mNUTRIC score may predict vasopressor use and mortality in critical patients in ICU

Written By : Aditi |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-05-05T20:00:08+05:30 | Updated On 6 May 2023 4:04 PM IST

A recent research paper, "Prognostic values of modified NUTRIC score to assess outcomes in critically ill patients admitted to the intensive care units: prospective observational study", by Ata Mahmoodpoor et al. has addressed the role of mNUTRIC score. The researchers highlighted that the mNUTRIC score of critically ill patients (ICU admitted) were at high nutritional risk.

The high nutrition risk is characterized by lower calorie and protein intake, prolonged MV duration, vasopressor use for more than three days, extended hospital and ICU stay, and higher mortality rates.

This investigation is published in BMC Anesthesiology.

Nutritional support is a crucial aspect of caring for critically ill patients. Nutrition Risk is tied to poor outcomes and complications in critically ill patients.

The Modified Nutrition Risk in the Critically ill (NUTRIC) score (mNUTRIC score) is a validated screening tool for critically ill patients admitted to ICU. This tool quantifies the risk of adverse outcomes.

Researchers in the present study evaluated the prognostic value of the mNUTRIC score to assess outcomes in this population.

The study results are elaborated below:

Researchers enrolled 445 ICU patients.
Based on the mNUTRIC score, individuals at high and low nutritional risk were 13.9 % and 86.1 %, respectively.
The area under the curve (AUC) for predicting ICU mortality, using vasopressor, duration of vasopressor, and mechanical ventilation (MV) duration were 0.973, 0.807, 0.726 and 0.710, respectively.

Concluding further, they wrote we found an excellent predictive performance of the mNUTRIC regarding ICU mortality and using vasopressor, respectively. This was fair for Mechanical Ventilation and vasopressor duration and poor for ICU and length of stay.

The study’s strength includes prospective design and generalized results.

The study’s limitations are small sample size and lack of data on indicators of inflammation.

BDS, MDS in Periodontics and Implantology

Dr. Aditi Yadav is a BDS, MDS in Periodontics and Implantology. She has a clinical experience of 5 years as a laser dental surgeon. She also has a Diploma in clinical research and pharmacovigilance and is a Certified data scientist. She is currently working as a content developer in e-health services. Dr. Yadav has a keen interest in Medical Journalism and is actively involved in Medical Research writing.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751