SUN-LB644: Nutritional Risk Assessment in Critically Ill Patients Using Nutrition Risk in Critically Ill (NUTRIC) Score

2019 ◽  
Vol 38 ◽  
pp. S298-S299
Author(s):  
R. Kalavathy ◽  
Sumaya Ahmed Al Araj ◽  
Nazneen Zara ◽  
Yousuf Altair ◽  
Khadra Omer
Keyword(s):  
Risk Assessment ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Nutritional Risk ◽  
Nutrition Risk

scholarly journals Comparison of Feeding Efficiency and Hospital Mortality between Small Bowel and Nasogastric Tube Feeding in Critically Ill Patients at High Nutritional Risk

Nutrients ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2009
Author(s):  
Wei-Ning Wang ◽  
Chen-Yu Wang ◽  
Chiann-Yi Hsu ◽  
Pin-Kuei Fu
Keyword(s):  
Small Bowel ◽  
Enteral Nutrition ◽  
Hospital Mortality ◽  
Critically Ill ◽  
Energy Intake ◽  
Nasogastric Tube ◽  
Critically Ill Patients ◽  
Nutritional Risk ◽  
Nutrition Risk ◽  
Achievement Rate

Nasogastric tube enteral nutrition (NGEN) should be initiated within 48 h for patients at high nutritional risk. However, whether small bowel enteral nutrition (SBEN) should be routinely used instead of NGEN to improve hospital mortality remains unclear. We retrospectively analyzed 113 critically ill patients with modified Nutrition Risk in Critically Ill (mNUTRIC) score ≥ 5 and feeding volume < 750 mL/day in the first week of their stay in the intensive care unit (ICU). Age, sex, mNUTRIC score, and Acute Physiology and Chronic Health Evaluation II (APACHE II) score were matched in the SBEN (n = 48) and NGEN (n = 65) groups. Through a univariate analysis, factors associated with hospital mortality were SBEN group (hazard ratio (HR), 0.56; 95% confidence interval (CI), 0.31–1.00), Simplified Organ Failure Assessment (SOFA) score on day 7 (HR, 1.12; 95% CI, 1.03–1.22), and energy intake achievement rate < 65% (HR, 2.53; 95% CI, 1.25–5.11). A multivariate analysis indicated that energy intake achievement rate < 65% on the third follow-up day (HR, 2.29; 95% CI, 1.12–4.69) was the only factor independently associated with mortality. We suggest initiation of SBEN on the seventh ICU day before parenteral nutrition initiation for critically ill patients at high nutrition risk.

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

Nutrients ◽  
2018 ◽  
Vol 10 (7) ◽  
pp. 911 ◽  
Author(s):  
Dae Jeong ◽  
Sang-Bum Hong ◽  
Chae-Man Lim ◽  
Younsuck Koh ◽  
Jarim Seo ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Critically Ill ◽  
Assessment Tool ◽  
Area Under The Curve ◽  
Assessment Tools ◽  
Nutritional Risk ◽  
Tertiary Referral Hospital ◽  
Nutrition Risk ◽  
Significant Difference ◽  
Using Data

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’ 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): 0.718–0.806) and of the modified NUTRIC Score 0.757 (95% CI: 0.713–0.801). 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.

Nutritional risk assessment using the NUTRIC score in critically ill patients undergoing nutrition therapy in a Brazilian tertiary hospital

2017 ◽  
Vol 42 ◽  
pp. 409
Author(s):  
Fabiana Ruotolo ◽  
Paulo César Ribeiro ◽  
Sandra Regina Alves Belo ◽  
Ivens Augusto Oliveira de Souza ◽  
Paulo César Ribeiro ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Nutrition Therapy ◽  
Tertiary Hospital ◽  
Nutritional Risk

scholarly journals NUTRIC and Modified NUTRIC are Accurate Predictors of Outcome in End-Stage Liver Disease: A Validation in Critically Ill Patients with Liver Cirrhosis

Nutrients ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2134
Author(s):  
Ulrich Mayr ◽  
Julia Pfau ◽  
Marina Lukas ◽  
Ulrike Bauer ◽  
Alexander Herner ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Area Under Curve ◽  
Nutritional Risk ◽  
Predictors Of Outcome ◽  
Discriminative Ability ◽  
Nutrition Risk ◽  
Prognostic Accuracy ◽  
Cirrhotic Patients ◽  
End Stage

Malnutrition in critically ill patients with cirrhosis is a frequent but often overlooked complication with high prognostic relevance. The Nutrition Risk in Critically ill (NUTRIC) score and its modified variant (mNUTRIC) were established to assess the nutrition risk of intensive care unit patients. Considering the high mortality of cirrhosis in critically ill patients, this study aims to evaluate the discriminative ability of NUTRIC and mNUTRIC to predict outcome. We performed a retro-prospective evaluation in 150 Caucasian cirrhotic patients admitted to our ICU. Comparative prognostic analyses between NUTRIC and mNUTRIC were assessed in 114 patients. On ICU admission, a large proportion of 65% were classified as high NUTRIC (6–10) and 75% were categorized as high mNUTRIC (5–9). High nutritional risk was linked to disease severity and poor outcome. NUTRIC was moderately superior to mNUTRIC in prediction of 28-day mortality (area under curve 0.806 vs. 0.788) as well as 3-month mortality (area under curve 0.839 vs. 0.819). We found a significant association of NUTRIC and mNUTRIC with MELD, CHILD, renal function, interleukin 6 and albumin, but not with body mass index. NUTRIC and mNUTRIC are characterized by high prognostic accuracy in critically ill patients with cirrhosis. NUTRIC revealed a moderate advantage in prognostic ability compared to mNUTRIC.

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