NUTRIC Score Is Not Superior to mNUTRIC Score in Prediction of Mortality of COVID-19 Patients

Küçük, Berkay; Ozen, Sevil Baltaci; KOCABEYOĞLU, Gül Meral; Mutlu, Nevzat Mehmet; Çakır, Esra; Turan, İşıl Özkoçak

doi:10.1155/2022/1864776

Cited by 9 publications

(8 citation statements)

References 27 publications

(40 reference statements)

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“…The consistent findings of elevated inflammatory markers (such as IL-6 and procalcitonin) and impaired nutritional markers (such as albumin) in patients with high mNUTRIC scores across different studies highlight the importance of these biomarkers in assessing the nutritional status and disease severity of critically ill patients. These findings provide valuable insights into the potential use of these markers in risk stratification and clinical management in the context of critical care [17].…”

Section: Discussionmentioning

confidence: 90%

Evaluating the modified NUTRIC score as a prognostic tool in the intensive care unit for COVID-19 patients

Tutal Gürsoy,

Kayalı Şendur,

Hayran

et al. 2023

Acta Medica

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Objective: The modified NUTRIC Score (mNUTRIC) score is a screening test designed for evaluating patients in intensive care units. In this study, our aim is to assess the ability of this test to predict mortality, length of hospital stay, and the need for mechanical ventilation in COVID-19 patients in the intensive care units. Materials and Methods: In our retrospective study, we evaluated 67 patients admitted to our COVID-19 intensive care unit between October and November 2020. We analyzed their entry scores and conducted general follow-up assessments. Results: In our study, we found that mortality assessment revealed a significant association between older age (p<0.001), the need for mechanical ventilation (p=0.001), and the presence of dysphagia (p<0.001) in patients who did not survive.Statistically significant findings indicate that patients classified as having high mNUTRIC scores had higher rates of 28-day mortality, the need for mechanical ventilation, and the presence of dysphagia compared to those classified as having low nutritional scores. When patients with neurodegenerative diseases were evaluated as a separate group, no significant association was found between high nutritional scores and mortality, the need for mechanical ventilation, or length of hospital stay. Conclusion: The evaluation of nutritional risk in patients being monitored in intensive care is an important step in patient management. The modified NUTRIC score is a preferable assessment test due to its ease of use.

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Section: Discussionmentioning

confidence: 90%

Evaluating the modified NUTRIC score as a prognostic tool in the intensive care unit for COVID-19 patients

Tutal Gürsoy,

Kayalı Şendur,

Hayran

et al. 2023

Acta Medica

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“…We reviewed the literature and found that the mNUTRIC score was not superior to the APACHE II score in predicting prognosis in patients with sepsis [43]. Similarly, in a study to predict the prognosis of coronavirus disease 2019 patients, the APACHE score and SOFA score also performed better than the mNUTRIC score [44]. However, we cannot deny the important role of the mNUTRIC score, as it is not only a prognostic indicator, but also a tool for nutritional risk assessment.…”

Section: Discussionmentioning

confidence: 93%

Comparison between the NUTRIC score and modified NUTRIC score to predict hospital mortality in cardiac surgery patients: A retrospective study

Luo

Chi

et al. 2022

Preprint

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Background Nutritional status is essential for patients undergoing cardiac surgery (CS), and malnutrition is an independent risk factor for postoperative adverse outcomes. The Nutrition Risk in the Critically Ill (NUTRIC) and modified NUTRIC (mNUTRIC) scores are nutritional risk assessment tools specifically for patients in the intensive care unit (ICU). The objective of this study was to validate and compare the accuracy of the NUTRIC score and the mNUTRIC score in predicting hospital mortality in CS patients. Methods This retrospective study screened adult CS patients under cardiopulmonary bypass in the ICU of a tertiary university affiliated hospital in China from June 2020 to August 2022. The demographic data, laboratory variables, clinical outcomes and hospital mortality of these patients were recorded, and all data were compared according to the NUTRIC score and the mNUTRIC score criteria for high and low nutritional risk. The area under the receiver operating characteristic curve (AUC-ROC) was used to compare the predictive performance of these two nutrition scores for hospital mortality. Results A total of 259 eligible patients were finally screened for statistical analysis; 57 patients had high NUTRIC scores, and 82 patients had high mNUTRIC scores. In both scores, patients in the high nutritional risk group had a higher rate of renal replacement therapy, longer duration of mechanical ventilation and ICU stay, and higher hospital mortality than those in the low nutritional risk group (p < 0.001). The AUC-ROC of the NUTRIC score and the mNUTRIC score for predicting hospital mortality were 0.833 (95% CI: 0.754–0.911) and 0.827 (95% CI: 0.751–0.902), respectively. There was no significant difference in ROC curves between the two scores (p = 0.532). Conclusions Both the NUTRIC and mNUTRIC scores showed good predictive performance for hospital mortality in CS patients, and the NUTRIC score was not superior to the mNUTRIC score.

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“…Third, the measurement of IL-6 was not available in our study population, and we were unable to calculate the NUTRIC score. Fortunately, many studies have shown that the mNUTRIC score is non-inferior to the NUTRIC score [ 21 , 32 , 33 ]. As this is one of the first studies suggesting the substitution of APACHE II with SAPS II, more multinational studies are required to validate these results and incorporate them into clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Comparison of mNUTRIC-S2 and mNUTRIC scores to assess nutritional risk and predict intensive care unit mortality

et al. 2022

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Background: Nutritional status is associated with mortality. The modified Nutrition Risk in the Critically Ill (mNUTRIC) score is one of the most commonly used nutritional risk assessment tools in intensive care units (ICUs). The purpose of this study was to compare the mortality predictive ability of the mNUTRIC score to that of the mNUTRIC-S2 score, which uses the Simplified Acute Physiology Score (SAPS) II instead of the Acute Physiology and Chronic Health Evaluation (APACHE) II. Methods: This retrospective cohort analysis included patients admitted to the ICU between January and September 2020. Each patient's electronic medical records were reviewed. The model discrimination for predicting ICU mortality was assessed by the area under the receiver operating characteristic (ROC) curve, and a Cox regression model was performed to confirm the relationship between the groups and mortality. Results: In total, 220 patients were enrolled. The ROC curve for predicting ICU mortality was 0.64 for the mNUTRIC score versus 0.67 for the mNUTRIC-S2 score. The difference between the areas was 0.03 (95% confidence interval [CI], -0.01 to 0.06; P=0.09). Patients with mNUTRIC-S2 score ≥5 had a greater risk of ICU mortality (hazard ratio [HR], 3.64; 95% CI, 1.85-7.14, P<0.001); however, no such relationship was observed with mNUTRIC score (HR, 1.69; 95% CI, 0.62-4.62; P=0.31). Conclusions:The mNUTRIC-S2 score was significantly associated with ICU mortality. A cutoff score of 5 was selected as most appropriate.

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NUTRIC Score Is Not Superior to mNUTRIC Score in Prediction of Mortality of COVID-19 Patients

Cited by 9 publications

References 27 publications

Evaluating the modified NUTRIC score as a prognostic tool in the intensive care unit for COVID-19 patients

Evaluating the modified NUTRIC score as a prognostic tool in the intensive care unit for COVID-19 patients

Comparison between the NUTRIC score and modified NUTRIC score to predict hospital mortality in cardiac surgery patients: A retrospective study

Comparison of mNUTRIC-S2 and mNUTRIC scores to assess nutritional risk and predict intensive care unit mortality

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