The mNUTRIC Score as a Tool to Predict Mortality and Increased Resource Utilization in Intensive Care Patients with Sepsis.

Abstract

Background: The mNUTRIC score is a nutrition risk assessment tool. The aim of this study was to evaluate mNUTRIC score ability to predict 28-mortality, icu resource utilization and nursing workload for patients with sepsis and septic shock. Methods: We performed a secondary analysis of prospectively collected data from a ICU sepsis registry database. The study included adults diagnosed with sepsis or septic shock, admitted from January to December 2014.Results: The study included 146 patients. In the ROC curve analysis the mNUTRIC score had the ability to predict 28-day mortality with an AUC of 0.833 (95% CI 0.76-0.89). Additionally group of patients with NUTRIC score ≥ 6 points more frequently required vasopressor infusion, mechanical ventilation, renal replacement therapy, thromboprophylaxis and blood products use. Nursing workload was also significantly higher in this group (TISS-28: 36 pts., IQR 33 – 40 vs. 31 pts, IQR 28 – 34, p<0.001).Conclusion: The mNUTRIC score obtained at admission to the ICU provided a good discriminative value for 28-mortality and makes it possible to identify patients who will ultimately require intense use of ICU resources with an associated increase in the nursing workload during ICU sepsis treatment.

Modified NUTRIC Score as a Predictor of All-cause Mortality in Critically Ill Patients: A Systematic Review and Meta-analysis

“…3, Table 1 displays the features of every included study that is a part of the current meta-analysis. Bias in the outcome measurement was low in 24 studies, 3, [13][14][15][16][17][18][19][22][23][24][25][26][27][29][30][31][32][33][34]36,[39][40][41][42][43] moderate in five studies, 20,28,35,37,38 and high risk of bias in two studies (Fig. 2).…”