Use of modified-NUTRIC score to assess nutritional risk in surgical intensive care unit

Modified Nutrition Risk in the Critically Ill (m-NUTRIC) score is used to evaluate the nutritional risk of patients in intensive care units (ICUs). This study aimed to investigate whether m-NUTRIC can be used as a predictive factor related to the outcome of patients in surgical ICU (SICU) and to ide...

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Published in:Journal of the Chinese Medical Association 2021-09, Vol.84 (9), p.860-864
Main Authors: Lin, Pi-Yi, Yen, Yu-Tong, Lam, Chee-Tat, Li, Kuan-Chen, Lu, Ming-Jen, Hsu, Han-Shui
Format: Article
Language:English
Subjects:
Aged
Female
General Surgery
Humans
Intensive Care Units
Male
Malnutrition - prevention & control
Middle Aged
Nutrition Assessment
Risk Assessment - methods
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container_title Journal of the Chinese Medical Association
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creator Lin, Pi-Yi
Yen, Yu-Tong
Lam, Chee-Tat
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description Modified Nutrition Risk in the Critically Ill (m-NUTRIC) score is used to evaluate the nutritional risk of patients in intensive care units (ICUs). This study aimed to investigate whether m-NUTRIC can be used as a predictive factor related to the outcome of patients in surgical ICU (SICU) and to identify which patients will benefit from aggressive nutritional intervention according to the results of m-NUTRIC score. A total of 205 patients who were admitted to surgical ICU (SICU) with ventilator use for more than 24 hours were enrolled. The m-NUTRIC score data were calculated the day when the patients were admitted to SICU. Patients were divided into two groups according to their m-NUTRIC score: the low-risk group (
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This study aimed to investigate whether m-NUTRIC can be used as a predictive factor related to the outcome of patients in surgical ICU (SICU) and to identify which patients will benefit from aggressive nutritional intervention according to the results of m-NUTRIC score. A total of 205 patients who were admitted to surgical ICU (SICU) with ventilator use for more than 24 hours were enrolled. The m-NUTRIC score data were calculated the day when the patients were admitted to SICU. Patients were divided into two groups according to their m-NUTRIC score: the low-risk group (&lt;5 points, 116 patients) and the high risk group (≥5 points, 89 patients). In this study, a total of 205 patients were enrolled for analysis, including patients in the low-risk group (n = 116) and those in the high risk group (n = 89). The mean duration of ventilator use was 3.6 ± 6.5 days, and average SICU stays for all patients was 5.1 ± 7.4 days. The SICU mortality was significantly higher in the high-risk group (10.3% vs 1.7%). Comparison between survivals and nonsurvivals was carried out, and the data showed that the AKI, Vasopressors, SOFA, APACHE-II, m-NUTRIC score, and shock patient were all significantly associated with higher mortality. The multivariate analysis revealed that acute kidney injury (OR = 13.16; 95% confidence intervals = 3.69-46.92; p &lt; 0.0001) and m-NUTRIC score were independent factors of ICU mortality in these patients. A receiver operating characteristic curve was used to calculate the area under the curve, which was 0.801. The data indicated that high m-NUTRIC score were significantly associated with SICU mortality with the cutoff score &gt; 4 (sensitivity = 90.5%, specificity = 62.3%, p &lt; 0.001). We found in this study that the high m-NUTRIC score is an independent factor of ICU mortality, and m-NUTRIC score can be used as an initial screening tool for nutritional assessment in patients admitted to surgical ICU. Further investigations to evaluate whether the aggressive nutritional intervention would be beneficial in the SICU patients with higher m-NUTRIC score is mandatory.