Modified NUTRIC score and outcomes in critically ill patients: A meta-analysis

Ibrahim, Dalia; Elkabarity, Reem Hamdy; Moustafa, Moustafa E.; El-Gendy, Hanaa A.

doi:10.1080/11101849.2020.1848240

Cited by 8 publications

(3 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Later, Rahman proposed the modified NUTRIC score by excluding the serum IL-6 concentration, which is rarely measured in clinical practice [ 19 ]. mNUTRIC is a promising nutritional risk assessment and screening tool for critically ill patients [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…Mukhopadhyay et al demonstrated that the mNUTRIC score in nonsurvivors was higher than in survivors (6.16 vs. 4.67, P < 0.001) in 401 intensive care patients [ 32 ]. A meta-analysis conducted from 8 studies with 4076 critically ill patients by Ibrahim DA et al reported that a high mNUTRIC score (≥5) was associated with an increased risk of 28-day mortality (RR 2.025; 95% CI 1.488–2.758; P < 0.001) and an increased length of stay in ICU (95% CI 1.78–4.99 days; P < 0.001) [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Prognostic Accuracy Evaluation of mNUTRIC, APACHE II, SOFA, and SAPS 2 Scores for Mortality Prediction in Patients with Sepsis

Hai

Hoa

2022

Critical Care Research and Practice

View full text Add to dashboard Cite

Background. The modified Nutrition Risk in the Critically Ill (mNUTRIC) score is a helpful tool to evaluate nutritional risk in critically ill patients. However, there is a lack of data on the relationship between mNUTRIC score and septic patients' outcomes. So, this study aims to validate the prognostic role of the mNUTRIC score and to compare the performances of mNUTRIC, APACHE II, SOFA, and SAPS 2 scores for mortality prediction in patients with sepsis. Methods. This prospective observational study was performed on 194 septic patients admitted to the Intensive Care Unit (ICU) of 108 Military Central Hospital. Sepsis was defined based on the sepsis-3 definition. The mNUTRIC score was used to evaluate the nutritional status within 24 h of ICU admission. Baseline characteristics and clinical information were collected to calculate the mNUTRIC, APACHE II, SOFA, and SAPS 2 scores. The outcome was in-hospital mortality from all causes. Results. Nonsurvivors patients had a significantly higher median mNUTRIC score (6 vs. 4, P < 0.001 ). The mortality rate in the group with a NUTRIC score ≥5 was significantly higher than in the group with a NUTRIC score <5 (56.0% vs 10.2%; P < 0.001 ). The area under the ROC curves (AUC) for predicting the mortality of mNUTRIC was 0.79 (sensitivity 67.1% and specificity 81.0% ( P < 0.001 )). Compared with other severity scores in mortality prediction, AUC was 0.78 for APACHE II (sensitivity 84.9% and specificity 67.7%), 0.77 for SOFA score (sensitivity 76.7% and specificity 65.3%), and 0.73 for SAPS 2 (sensitivity 66.1%, specificity 77.7%). In the multivariate analysis, mNUTRIC score was associated with in-hospital mortality (HR, 2.00; 95% CI, 1.54 to 2.58; P < 0.001 ). Conclusions. Our study showed that the mNUTRIC score was similar to severity scores (APACHE II, SOFA, SAPS 2) in mortality prediction and was the independent mortality predictor in patients with sepsis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Prognostic Accuracy Evaluation of mNUTRIC, APACHE II, SOFA, and SAPS 2 Scores for Mortality Prediction in Patients with Sepsis

Hai

Hoa

2022

Critical Care Research and Practice

View full text Add to dashboard Cite

show abstract

“…6 Numerous studies suggested that in patients with high mNUTRIC scores, prompt and appropriate nutritional therapy could lower mortality, as there is an association between nutritional intake, mortality, and mNUTRIC score. [5][6][7][8] This is supported by a meta-analysis conducted on modified NUTRIC scores by Ibrahim et al 7 They concluded that the promising screening method is the mNUTRIC score to assess malnutrition and also discovered a link between critically ill patients' 28-day mortality and a high mNUTRIC score.…”

mentioning

confidence: 86%