Prognostic values of modified NUTRIC score to assess outcomes in critically ill patients admitted to the intensive care units: prospective observational study

Abstract

Purpose Modified Nutrition Risk in the Critically Ill (NUTRIC) score (mNUTRIC score) have been validated as screening tool for quantifying risk of adverse outcome critically ill patients admitted to the intensive care units (ICUs). The aim of this study was to evaluate the prognostic value of mNUTRIC score to assess outcomes in this population. Materials and methods This prospective, observational study was conducted on adult patients admitted to the general ICUs of two university affiliated hospital in northwest of Iran. The association between the mNUTRIC score and outcomes was assessed using the univariate and multivariate binary logistic regression. The performance of mNUTRIC score to predict outcomes was assessed using the receiver operating characteristic (ROC)-curve. Results In total 445 ICU patients were enrolled. Based on mNUTRIC score, 62 (13.9%) and 383 (86.1%) individuals were identified at high and low nutritional risk, respectively. The area under the curve (AUC) for predicting ICU mortality, using vasopressor, duration of vasopressor, and mechanical ventilation (MV) duration were (AUC: 0.973, 95% CI: 0.954–0.986, P < 0.001), (AUC: 0.807, 95% CI: 0.767–0.843, P < 0.001), (AUC: 0.726, 95% CI: 0.680–0.769, P < 0.001) and (AUC: 0.710, 95% CI: 0.666–0.752, P < 0.001), respectively. Conclusions An excellent and good predictive performance of the mNUTRIC score was found regarding ICU mortality and using vasopressor, respectively. However, this predictive was fair for MV and vasopressor duration and poor for ICU and hospital length of stay.

Características estructurales, demográficas, clínicas y nutricionales de unidades de cuidados intensivos de Colombia: nutritionDay 2021

“…Es clave detectar el riesgo nutricional en los pacientes que ingresan a la UCI con herramientas validadas. A pesar de que no existe una herramienta validada específicamente para paciente crítico que evalúe el estado nutricional, sí existen para determinar el riesgo nutricional y están recomendadas por ESPEN 2018 y ASPEN 2016, como el NRS-2002 y el Nutric Score; este último mide el riesgo de pobres resultados clínicos (14)(15)(16)(17)(18) .…”

Earthquake victims in focus: a cross-sectional examination of trauma and management in intensive care unit

“…The demographic characteristics of the patients (age, sex), the place of admission to the ICU (emergency department, inpatient service), comorbidities, the city in which the patient was trapped under the rubble, the duration from emergency service to ICU admission for all patients, and the duration of the patient's stay under the rubble were recorded on the study form. The Charlson comorbidity index (CCI), injury severity score (ISS), Glasgow coma scale (GCS) score, acute physiology and chronic health evaluation (APACHE) II score, sequential organ failure assessment (SOFA) score, 'Circulation, Respiration, Abdomen, Motor, and Speech' (CRAMS) score, modified nutrition risk in the critically ill (mNU-TRIC) score, and revised trauma score (RTS) were calculated [5][6][7][8]. If the intra-abdominal pressures of patients were measured, they were recorded on the study form [9].…”

Modified NUTRIC Score as a Predictor of All-cause Mortality in Critically Ill Patients: A Systematic Review and Meta-analysis

“…3, Table 1 displays the features of every included study that is a part of the current meta-analysis. Bias in the outcome measurement was low in 24 studies, 3, [13][14][15][16][17][18][19][22][23][24][25][26][27][29][30][31][32][33][34]36,[39][40][41][42][43] moderate in five studies, 20,28,35,37,38 and high risk of bias in two studies (Fig. 2).…”