Modified Nutrition Risk in Critically Ill (mNUTRIC) Score to Assess Nutritional Risk in Mechanically Ventilated Patients: A Prospective Observational Study from the Pakistani Population.

Autor:	Ata Ur-Rehman HM; Internal Medicine, Shifa International Hospital, Islamabad, PAK., Ishtiaq W; Internal Medicine, Shifa International Hospital, Islamabad, PAK., Yousaf M; Internal Medicine, Bolan University of Health and Medical Sciences, Quetta, PAK., Bano S; Internal Medicine, Shifa International Hospital, Islamabad, PAK., Mujahid AM; Dermatology, Jinnah Hospital - Allama Iqbal Medical College, Lahore, PAK., Akhtar A; Internal Medicine, Shifa International Hospital, Islamabad, PAK.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2018 Dec 27; Vol. 10 (12), pp. e3786. Date of Electronic Publication: 2018 Dec 27.
DOI:	10.7759/cureus.3786
Abstrakt:	Purpose Typical nutritional assessment criteria and screening tools are ineffective in mechanically ventilated patients who are often unable to report their food intake history. The Nutrition Risk in Critically Ill (NUTRIC) score is effective for screening mechanically ventilated patients. This prospective observational study was conducted to identify nutritional risk in mechanically ventilated patients using a modified NUTRIC (mNUTRIC) score (without using interleukin-6 values). Methods All adult patients admitted to the intensive care unit (ICU) for more than 48 hours were included in the study. Data were collected on the variables required to calculate mNUTRIC scores. Patients with mNUTRIC scores ≥5 were considered at high nutritional risk. The assessment data included total ICU length of stay, ventilator-free days, and mortality rates. Results and conclusion A total of 75 patients fit the inclusion criteria of the study, including 40 males and 35 females. The mean age was 55.8 years. Forty-five percent of mechanically ventilated patients had mNUTRIC scores ≥5. Mechanically ventilated patients with mNUTRIC scores ≥5 had longer lengths of stay in the ICU (mean ± SD = 11.5±5 days) as compared with 3.5±4 days in patients with mNUTRIC scores ≤4. Moreover, a higher mortality rate (26%) was observed in patients with mNUTRIC scores ≥5. A high mNUTRIC predicted mortality score shows a receiver operating characteristic curve of 0.637 with a confidence interval between 0.399 and 0.875. Forty-five percent of mechanically ventilated patients admitted to the ICU were at nutritional risk, and their mNUTRIC scores were directly related to higher lengths of stay and mortality. Competing Interests: The authors have declared that no competing interests exist.
Databáze:	MEDLINE
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