Nutrition Risk in Critically Ill Versus the Nutritional Risk Screening 2002: Are They Comparable for Assessing Risk of Malnutrition in Critically Ill Patients?

JPEN. Journal of Parenteral and Enteral Nutrition
Cecilia CanalesSadeq A Quraishi

Abstract

Malnutrition influences clinical outcomes. Although various screening tools are available to assess nutrition status, their use in the intensive care unit (ICU) has not been rigorously studied. Our goal was to compare the Nutrition Risk in Critically Ill (NUTRIC) to the Nutritional Risk Screening (NRS) 2002 in terms of their associations with macronutrient deficit in ICU patients. We performed a retrospective analysis to investigate the relationship between NUTRIC vs NRS 2002 and macronutrient deficit (protein and calories) in critically ill patients. We performed linear regression analyses, controlling for age, sex, race, body mass index, and ICU length of stay. We then dichotomized our primary exposures and outcomes to perform logistic regression analyses, controlling for the same covariates. The analytic cohort included 312 adults. Mean NUTRIC and NRS 2002 scores were 4 ± 2 and 4 ± 1, respectively. Linear regression demonstrated that each increment in NUTRIC score was associated with a 49 g higher protein deficit (β = 48.70: 95% confidence interval [CI] 29.23-68.17) and a 752 kcal higher caloric deficit (β = 751.95; 95% CI 447.80-1056.09). Logistic regression demonstrated that NUTRIC scores >4 had over twice the odds of prot...Continue Reading

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Citations

Aug 20, 2019·Current Nutrition Reports·Kavita SharmaMalcolm K Robinson
Feb 7, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Audrey Machado Dos ReisThais Steemburgo
Oct 12, 2019·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Mariane Kubiszewski CorujaJaqueline da Silva Fink
Jan 9, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Miriam TheillaPierre Singer
May 9, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Radha Reddy ChadaBalakrishna Nagalla
May 25, 2021·Clinical Nutrition ESPEN·Zeinab JavidVahid Maleki
Jun 11, 2021·Journal of the Chinese Medical Association : JCMA·Pi-Yi LinHan-Shui Hsu

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