- ISSN: 1999-7086
- E-ISSN: 1999-7094
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oa Modified nutrition risk (mNUTRIC) score in critically ill patients: Is it a reliable predictor of outcome in the intensive care unit?
- Source: Journal of Emergency Medicine, Trauma and Acute Care, Volume 2022, Issue 4, نوفمبر ٢٠٢٢, 26
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- ١٢ نوفمبر ٢٠٢١
- ١٨ أبريل ٢٠٢٢
- ٠٥ يوليو ٢٠٢٢
ملخص
Background: Till date, there is no consensus reached on the foremost tool for identifying the propensity of risk in critically sick patients. In this study, we plan to assess the nutritional risk in critically ill patients admitted to the medical ICU using the modified nutrition risk in critically ill (mNUTRIC) score and to anticipate the outcome in terms of overall mortality, 72-hour mortality, and the use of mechanical ventilation. Method: A total of 1,990 patients were analyzed by calculating their mNUTRIC scores using various variables, which were a part of the scoring system, such as age, a thorough history and clinical examination, and pre-existing comorbidities. Group differences were compared using the t-test or the Wilcoxon test for continuously distributed data and the chi-squared test for categorical data. Results: In this study, the mean age of the patients were 50.48 ± 17.58 years. Of them, 395 died while 1,595 survived; and 799 had a high ( ≥ 6) mNUTRIC score, and 1191 had a low ( ≤ 5) mNUTRIC score. The area under the curve for mNUTRIC score in predicting overall mortality and 72-hour mortality was 0.938 and 0.89, respectively, thus demonstrating better diagnostic performance. Conclusion: The discriminative performance of mNUTRIC scores for assessing overall mortality and the need for mechanical ventilation was found to be effective in this study.