</description><identifier>ISSN: 1726-4901</identifier><identifier>EISSN: 1728-7731</identifier><identifier>DOI: 10.1097/JCMA.0000000000000565</identifier><identifier>PMID: 34108425</identifier><language>eng</language><publisher>Netherlands: Lippincott Williams &amp; Wilkins</publisher><subject>Aged ; Female ; General Surgery ; Humans ; Intensive Care Units ; Male ; Malnutrition - prevention &amp; control ; Middle Aged ; Nutrition Assessment ; Risk Assessment - methods</subject><ispartof>Journal of the Chinese Medical Association, 2021-09, Vol.84 (9), p.860-864</ispartof><rights>Lippincott Williams &amp; Wilkins</rights><rights>Copyright © 2021, the Chinese Medical Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4019-ad6bc5143e4eba48bc2be99f34a0cc960419de8360be5b61601843cdcb1e7cce3</citedby><cites>FETCH-LOGICAL-c4019-ad6bc5143e4eba48bc2be99f34a0cc960419de8360be5b61601843cdcb1e7cce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27911,27912</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34108425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Pi-Yi</creatorcontrib><creatorcontrib>Yen, Yu-Tong</creatorcontrib><creatorcontrib>Lam, Chee-Tat</creatorcontrib><creatorcontrib>Li, Kuan-Chen</creatorcontrib><creatorcontrib>Lu, Ming-Jen</creatorcontrib><creatorcontrib>Hsu, Han-Shui</creatorcontrib><title>Use of modified-NUTRIC score to assess nutritional risk in surgical intensive care unit</title><title>Journal of the Chinese Medical Association</title><addtitle>J Chin Med Assoc</addtitle><description>Modified Nutrition Risk in the Critically Ill (m-NUTRIC) score is used to evaluate the nutritional risk of patients in intensive care units (ICUs). This study aimed to investigate whether m-NUTRIC can be used as a predictive factor related to the outcome of patients in surgical ICU (SICU) and to identify which patients will benefit from aggressive nutritional intervention according to the results of m-NUTRIC score. A total of 205 patients who were admitted to surgical ICU (SICU) with ventilator use for more than 24 hours were enrolled. The m-NUTRIC score data were calculated the day when the patients were admitted to SICU. Patients were divided into two groups according to their m-NUTRIC score: the low-risk group (&lt;5 points, 116 patients) and the high risk group (≥5 points, 89 patients). In this study, a total of 205 patients were enrolled for analysis, including patients in the low-risk group (n = 116) and those in the high risk group (n = 89). The mean duration of ventilator use was 3.6 ± 6.5 days, and average SICU stays for all patients was 5.1 ± 7.4 days. The SICU mortality was significantly higher in the high-risk group (10.3% vs 1.7%). Comparison between survivals and nonsurvivals was carried out, and the data showed that the AKI, Vasopressors, SOFA, APACHE-II, m-NUTRIC score, and shock patient were all significantly associated with higher mortality. The multivariate analysis revealed that acute kidney injury (OR = 13.16; 95% confidence intervals = 3.69-46.92; p &lt; 0.0001) and m-NUTRIC score were independent factors of ICU mortality in these patients. A receiver operating characteristic curve was used to calculate the area under the curve, which was 0.801. The data indicated that high m-NUTRIC score were significantly associated with SICU mortality with the cutoff score &gt; 4 (sensitivity = 90.5%, specificity = 62.3%, p &lt; 0.001). We found in this study that the high m-NUTRIC score is an independent factor of ICU mortality, and m-NUTRIC score can be used as an initial screening tool for nutritional assessment in patients admitted to surgical ICU. Further investigations to evaluate whether the aggressive nutritional intervention would be beneficial in the SICU patients with higher m-NUTRIC score is mandatory.</description><subject>Aged</subject><subject>Female</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Malnutrition - prevention &amp; control</subject><subject>Middle Aged</subject><subject>Nutrition Assessment</subject><subject>Risk Assessment - methods</subject><issn>1726-4901</issn><issn>1728-7731</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpdkFtP3DAQha2qqFzan1Dkx74E7PgS-3G1amHRAhJi1UfLcSbFkI23nqSIf0-2CwgxL3M0OueM9BHynbMTzmx1ejG_nJ2w96O0-kQOeFWaoqoE__xf60JaxvfJIeI9Y1Jbq76QfSE5M7JUB-T3CoGmlq5TE9sITXG1ur1ZzCmGlIEOiXpEQKT9OOQ4xNT7juaIDzT2FMf8J4bpEPsBeoz_gAY_pcY-Dl_JXus7hG8v-4isfv28nZ8Xy-uzxXy2LIJk3Ba-0XVQXAqQUHtp6lDWYG0rpGchWM0ktw0YoVkNqtZcM26kCE2oOVQhgDgiP3a9m5z-joCDW0cM0HW-hzSiK5WwxlRa6cmqdtaQE2KG1m1yXPv85DhzW6Zuy9R9ZDrljl9ejPUamrfUK8TJIHeGx9QNkPGhGx8huzvw3XDnWMm5UaYsykkxO5UW22YrngETVIHn</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Lin, Pi-Yi</creator><creator>Yen, Yu-Tong</creator><creator>Lam, Chee-Tat</creator><creator>Li, Kuan-Chen</creator><creator>Lu, Ming-Jen</creator><creator>Hsu, Han-Shui</creator><general>Lippincott