TO STUDY NUTRITIONAL ASSESSMENT AND IMPACT OF MODIFIED-NUTRIC SCORE (m-NUTRIC) IN VENTILATED PATIENTS

Dr. Ashok Kumar Dadarwal; Dr. Mani Ram Kumhar; Dr. V.B. Singh

Volume : IX, Issue : II, February - 2020

TO STUDY NUTRITIONAL ASSESSMENT AND IMPACT OF MODIFIED-NUTRIC SCORE (m-NUTRIC) IN VENTILATED PATIENTS

Dr. Ashok Kumar Dadarwal, Dr. Mani Ram Kumhar, Dr. V. B. Singh

Abstract :

BACKGROUND: In critically ill patients, nutrition status is closely linked with clinical outcomes. However, determination of nutrition status in critically ill patients is not a straightforward process. Because of inability to provide history of food intake and weight loss traditional scoring systems cannot be used for screening in mechanically ventilated (MV) patients The modified Nutrition Risk in Critically ill (mNUTRIC) score is the appropriate nutritional assessment tool in MV patients. OBJECTIVES: To study the prevalence and Impact of nutritional risk in mechanically ventilated ICU patients with modified NUTRIC (m–NUTRIC) score on morbidity [ICU average length of stay (ALOS), ventilator free days (VFDs)] and mortality. PATIENTS AND METHODS: All adult patients age >18 years was admitted to the medical ICU and required mechanical ventilation for more than 48 hrs was included in the study. Data were collected on variables required to calculate mNUTRIC score. Patients with mNUTRIC score ≥5 are considered at nutritional risk. Outcome data were collected on ICU length of stay, ventilator–free days, and mortality up to 28 days. RESULTS: A total of 100 (63 males and 37 females) patients were included those fit for inclusion criteria. The mean age was 59.12 years, 69% of mechanically ventilated patients had mNUTRIC scores ≥5, had morbidity {longer ALOS (mean ± SD = 11.75±3.00 days) and less VFDs as compared with 6.48±1.36 days in patients with mNUTRIC scores ≤4 and a higher mortality rate (61%). A high mNUTRIC predicted mortality score shows a receiver operating characteristic curve of from this we found 0.891 sensitivity of 88.4%, specificity of 74.2%. CONCLUSIONS: High mNUTRIC score (>.5) was associated with increased ICU length of stay, less VFDs and higher mortality.