AUC value (AUC: 0.808, 95% CI 0.736-0.880, p < 0.001) was found to be the highest. When the cutoff value determined to predict mortality was taken as 3.5 for mNUTRIC score, sensitivity was 75.9% and specificity was 69.4%. Conclusion: The evaluation of the risk of malnutrition through nutritional risk tools in intensive care patients over 65 years of age with acute abdominal syndrome can also predict nutritional needs in the early period besides mortality. Based on our data, the fact that mNUTRIC score cutoff value in older patients hospitalized in intensive care is 3.5 and higher may be a predictor for ICU mortality.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

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Evaluation of Nutrition Risk in Patients Over 65 Years of Age With Nontraumatic Acute Abdominal Syndrome

et al. 2020

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“…This modified NUTRIC (mNUTRIC) score found that ≈50% of patients admitted to the ICU are at high nutrition risk . In 200 critically ill patients, the high nutrition risk according to the NRS‐2002 and the mNUTRIC were 55% and 36.5%, respectively . In the same study, the high nutrition risk was positively associated with an increased risk of clinical outcomes, including hospital death …”

Section: Introductionmentioning

confidence: 87%

NUTRIC Score: Isolated and Combined Use With the NRS‐2002 to Predict Hospital Mortality in Critically Ill Patients

Reis

Marchetti

Santos

et al. 2020

J Parenter Enteral Nutr

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Background Identification of nutritional risk in critically ill patients is a challenge because each nutritional screening tool has its specific characteristics. The objective was to evaluate the performance of the modified Nutrition Risk in Critically ill (mNUTRIC) score, used alone or in combination with the Nutritional Risk Screening 2002 (NRS‐2002) score, to predict hospital mortality in critically ill patients. Methods A prospective study was performed with patients admitted to the intensive care unit (ICU) from October 2017 to April 2018. Multiple logistic regression analysis was used to test for complementarity between the mNUTRIC and NRS‐2002. A receiver operating characteristic (ROC) curve was used to identify the performance of the instruments to predict mortality. This study was conducted in accordance with the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) statement. Results 384 patients were evaluated (51.8% female mean age 59.6 ± 16.7 years). High nutritional risk was detected in 54.4% by the NRS‐2002 and 48.4% by mNUTRIC. The overall mortality rate was 36.5% (n = 140). Patients in whom nutritional risk was identified both by mNUTRIC and by NRS‐2002 (score ≥5) had a twofold greater risk of in‐hospital mortality (RR = 2.29; 95%CI: 1.42–3.68; p = 0.001). The area under the ROC curve to predict mortality was 0.693 for mNUTRIC; 0.645 for NRS‐2002; and 0.666 for mNUTRIC and NRS‐2002 combined. Conclusions The mNUTRIC and NRS‐2002 scores had similar performance in predicting hospital mortality. The mNUTRIC has better discriminant ability to quantify the risk of mortality in critically ill patients.

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“…The European Society of Parenteral and Enteral Nutrition (ESPEN) recommends the use of Nutritional Risk Score2002 (NRS-2002) [ 4 ] and the American Society for Enteral and Parenteral Nutrition (ASPEN) [ 5 ] recommends NRS-2002 and the NUTRIC scores for critically ill patients. NRS-2002 [ 6 ] is the first screening tool developed to evaluate nutritional status. NRS-2002 is effective in identifying patients with nutritional risk who can benefit from early and aggressive nutritional support [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

mNUTRIC tool is capable to predict nutritional needs and mortality early in patients suffering from severe pneumonia

Acehan

Gülen

Isıkber

et al. 2021

Clinical Nutrition ESPEN

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Objective This retrospective observational study aims to evaluate the prognostic accuracy of Modified Nutrition Risk in Critically ill (mNUTRIC) compared to Nutrition Risk Score-2002 (NRS-2002) in patients hospitalized in the intensive care unit due to severe pneumonia during the pandemic period. Methods RT-PCR test and Chest CT was performed in all patients in the emergency department pandemic area. The CURB-65 at the time of admission to the emergency department and Acute Physiology and Chronic Health Evaluation II (APACHE II), Sequential organ failure assessment score (SOFA), NRS-2002 and mNUTRIC scores 24 h after hospitalization in the intensive care unit were calculated. The analysis of the data was made in IBM SPSS Statistics Base 22.0 package program. Results One hundred and twenty-five patients found to have severe pneumonia based on the chest CT taken in the emergency department pandemic area and hospitalized in the intensive care unit were included in the study. A real-time reverse transcription PCR (RT-PCR) test was positive in 30.4% (n: 38) of the patients. Additional nutrition treatment was initiated in 54.4% of the patients. In the analytical evaluation to predict nutritional treatment needs, mNUTRIC's AUC value (AUC: 0.681, 95% 0.582–0.780, p < 0.001) was higher than NRS-2002. While 64.8% (n: 81) of the patients were discharged, 35.2% (n: 44) died. In the analytical evaluation to predict mortality, the AUC value of mNUTRIC had the highest value (AUC: 0.875, 95% CI 0.814–0.935, p < 0.001). Conclusion The mNUTRIC score can predict at an early period the nutritional needs and mortality of patients with severe pneumonia during the Covid-19 pandemic.

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High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit

Cited by 17 publications

References 24 publications

Evaluation of Nutrition Risk in Patients Over 65 Years of Age With Nontraumatic Acute Abdominal Syndrome

Evaluation of Nutrition Risk in Patients Over 65 Years of Age With Nontraumatic Acute Abdominal Syndrome

NUTRIC Score: Isolated and Combined Use With the NRS‐2002 to Predict Hospital Mortality in Critically Ill Patients

mNUTRIC tool is capable to predict nutritional needs and mortality early in patients suffering from severe pneumonia

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