Williams &amp; Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20210901</creationdate><title>Use of modified-NUTRIC score to assess nutritional risk in surgical intensive care unit</title><author>Lin, Pi-Yi ; Yen, Yu-Tong ; Lam, Chee-Tat ; Li, Kuan-Chen ; Lu, Ming-Jen ; Hsu, Han-Shui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4019-ad6bc5143e4eba48bc2be99f34a0cc960419de8360be5b61601843cdcb1e7cce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Female</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Malnutrition - prevention &amp; control</topic><topic>Middle Aged</topic><topic>Nutrition Assessment</topic><topic>Risk Assessment - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Pi-Yi</creatorcontrib><creatorcontrib>Yen, Yu-Tong</creatorcontrib><creatorcontrib>Lam, Chee-Tat</creatorcontrib><creatorcontrib>Li, Kuan-Chen</creatorcontrib><creatorcontrib>Lu, Ming-Jen</creatorcontrib><creatorcontrib>Hsu, Han-Shui</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Chinese Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Pi-Yi</au><au>Yen, Yu-Tong</au><au>Lam, Chee-Tat</au><au>Li, Kuan-Chen</au><au>Lu, Ming-Jen</au><au>Hsu, Han-Shui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of modified-NUTRIC score to assess nutritional risk in surgical intensive care unit</atitle><jtitle>Journal of the Chinese Medical Association</jtitle><addtitle>J Chin Med Assoc</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>84</volume><issue>9</issue><spage>860</spage><epage>864</epage><pages>860-864</pages><issn>1726-4901</issn><eissn>1728-7731</eissn><abstract>Modified Nutrition Risk in the Critically Ill (m-NUTRIC) score is used to evaluate the nutritional risk of patients in intensive care units (ICUs). This study aimed to investigate whether m-NUTRIC can be used as a predictive factor related to the outcome of patients in surgical ICU (SICU) and to identify which patients will benefit from aggressive nutritional intervention according to the results of m-NUTRIC score. A total of 205 patients who were admitted to surgical ICU (SICU) with ventilator use for more than 24 hours were enrolled. The m-NUTRIC score data were calculated the day when the patients were admitted to SICU. Patients were divided into two groups according to their m-NUTRIC score: the low-risk group (&lt;5 points, 116 patients) and the high risk group (≥5 points, 89 patients). In this study, a total of 205 patients were enrolled for analysis, including patients in the low-risk group (n = 116) and those in the high risk group (n = 89). The mean duration of ventilator use was 3.6 ± 6.5 days, and average SICU stays for all patients was 5.1 ± 7.4 days. The SICU mortality was significantly higher in the high-risk group (10.3% vs 1.7%). Comparison between survivals and nonsurvivals was carried out, and the data showed that the AKI, Vasopressors, SOFA, APACHE-II, m-NUTRIC score, and shock patient were all significantly associated with higher mortality. The multivariate analysis revealed that acute kidney injury (OR = 13.16; 95% confidence intervals = 3.69-46.92; p &lt; 0.0001) and m-NUTRIC score were independent factors of ICU mortality in these patients. A receiver operating characteristic curve was used to calculate the area under the curve, which was 0.801. The data indicated that high m-NUTRIC score were significantly associated with SICU mortality with the cutoff score &gt; 4 (sensitivity = 90.5%, specificity = 62.3%, p &lt; 0.001). We found in this study that the high m-NUTRIC score is an independent factor of ICU mortality, and m-NUTRIC score can be used as an initial screening tool for nutritional assessment in patients admitted to surgical ICU. Further investigations to evaluate whether the aggressive nutritional intervention would be beneficial in the SICU patients with higher m-NUTRIC score is mandatory.</abstract><cop>Netherlands</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>34108425</pmid><doi>10.1097/JCMA.0000000000000565</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Female
General Surgery
Humans
Intensive Care Units
Male
Malnutrition - prevention & control
Middle Aged
Nutrition Assessment
Risk Assessment - methods
title Use of modified-NUTRIC score to assess nutritional risk in surgical intensive care unit
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