Morbidity and mortality predictivity of nutritional assessment tools in the postoperative care unit

Abstract

The aim was to evaluate the nutritional situation of patients admitted to the Postoperative Acute Care Unit using classic methods of objective anthropometry, systemic evaluation methods, and Nutrition Risk in Critically Ill (NUTRIC) score, and to compare them as a predictor of morbidity and mortality.At admission to the postoperative care unit, patients undergoing various surgeries were assessed for the following items: Subjective Global Assessment (SGA), Nutritional Risk Index (NRI), Nutritional Risk Screening (NRS)-2002, Mini Nutritional Assessment (MNA), Charlson comorbidity index (CCI), and NUTRIC score, anthropometric measurements, serum total protein, serum albumin, and lymphocyte count. Patients were monitored for postoperative complications until death or discharge. Correlation of complications with these parameters was also analyzed.A total of 152 patients were included in the study. In this study a positive correlation was determined between mortality and NRS-2002, SGA, CCI, Acute Physiology and Chronic Health Evaluation , Sepsis-related Organ Failure Assessment, and NUTRIC score, whereas a negative correlation was determined between mortality and NRI. There was a correlation between NUTRIC score and pneumonia, development of atrial fibrillation, delirium, renal failure, inotrope use, and duration of mechanical ventilation. In our study group of postoperative patients, MNA had no predictive properties for any complication, whereas SGA had no predictive properties for any complications other than duration of hospital stay and mortality.The NUTRIC score is an important indicator of mortality and morbidity in postoperative surgical patients. NRI correlated with many postoperative complications, and though SGA and NRS were correlated with mortality, they were not correlated with the majority of complications. MNA was determined not to have any correlation with any complication, mortality, and duration of hospital stay in our patient group.

Clinical significance of nutritional risk screening for older adult patients with COVID-19

“…This could indicate a poor match between anthropometric measurements and the risk classifications of the NRS tools. Previous studies also suggested that there was no correlation between BMI and clinical outcomes [14,15]. Weight gain and weight loss are not reliable indicators of body composition changes due to fluid collection, such as ascites or body edema.…”

Nutritional Risk Screening 2002 Cut‐Off to Identify High‐Risk Is a Good Predictor of ICU Mortality in Critically Ill Patients

“…With respect to mortality predictivity of NRS‐2002 in the ICU setting, a Turkish study conducted by Özbilgin et al with 152 patients, found a difference of 1.3 points in NRS‐2002 scores (4.56 ± 2.24 vs 5.86 ± 2.34; P ‐value = .026) between survivors and non‐survivors, respectively, on the 28th day. The mean NRS‐2002 values agree with the cut‐off points proposed by ASPEN and corroborate with our results.…”

Barriers and Solutions to Delivery of Intensive Care Unit Nutrition Therapy

“…An NRS score >3 or NUTRIC score >5 indicate nutrition risk. The subjective global assessment evaluates nutrition status; however, the NRS 2002 and NUTRIC scores take into account both nutrition status and disease severity, with higher scores correlating with higher mortality . The NUTRIC score is limited by the need for an interleukin‐6 (IL‐6) level.…”

“…The subjective global assessment evaluates nutrition status; however, the NRS 2002 and NUTRIC scores take into account both nutrition status and disease severity, with higher scores correlating with higher mortality. 13,14 The NUTRIC score is limited by the need for an interleukin-6 (IL-6) level. The modified NUTRIC score was developed and excludes an IL-6 and independently predicts 28-day mortality.…”