Student Research Committee, Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Nutrition Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
J Crit Care. 2019 Dec;54:151-158. doi: 10.1016/j.jcrc.2019.08.001. Epub 2019 Aug 6.
Malnutrition is a complication of hospitalization in critically ill patients. This event is occurred because of disease and therapeutic processes for curing the patients. Determination of nutritional status helps physicians and clinical nutritionists decide on the best regimen which should be prescribed for a patient. In the current study, we aimed to report the nutritional status ofpatientshospitalizedin the intensive care unit (ICU).
We used three standard tolls, including Subjective global assessment (SGA), Nutrition Risk in the Critically Ill (NUTRIC) Score and nutrition risk screening (NRS) questionnaires via a multi-stage sampling for different ICU wards of 32 university hospitals in Iran. Frequencies and rates of nutritional scores, comparative studies, and determined agreement of scoring systems and nutritional status in any ward of hospitals were evaluated.
There were 771 males and 540 female Cancer and trauma patients had the best and worst nutritional scores, respectively. Using NRS and NUTRIC, the low-risk scores were more frequent than thehigh-riskscores among ICU patients. SGA showed that most patients were in grades A (well nutritional status) or B (moderate nutritional status), andfew caseswere in grade C (poor nutritional status).The high-risk nutritional score wasobtained for older patients. NUTRIC and NRS had better agreement for diagnosis and differentiation of malnutrition than NUTRIC-SGA or NRS-SGA pairs. However, there was no strong agreement between the mentioned pairs.
Nutritional status of patients hospitalized in ICU wards in Iran wassomewhat better than other countries that this could be due to the highly observed guidelines of patient's care in Iran. Anyway,it is suggested that a more precise tool of nutritional scoresto be validated for patients hospitalized in ICU·In addition, better medical care needs a well evaluation of nutritional insufficiencies and what is necessary for compensation using complementary regimens.
营养不良是危重症患者住院的并发症。这种情况是由于疾病和治疗过程导致的。确定营养状况有助于医生和临床营养师为患者决定最佳治疗方案。在本研究中，我们旨在报告住院于重症监护病房（ICU）患者的营养状况。
我们使用了三种标准工具，包括主观整体评估（SGA）、危重患者营养风险（NUTRIC）评分和营养风险筛查（NRS）问卷，通过多阶段抽样对伊朗 32 家大学医院的不同 ICU 病房进行调查。评估了营养评分的频率和比率、比较研究以及评分系统和医院任何病房营养状况的一致性。
共有 771 名男性和 540 名女性癌症和创伤患者，他们的营养评分分别最好和最差。使用 NRS 和 NUTRIC，低危评分在 ICU 患者中比高危评分更常见。SGA 显示大多数患者处于 A 级（营养良好）或 B 级（中度营养不良），少数患者处于 C 级（营养不良）。高危营养评分多见于老年患者。与 NUTRIC-SGA 或 NRS-SGA 配对相比，NUTRIC 和 NRS 对营养不良的诊断和分类具有更好的一致性。然而，这些配对之间没有很强的一致性。
伊朗 ICU 病房住院患者的营养状况比其他国家稍好，这可能是由于伊朗对患者护理的高度重视。无论如何，建议使用更精确的营养评分工具对 ICU 住院患者进行验证。此外，更好的医疗保健需要对营养不足进行全面评估，并使用补充方案进行必要的补偿。
