DOI: https://doi.org/10.14710/dmj.v14i2.48190

The Modified Nutrition Risk in Critically III (mNUTRIC) Score associated with Clinical Outcome and Length of Stay in Intensive Care Unit (ICU) Patients

Galuh Dwi Anjani  -  Universitas Lampung, Indonesia
Mirza Junando  -  Universitas Lampung, Indonesia
Rasmi Zakiah Oktarlina  -  Department of Pharmacy, Medical Facult, Lampung University, lampung, Indonesia
Rani Himayani  -  Department of Pharmacy, Medical Facult, Lampung University, lampung, Indonesia
*Nurma Suri orcid  -  Lampung University, Indonesia

Citation Format:
Abstract

 

 Background: Malnutrition is a common issue in hospital settings, particularly in the ICU and among elderly patients. Objective: This study aimed to analyze the nutritional characteristics of ICU patients and their association with clinical outcomes and length of stay. Methods: This prospective observational study was conducted in the ICU of Dr. H. Abdul Moeloek Hospital, Lampung Province, from December 2023 to February 2024. Patients hospitalized during this period were the study population, with total sampling used to collect data. The mNUTRIC score was employed to assess nutritional status. Bivariate analysis using chi-square was conducted to analyze the association between mNUTRIC scores and patient outcomes, as well as length of stay. Results: The majority of patients were elderly aged 50-75 years (45%) and female (95%). A significant portion (68.3%) had an abnormal body mass index (underweight, overweight, or obese). Additionally, 91.7% had comorbidities, and most stayed in the ICU for more than three days, with 51.7% having extended stays. Furthermore, 48.3% passed away during hospitalization. The study found that 51.7% of patients were at high nutritional risk, while 48.3% were at low risk. Bivariate analysis revealed a significant correlation between mNUTRIC score and clinical outcomes, including length of stay (p<0.05). Conclusion: This study concludes that ICU patients often have an abnormal nutritional risk, either high or low, based on mNUTRIC scores. Furthermore, mNUTRIC scores are correlated with clinical outcomes and length of stay.

Note: This article has supplementary file(s).

Fulltext View|Download |  Research Instrument
Similarity Checker
Subject
Type Research Instrument
  Download (2MB)    Indexing metadata
 common.other
Cover Letter
Subject
Type Other
  Download (75KB)    Indexing metadata
Keywords: Clinical Outcome; Elderly Patients; Intensive Care Unit; Length of Stay; mNUTRIC Score

Article Metrics:

