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Published in: BMC Anesthesiology 1/2023

Open Access 01-12-2023 | Nutrition | Research

Prognostic values of modified NUTRIC score to assess outcomes in critically ill patients admitted to the intensive care units: prospective observational study

Authors: Ata Mahmoodpoor, Sarvin Sanaie, Tohid Sarfaraz, Kamran Shadvar, Vahid Fattahi, Hadi Hamishekar, Amir Vahedian-Azimi, Abbas Samim, Farshid Rahimi-Bashar

Published in: BMC Anesthesiology | Issue 1/2023

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Abstract

Purpose

Modified Nutrition Risk in the Critically Ill (NUTRIC) score (mNUTRIC score) have been validated as screening tool for quantifying risk of adverse outcome critically ill patients admitted to the intensive care units (ICUs). The aim of this study was to evaluate the prognostic value of mNUTRIC score to assess outcomes in this population.

Materials and methods

This prospective, observational study was conducted on adult patients admitted to the general ICUs of two university affiliated hospital in northwest of Iran. The association between the mNUTRIC score and outcomes was assessed using the univariate and multivariate binary logistic regression. The performance of mNUTRIC score to predict outcomes was assessed using the receiver operating characteristic (ROC)-curve.

Results

In total 445 ICU patients were enrolled. Based on mNUTRIC score, 62 (13.9%) and 383 (86.1%) individuals were identified at high and low nutritional risk, respectively. The area under the curve (AUC) for predicting ICU mortality, using vasopressor, duration of vasopressor, and mechanical ventilation (MV) duration were (AUC: 0.973, 95% CI: 0.954–0.986, P < 0.001), (AUC: 0.807, 95% CI: 0.767–0.843, P < 0.001), (AUC: 0.726, 95% CI: 0.680–0.769, P < 0.001) and (AUC: 0.710, 95% CI: 0.666–0.752, P < 0.001), respectively.

Conclusions

An excellent and good predictive performance of the mNUTRIC score was found regarding ICU mortality and using vasopressor, respectively. However, this predictive was fair for MV and vasopressor duration and poor for ICU and hospital length of stay.
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Metadata
Title
Prognostic values of modified NUTRIC score to assess outcomes in critically ill patients admitted to the intensive care units: prospective observational study
Authors
Ata Mahmoodpoor
Sarvin Sanaie
Tohid Sarfaraz
Kamran Shadvar
Vahid Fattahi
Hadi Hamishekar
Amir Vahedian-Azimi
Abbas Samim
Farshid Rahimi-Bashar
Publication date
01-12-2023
Publisher
BioMed Central
Keywords
Nutrition
Care
Published in
BMC Anesthesiology / Issue 1/2023
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/s12871-023-02086-0

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