Estimation of nutritional risk and its relationship with mortality, in an Intensive Care Unit in Paraguay
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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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References
Heyland D, Dhaliwal R, Jiang X, Day A. Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool. Critical care. 2011; 15: 1-11.
Pupo J, González J, Cabrera J, Martí G. Pronóstico de muerte en los pacientes críticamente enfermos según el índice NUTRIC de riesgo nutricional. Rev Cubana de Aliment Nutr. 2018; 28: 341-355.
De Vries M, Koekkoek K, Opdam M, van Blokland D, van Zanten A. Nutritional assessment of critically ill patients: validation of the modified NUTRIC score. Eur J Clin Nutr. 2017; 72: 428-435.
Moretti D, Bagilet D, Buncuga M, Settecase C, Quaglino M, Quintana R. Estudio de dos variantes de la puntuación de riesgo nutricional “NUTRIC” en pacientes críticos ventilados. Nutr Hosp. 2014; 29: 166-172.
Cruz L, Galindo C, Monares E, Pérez B, Aportela A, Rodríguez J et al. Desarrollo de la escala modificada simplificada de riesgo nutricional (NUTRIC) en el paciente crítico. Med Crit. 2017; 31: 140-144.
Jeong D, Hong S, Lim C, Koh Y, Seo J, Kim Y et al. Comparison of Accuracy of NUTRIC and Modified NUTRIC Scores in Predicting 28-Day Mortality in Patients with Sepsis: A Single Center Retrospective Study. Nutrients. 2018; 10: 1-9.
Mukhopadhyay A, Henry J, Ong V, Leong C, Teh A, van Dam R et al. Association of modified NUTRIC score with 28-day mortality in critically ill patients. Clin Nutr. 2017; 36: 1143-1148.