Article Info
Section: Original Articles
Language : EN
Recent articles
The Modified Nutrition Risk in Critically III (mNUTRIC) Score associated with Clinical Outcome and Length of Stay in Intensive Care Unit (ICU) Patients The Effect of Serving Temperature of Black Tea (Camellia sinensis) on the Hardness of Nanohybrid Composite Resin CORRELATION BETWEEN NEUTROPHIL-LYMPHOCYTE RATIO AND LIPID PROFILE IN TYPE-2 DIABETES MELLITUS The Efficacy of 0.5 Gram NaCl Capsule in the Treatment of Umbilical Granuloma in Neonates: A Case Report Renal Dose Adjustment Management for Herpes Zoster in Immunocompromised Patient with Renal Impairment: A Case Report and Literature Review Management of an Oral Ranula in a HIV positive patient: Case report More recent articles
  1. Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition. 2017;36(1):49–64
  2. Kementrian Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia No HK.01.07/Menkes/393/2019 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Malnutrisi Pada Dewasa. 2019
  3. Parker EA, Feinberg TM, Wappel S, Verceles AC. Considerations When Using Predictive Equations to Estimate Energy Needs Among Older, Hospitalized Patients: A Narrative Review. Vol. 6, Current Nutrition Reports. Current Science Inc.; 2017. p. 102–10
  4. Lew CCH, Yandell R, Fraser RJL, Chua AP, Chong MFF, Miller M. Association between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review. Vol. 41, Journal of Parenteral and Enteral Nutrition. SAGE Publications Inc.; 2017. p. 744–58
  5. Narayan SK, Gudivada KK, Krishna B. Assessment of nutritional status in the critically ill. Vol. 24, Indian Journal of Critical Care Medicine. Jaypee Brothers Medical Publishers (P) Ltd; 2020. p. S152–6
  6. Kementrian Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia No 1778/Menkes/SK/XII/2010 Tentang Pedoman Penyelenggaraan Pelayanan Intensive Care Unit (ICU) di Rumah Sakit. 2010
  7. Nur Alpiana E, Alifiar I, Setiawan F. Gambaran nutrisi parenteral pada pasien intensive care unit di salah satu rumah sakit di Kota Tasikmalaya. Jurnal Ilmiah Farmasi (Scientific Journal of Pharmacy) [Internet]. 2023;19(2):143–51. Available from: http://journal.uii.ac.id/index.php/JIF
  8. Moitra VK, Guerra C, Linde-Zwirble WT, Wunsch H. Relationship between ICU Length of Stay and Long-Term Mortality for Elderly ICU Survivors. Crit Care Med. 2016 Apr 1;44(4):655–62
  9. Nurhidayati I, Elsera C, Tri Purnomo R, Kesehatan Dan Teknologi F. Studi Investigasi Malnutrisi pada Lansia. TRIAGE: Jurnal Ilmu Keperawatan. 2023;10(1):28–32
  10. Shpata V, Ohri I, Nurka T, Prendushi X. The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients. Clin Interv Aging. 2015 Feb 16;10:481–6
  11. Domenech-Briz V, Gea-Caballero V, Czapla M, Chover-Sierra E, Juárez-Vela R, Santolalla Arnedo I, et al. Importance of nutritional assessment tools in the critically ill patient: A systematic review. Vol. 9, Frontiers in Nutrition. Frontiers Media S.A.; 2023
  12. Serón-Arbeloa C, Labarta-Monzón L, Puzo-Foncillas J, Mallor-Bonet T, Lafita-López A, Bueno-Vidales N, et al. Malnutrition Screening and Assessment. Nutrients. 2022 Jun 1;14(12)
  13. Mahmoodpoor A, Sanaie S, Sarfaraz T, Shadvar K, Fattahi V, Hamishekar H, et al. Prognostic values of modified NUTRIC score to assess outcomes in critically ill patients admitted to the intensive care units: prospective observational study. BMC Anesthesiol. 2023 Dec 1;23(1)
  14. Wells BG, DiPiro JT, Schwinghammer TL, DiPiro C V. Pharmacotherapy Handbook. 9th ed. Mc Graw-Hill; 2015
  15. Reber E, Gomes F, Vasiloglou MF, Schuetz P, Stanga Z. Nutritional risk screening and assessment. Vol. 8, Journal of Clinical Medicine. MDPI; 2019
  16. Jackson M, Cairns T. Care of the critically ill patient. Elsevier. 2020;
  17. Hejazi N, Mazloom Z, Farid Zand ;, Rezaianzadeh A, Amini A. Nutritional Assessment in Critically Ill Patients. Vol. 41, Iran J Med Sci May. 2016
