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Nutritional Risk Assessment and Cultural Validation of the Modified NUTRIC Score in Critically Ill Patients-A Multicenter Prospective Cohort Study

2017-02Journal article Open access
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dc.contributor.authorMendes, R
dc.contributor.authorPolicarpo, S
dc.contributor.authorFortuna, P
dc.contributor.authorAlves, M
dc.contributor.authorVirella, D
dc.contributor.authorHeyland, D
dc.date.accessioned2017-10-13T15:22:23Z
dc.date.available2017-10-13T15:22:23Z
dc.date.issued2017-02
dc.description.abstractPURPOSE: Characterize the nutritional risk of critically ill patients with the modified NUTrition Risk in the Critically ill (NUTRIC) score. MATERIALS: National, multicenter, prospective, observational study conducted in 15 polyvalent Portuguese intensive care unit (ICU), during 6 months. Adult patients were eligible. Those transferred from another ICU or readmitted, brain dead at admission, and with length of ICU stay (LOS) of 72 hours or less were excluded. NUTRIC score was calculated at admission; scores ≥5 represent a high nutritional risk. Main outcome was mortality from all causes at 28 days after admission to the ICU; LOS and days without mechanical ventilation (days free of MV) were secondary outcomes. RESULTS: From 2061 admissions, 1143 patients were considered, mostly males (n = 744, 64.7%) with median (P25-P75) age of 64 (51-75). Patients at high nutritional risk were 555 (48.6%). High NUTRIC score was associated with longer LOS (P < .001), less days free of MV (P = .002) and higher 28-day mortality (P < .001). The area under the curve of NUTRIC score ≥5 for predicting 28-day mortality was 0.658 (95% CI, 0.620-0.696). NUTRIC score ≥5 had a positive predictive value 32.7% and a negative predictive value 88.8% for 28-day mortality. CONCLUSIONS: Almost half of the patients in Portuguese ICUs are at high nutritional risk. NUTRIC score was strongly associated with main clinical outcomes.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Crit Care. 2017 Feb;37:45-49.pt_PT
dc.identifier.doi10.1016/j.jcrc.2016.08.001pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2760
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectAgedpt_PT
dc.subjectCritical Illnesspt_PT
dc.subjectCultural Competencypt_PT
dc.subjectFemalept_PT
dc.subjectHospitalizationpt_PT
dc.subjectHumanspt_PT
dc.subjectIntensive Care Unitspt_PT
dc.subjectLength of Staypt_PT
dc.subjectMalept_PT
dc.subjectMalnutritionpt_PT
dc.subjectMiddle Agedpt_PT
dc.subjectNutritional Statuspt_PT
dc.subjectProspective Studiespt_PT
dc.subjectRespiration, Artificialpt_PT
dc.subjectMortalitypt_PT
dc.subjectNutrition Assessmentpt_PT
dc.subjectRisk Assessmentpt_PT
dc.subjectHSJ UUMpt_PT
dc.subjectCHLC CINVpt_PT
dc.titleNutritional Risk Assessment and Cultural Validation of the Modified NUTRIC Score in Critically Ill Patients-A Multicenter Prospective Cohort Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage49pt_PT
oaire.citation.startPage45pt_PT
oaire.citation.titleJournal of Critical Carept_PT
oaire.citation.volume37pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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