Nutritional risk assessment and cultural validation of the modified NUTRIC score in critically ill patients—A multicenter prospective cohort study
| العنوان: | Nutritional risk assessment and cultural validation of the modified NUTRIC score in critically ill patients—A multicenter prospective cohort study |
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| المؤلفون: | S. Policarpo, Daniel Virella, Rosa Mendes, Daren K. Heyland, Philip Fortuna, Marta Alves |
| المصدر: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP |
| بيانات النشر: | Elsevier BV, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, 0301 basic medicine, medicine.medical_specialty, Pediatrics, Critical Illness, medicine.medical_treatment, MEDLINE, CHLC CINV, Nutritional Status, Critical Care and Intensive Care Medicine, Risk Assessment, law.invention, 03 medical and health sciences, HSJ UUM, law, Internal medicine, medicine, Multicenter Studies as Topic, Humans, Prospective Studies, Cultural Competency, Mortality, Prospective cohort study, Aged, Mechanical ventilation, 030109 nutrition & dietetics, Critically ill, business.industry, Malnutrition, Length of Stay, Middle Aged, medicine.disease, Respiration, Artificial, Intensive care unit, Hospitalization, Intensive Care Units, Nutrition Assessment, Female, Observational study, Risk assessment, business |
| الوصف: | PURPOSE: Characterize the nutritional risk of critically ill patients with the modified NUTrition Risk in the Critically ill (NUTRIC) score. MATERIALS: National, multicenter, prospective, observational study conducted in 15 polyvalent Portuguese intensive care unit (ICU), during 6 months. Adult patients were eligible. Those transferred from another ICU or readmitted, brain dead at admission, and with length of ICU stay (LOS) of 72 hours or less were excluded. NUTRIC score was calculated at admission; scores ≥5 represent a high nutritional risk. Main outcome was mortality from all causes at 28 days after admission to the ICU; LOS and days without mechanical ventilation (days free of MV) were secondary outcomes. RESULTS: From 2061 admissions, 1143 patients were considered, mostly males (n = 744, 64.7%) with median (P25-P75) age of 64 (51-75). Patients at high nutritional risk were 555 (48.6%). High NUTRIC score was associated with longer LOS (P < .001), less days free of MV (P = .002) and higher 28-day mortality (P < .001). The area under the curve of NUTRIC score ≥5 for predicting 28-day mortality was 0.658 (95% CI, 0.620-0.696). NUTRIC score ≥5 had a positive predictive value 32.7% and a negative predictive value 88.8% for 28-day mortality. CONCLUSIONS: Almost half of the patients in Portuguese ICUs are at high nutritional risk. NUTRIC score was strongly associated with main clinical outcomes. info:eu-repo/semantics/publishedVersion |
| تدمد: | 0883-9441 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::039bb9c8bdd0e0685da37039b1fd8566Test https://doi.org/10.1016/j.jcrc.2016.08.001Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....039bb9c8bdd0e0685da37039b1fd8566 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 08839441 |
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