Comparison of Accuracy of NUTRIC and Modified NUTRIC Scores in Predicting 28-Day Mortality in Patients with Sepsis: A Single Center Retrospective Study.
The NUTRIC (Nutrition Risk in the Critically Ill) and modified NUTRIC scores are nutrition risk assessment tools specifically for intensive care unit (ICU) patients. A modified NUTRIC score is composed of all variables except for IL-6 level in the NUTRIC score. Their use in qualifying critically ill patients at nutritional risk has been extensively evaluated, although not in studies of patients with sepsis, when interleukin 6 levels, which are not included in the modified NUTRIC score, may be elevated. The present study was a retrospective comparison of the accuracy of the NUTRIC and modified NUTRIC scores in predicting 28-day mortality of 482 adult patients with sepsis who were admitted to the medical ICU of a tertiary referral hospital in South Korea between January 2011 and June 2017 and who had ICU stays longer than 24 h. The NUTRIC and modified NUTRIC scores were calculated using data from the patients' electronic medical records relating to the first 24 h of admission to the ICU. The area under the curve of the NUTRIC Score for predicting 28-day mortality was 0.762 (95% confidence interval (CI): 0.718⁻0.806) and of the modified NUTRIC Score 0.757 (95% CI: 0.713⁻0.801). There was no significant difference between the two scores (p = 0.45). The modified NUTRIC score was a good nutritional risk assessment tool for critically ill septic patients.
['Jeong|Dae Hyun|DH|', 'Hong|Sang-Bum|SB|', 'Lim|Chae-Man|CM|', 'Koh|Younsuck|Y|', 'Seo|Jarim|J|', 'Kim|Younkyoung|Y|', 'Min|Ji-Yeon|JY|', 'Huh|Jin Won|JW|0000-0002-3449-0461']
D000046:Academic Medical Centers D000368:Aged D015331:Cohort Studies D003131:Combined Modality Therapy D016638:Critical Illness D057286:Electronic Health Records D005260:Female D006801:Humans D007362:Intensive Care Units D008297:Male D044342:Malnutrition D008875:Middle Aged D015596:Nutrition Assessment D009752:Nutritional Status D015203:Reproducibility of Results D056910:Republic of Korea D012189:Retrospective Studies D012306:Risk D018805:Sepsis D062606:Tertiary Care Centers
modified NUTRIC Score NUTRIC Score sepsis nutrition risk intensive care unit