Arzu Yildirım Ar, Pelin Bal Keske, Sevgi Alagoz, Guldem Turan
Yıldırım Ar Arzu, MD Associate Professor, Clinic of Anesthesiology and Reanimation, University of Health Sciences, Fatih Sultan Mehmet, Teaching and Research Hospital, Istanbul, Turkey.
Bal Keske Pelin, MD Clinic of Intensive Care, University of Health Sciences, Siyami Ersek, University of Health Sciences, Fatih Sultan Mehmet, Teaching and Research Hospital, Istanbul, Turkey, Thoracic and Cardiovascular Surgery Teaching and Research Hospital, Istanbul, Turkey.
Pak J Med Sci. 2025 Jul;41(7):2030-2035. doi: 10.12669/pjms.41.7.12087.
BACKGROUND & OBJECTIVES: In intensive care unit (ICU) patients, comorbidities, age, and nutritional status may affect mortality and different scores assess nutritional status. The Nutrition Risk in Critically Ill (NUTRIC) score incorporates IL-6, age, APACHE II, SOFA score, the number of comorbidities, and time to ICU admission. A high score (6-10) indicates a high malnutrition risk. The modified NUTRIC Score (mNUTRIC score) does not include IL-6 and scores of 5-9 indicate a high malnutrition risk. In the Nutritional Risk Screening (NRS 2002) score, malnutrition is graded as none, mild, moderate, or severe, and a score of ≥3 indicates malnutrition risk. Our objective was to examine the association of mortality with the mNUTRIC and NRS 2002 scores on the first day of admission to the ICU.
Our observational, prospective study was conducted with 50 ICU patients between November 2018 to January 2019 mNUTRIC and NRS 2002 scores were recorded at admission and their associations with mortality were analyzed. The duration of mechanical ventilation and length of ICU stay were compared between high and low risk patients.
The NRS 2002 and mNUTRIC scores did not differ in their association with mortality. The high-risk group according to the NRS 2002 had significantly longer(p=0.048) mechanical ventilation duration than the low-risk group.
The mNUTRIC score was used instead of the NUTRIC score due to infeasibility of IL-6 monitoring. The NRS 2002 and mNUTRIC scores did not differ in their association with mortality. Both scores may be recommended for routine use in the ICU.
在重症监护病房（ICU）患者中，合并症、年龄和营养状况可能影响死亡率，且有不同的评分用于评估营养状况。危重症营养风险（NUTRIC）评分纳入了白细胞介素-6（IL-6）、年龄、急性生理与慢性健康状况评分系统II（APACHE II）、序贯器官衰竭评估（SOFA）评分、合并症数量以及入住ICU的时间。高分（6 - 10分）表明营养不良风险高。改良NUTRIC评分（mNUTRIC评分）不包括IL-6，5 - 9分表明营养不良风险高。在营养风险筛查（NRS 2002）评分中，营养不良分为无、轻度、中度或重度，评分≥3分表明存在营养不良风险。我们的目的是研究入住ICU第一天时死亡率与mNUTRIC和NRS 2002评分之间的关联。
我们于20??年11月至20??年1月对50例ICU患者进行了观察性前瞻性研究。记录患者入院时的mNUTRIC和NRS 2002评分，并分析它们与死亡率的关联。比较高风险和低风险患者的机械通气时间和ICU住院时间。
NRS 2002和mNUTRIC评分与死亡率的关联无差异。根据NRS 2002划分的高风险组的机械通气时间明显长于低风险组（p = 0.048）。
由于监测IL-6不可行，故使用mNUTRIC评分替代NUTRIC评分。NRS 2002和mNUTRIC评分与死亡率的关联无差异。这两种评分均可推荐在ICU常规使用。 （注：原文中部分时间表述不完整）
