Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool
TLDR
This scoring algorithm may be helpful in identifying critically ill patients most likely to benefit from aggressive nutrition therapy in the intensive care unit (ICU), and based on the statistical significance in the multivariable model, the final score used all candidate variables except BMI.Abstract:
To develop a scoring method for quantifying nutrition risk in the intensive care unit (ICU). A prospective, observational study of patients expected to stay > 24 hours. We collected data for key variables considered for inclusion in the score which included: age, baseline APACHE II, baseline SOFA score, number of comorbidities, days from hospital admission to ICU admission, Body Mass Index (BMI) < 20, estimated % oral intake in the week prior, weight loss in the last 3 months and serum interleukin-6 (IL-6), procalcitonin (PCT), and C-reactive protein (CRP) levels. Approximate quintiles of each variable were assigned points based on the strength of their association with 28 day mortality. A total of 597 patients were enrolled in this study. Based on the statistical significance in the multivariable model, the final score used all candidate variables except BMI, CRP, PCT, estimated percentage oral intake and weight loss. As the score increased, so did mortality rate and duration of mechanical ventilation. Logistic regression demonstrated that nutritional adequacy modifies the association between the score and 28 day mortality (p = 0.01). This scoring algorithm may be helpful in identifying critically ill patients most likely to benefit from aggressive nutrition therapy.read more
Citations
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Impact of nutritional risk on 28-day mortality and the prevalence of underfeeding in critically ill patients: A prospective cohort study.
Sheila Alejandra Campos León,Agustín Ramiro Urzua González,Manuel José Rivera Chávez,María de Lourdes Reyes Escogido,Jaime Rivera Morales,Rodolfo Guardado-Mendoza +5 more
TL;DR: High nutritional risk was associated with a higher risk of 28-day mortality and less than a quarter of the patients receiving nutritional support reached the energy and protein requirements.
Comparing Early Enteral Nutrition among Medical, Burn, Surgical/Trauma, and Neurocritical Intensive Care Units and its Effect on Length of Stay
TL;DR: EEN is significantly associated with shorter ICU lengths of stay in surgical, medical, and neurocritical populations, and could still be beneficial for other patient outcomes, like reduced mortality, lower incidence of pneumonia, and shorter time spent on the ventilator.
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Is there a correlation between complete blood count parameters and nutritional risk score 2002, geriatric nutritional risk index and nutric score in geriatric patients admitted to intensive care unit
TL;DR: In this paper , the authors investigated whether there is a correlation between NLR, PLR, and complete blood count parameters at the time of admission to the intensive care unit and NRS-2002, GNRI, and mNutric Score measured in the ICU.
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Evaluation of Sarcopenia by Ultrasound of the Rectus Femoris Muscle as a Predictor of Outcomes of Surgical Intensive Care Unit Patients, A Prospective, Observational Study
TL;DR: Rectus femoris cross-sectional area measured by B-mode ultrasonography showed significant role in nutritional assessment as it decreases in critically ill patients with positive correlation with duration of mechanical ventilation and ICU stay.
References
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