Comparison between Nutric Score and modified nutric score to assess ICU mortality in critically ill patients with COVID-19.
Clin Nutr ESPEN
; 44: 479-482, 2021 08.
Article
in English
| MEDLINE | ID: covidwho-1252601
ABSTRACT
BACKGROUND AND AIMS:
NUTrition Risk in the Critically ill (NUTRIC score) and modified Nutric score (mNUTRIC score) have been validated as screening tool for quantifying risk of adverse outcome in patients admitted in intensive care department. They differ for the measurement of IL-6 levels. In patients with COVID-19 disease the inflammatory response plays a crucial role leading to cytochine storm responsible of multiple organ damage. In this population, levels of IL-6 have been measured as indicator of inflammatory status. Aim of the study is to compare prognostic performance of both scores in predicting ICU mortality between patients with COVID-19 disease.METHODS:
A single centre, retrospective, cohort study on patients admitted in ICU with confirmed diagnosis of COVID-19 was performed. Prognostic performance of NUTRIC score and mNUTRIC score were assessed and compared for discriminative abilities for ICU-mortality.RESULTS:
43 patients were enrolled, age 64 (55; 70), BMI 28 ± 4. Mean NUTRIC score was 2.5 ± 1, mNUTRIC was 2.6 ± 1.1. Mortality was 39.5%, all patients had low nutritional risk according to both scores (≤5 and ≤ 4 for NUTRIC and mNUTRIC score respectively). The discriminative ability of Nutric Score for ICU mortality was 0.675 (95% CI 0.524-0.825), while that of mNutric score was 0.655 (0.513-0.861), p = 0.667.CONCLUSIONS:
Prognostic performance of Nutric score and mNutric score is comparable, but the discriminative ability is low even in patients with high inflammatory status as in COVID-19 affected population. These scores may not be appropriate in patients with COVID-19 for the determination of nutritional risk.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Nutrition Assessment
/
Hospital Mortality
/
Malnutrition
/
COVID-19
/
Intensive Care Units
Type of study:
Cohort study
/
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
English
Journal:
Clin Nutr ESPEN
Year:
2021
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS