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The Relationship between Mortality and the Modi ed Nutrition Risk in Critically Ill (mNUTRIC) and Nutritional Risk Screening 2002 (NRS-2002) Scores in the Intensive Care Unit
Author(s)
Kemal Yetis Gulsoy Department of Intensive Care Unit, Burdur Public Hospital,Burder,Turkey
Semiha Orhan Department of Intensive Care Unit, Afyonkarahisar University of Health Sciences, Afyonkarahisar, Turkey
Abstract
Objective: To measure the e ects on mortality of the Modi ed Nutrition Risk in Critically Ill (mNUTRIC) and Nutritional Risk Screening 2002 (NRS-2002) scores in critical patients in the Intensive Care Unit (ICU) and to investigate the relationship between macronutrient de ciency and the mNUTRIC and NRS-2002 scores. Study Design: A descriptive study. Place and Duration of Study: The Department of Intensive Care, Burdur Public Hospital, Turkey, between 01st October 2019 and 01st November 2021. Methodology: The study included 311 patients aged >18 years, treated in the ICU for more than 7 days, and who received more than 48 hours of mechanical ventilation when required. The patients were divided into two groups according to calorie su ciency as those who received <70% or >70% of the energy calculated for the rst 5 days in ICU. Results: Of the 311 patients included in the study, the high nutritional risk was determined in 20.9% according to the NRS-2002, and 62.7% according to the mNUTRIC. In patients classi ed as having high nutritional risk in nNUTRIC (score e5), the in-hospital mortality risk was 3-fold higher (p<0.001), and in patients classi ed as having high nutritional risk in NRS-2002 (score e5), it was 2-fold higher (p=0.002). There was a strong relationship found between a high mNUTRIC score and insu cient calorie intake and there was no relationship between the mNUTRIC score and protein intake (p=0.058). Conclusion: While the mNUTRIC score was a signi cant scoring system to show 28-day in-hospital survival, the e cacy of NRS-2002 in showing mortality could not be demonstrated.
Publication Details
Page(s) 848-854
DOI DOI not available
Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 32, Issue: 7, Year: 2022
Keywords
Intensive Care Unit Mortality Nutritional status NRS2002 mNUTRIC
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