Comparison of Accuracy of NUTRIC and Modified NUTRIC Scores in Predicting 28-Day Mortality in Patients with Sepsis: A Single Center Retrospective Study

Autor: Younkyoung Kim, Jarim Seo, Ji-Yeon Min, Jin Won Huh, Dae Hyun Jeong, Younsuck Koh, Sang-Bum Hong, Chae-Man Lim
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
Male
Risk
medicine.medical_specialty
NUTRIC Score
Critical Illness
Nutritional Status
lcsh:TX341-641
Single Center
Tertiary referral hospital
intensive care unit
Article
law.invention
Sepsis
Cohort Studies
Tertiary Care Centers
sepsis
03 medical and health sciences
law
Republic of Korea
medicine
Electronic Health Records
Humans
Aged
Retrospective Studies
Academic Medical Centers
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
Medical record
Malnutrition
Area under the curve
Reproducibility of Results
Retrospective cohort study
Middle Aged
modified NUTRIC Score
medicine.disease
Intensive care unit
Combined Modality Therapy
Confidence interval
Intensive Care Units
Nutrition Assessment
nutrition risk
Emergency medicine
Female
business
lcsh:Nutrition. Foods and food supply
Food Science
Zdroj: Nutrients, Vol 10, Iss 7, p 911 (2018)
Nutrients
Volume 10
Issue 7
ISSN: 2072-6643
Popis: The NUTRIC (Nutrition Risk in the Critically Ill) and modified NUTRIC scores are nutrition risk assessment tools specifically for intensive care unit (ICU) patients. A modified NUTRIC score is composed of all variables except for IL-6 level in the NUTRIC score. Their use in qualifying critically ill patients at nutritional risk has been extensively evaluated, although not in studies of patients with sepsis, when interleukin 6 levels, which are not included in the modified NUTRIC score, may be elevated. The present study was a retrospective comparison of the accuracy of the NUTRIC and modified NUTRIC scores in predicting 28-day mortality of 482 adult patients with sepsis who were admitted to the medical ICU of a tertiary referral hospital in South Korea between January 2011 and June 2017 and who had ICU stays longer than 24 h. The NUTRIC and modified NUTRIC scores were calculated using data from the patients&rsquo
electronic medical records relating to the first 24 h of admission to the ICU. The area under the curve of the NUTRIC Score for predicting 28-day mortality was 0.762 (95% confidence interval (CI): 0.718&ndash
0.806) and of the modified NUTRIC Score 0.757 (95% CI: 0.713&ndash
0.801). There was no significant difference between the two scores (p = 0.45). The modified NUTRIC score was a good nutritional risk assessment tool for critically ill septic patients.
Databáze: OpenAIRE
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