Abstract
Abstract
Objective: to evaluate nutritional risk and its relationship with mortality in ICU patients.
Design: descriptive, cross-sectional observational study. I include patients over 18 years of age who were admitted to the Adult Intensive Care Unit of the Regional Hospital of Coronel Oviedo ¨Dr. José Ángel Samudio¨, from June 2018 to June 2019.
Variables of main interest: sex, age, reason for admission, type of diagnosis, APACHE II, SOFA and NUTRICm scores, nutritional risk and mortality.
Results: 183 patients were evaluated, mean age 51.65 years (± 20.91), female sex 54.64%, reason for admission of medical origin 90.16% and type of circulatory diagnosis 23.49%. The means of the scores were APACHE II 17.20 points (± 7.95), SOFA 6.65 points (± 3.23) and NUTRICm 3.10 points (± 2.06). Low nutritional risk was observed in 72.13% of patients. Mortality was 47.54% (CI 40.12 - 55.03). The variables that showed statistical significance were: age, APACHE II, SOFA and NUTRICm. 80.39% of the patients with high nutritional risk died (p 0.001).
Conclusion: It was found that low nutritional risk was more frequent, that the elevated NUTRICm score acts as a risk factor for mortality, and that high nutritional risk has a strong association with mortality.
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