  18. Wang N, Wang MP, Jiang L, Du B, Zhu B, Xi XM. Association between the modified Nutrition Risk in Critically Ill (mNUTRIC) score and clinical outcomes in the intensive care unit: a secondary analysis of a large prospective observational study. BMC Anesthesiol. 2021 Dec 1;21(1)
  19. Primaputra Lubis A, Sinta Irina R, Septriandra Ginting A. Characteristics of ICU and Operating Room Patients at Satellite Hospitals Study Program Anesthesiology and Intensive Care Faculty of Medicine Universitas Sumatera Utara. Pengabdian Kepada Masyarakat. 2023;8(1):636–47
  20. Ling L, Ho CM, Ng PY, Chan KCK, Shum HP, Chan CY, et al. Characteristics and outcomes of patients admitted to adult intensive care units in Hong Kong: a population retrospective cohort study from 2008 to 2018. J Intensive Care. 2021 Dec 1;9(1)
  21. Amri F. Correlation of Characteristics and Nutritional Status on Length Of Stay of ICU Patients in Purwakarta. Vol. 1, JOURNAL OF APPLIED FOOD AND NUTRITION. 2020
  22. Ismail AJ, Hassan WMNW, Nor MBM, Shukeri WFWM. The impact of age on mortality in the intensive care unit: a retrospective cohort study in Malaysia. Acute and Critical Care. 2024 Aug 31;39(3):390–9
  23. Roller-Wirnsberger R, Thurner B, Pucher C, Lindner S, Wirnsberger GH. The clinical and therapeutic challenge of treating older patients in clinical practice. Vol. 86, British Journal of Clinical Pharmacology. Blackwell Publishing Ltd; 2020. p. 1904–11
  24. Guidet B, de Lange DW, Boumendil A, Leaver S, Watson X, Boulanger C, et al. The contribution of frailty, cognition, activity of daily life and comorbidities on outcome in acutely admitted patients over 80 years in European ICUs: the VIP2 study. Intensive Care Med. 2020 Jan 1;46(1):57–69
  25. Lat TI, McGraw MK, White HD. Gender Differences in Critical Illness and Critical Care Research. Vol. 42, Clinics in Chest Medicine. W.B. Saunders; 2021. p. 543–55
  26. Modra LJ, Higgins AM, Pilcher D V., Bailey MJ, Bellomo R. Sex Differences in Mortality of ICU Patients According to Diagnosis-related Sex Balance. Am J Respir Crit Care Med. 2022 Dec 1;206(11):1353–60
  27. Bekele TG, Melaku B, Demisse LB, Abza LF, Assen AS. Outcomes and factors associated with prolonged stays among patients admitted to adult intensive care unit in a resource-limited setting: a multicenter chart review. Sci Rep. 2024 Dec 1;14(1)
  28. Kalaiselvan MS, Renuka MK, Arunkumar AS. Use of nutrition risk in critically ill (NUTRIC) score to assess nutritional risk in mechanically ventilated patients: A prospective observational study. Indian Journal of Critical Care Medicine. 2017 May 1;21(5):253–6
  29. Jeong DH, Hong SB, Lim CM, Koh Y, Seo J, Kim Y, et al. Comparison of accuracy of NUTRIC and modified NUTRIC scores in predicting 28-day mortality in patients with sepsis: A single center retrospective study. Nutrients. 2018 Jul 17;10(7)
  30. Kalın BS, Altun K, Sert Aİ, Kurt Çelebi N, Aktiz Bıçak E, Savuşma B. Investigation of the Effect of the Modified Nutrition Risk in Critically Ill Score on the Length of Stay in the Intensive Care Unit. Clinical Science of Nutrition. 2023 Aug 1;5(2):58–62
  31. Gomes F, Baumgartner A, Bounoure L, Bally M, Deutz NE, Greenwald JL, et al. Association of Nutritional Support with Clinical Outcomes among Medical Inpatients Who Are Malnourished or at Nutritional Risk: An Updated Systematic Review and Meta-analysis. JAMA Netw Open. 2019 Nov 20;2(11)
  32. Lopez-Delgado JC, Grau-Carmona T, Mor-Marco E, Bordeje-Laguna ML, Portugal-Rodriguez E, Lorencio-Cardenas C, et al. Parenteral Nutrition: Current Use, Complications, and Nutrition Delivery in Critically Ill Patients. Nutrients. 2023 Nov 1;15(21)
  33. Lewis SR, Schofield-Robinson OJ, Alderson P, Smith AF. Enteral versus parenteral nutrition and enteral versus a combination of enteral and parenteral nutrition for adults in the intensive care unit. Vol. 2018, Cochrane Database of Systematic Reviews. John Wiley and Sons Ltd; 2018

Last update:

No citation recorded.

Last update:

No citation recorded.