Use of mNUTRIC-Score for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Patients with COVID-19: A Retrospective Observational Study
Introduction. Nutritional risk is highly prevalent in patients with COVID-19. Relevant data on nutritional assessment in the critically ill population are scarce. This study was conducted to evaluate the modified Nutrition Risk in the Critically Ill (mNUTRIC)-Score as a mortality risk factor in mech...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2021/5866468 |
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| author | Francisco G. Yanowsky-Escatell Areli L. Ontiveros-Galindo Kevin J. Arellano-Arteaga Luis M. Román-Pintos Carlos A. Andrade-Castellanos Diana M. Hernández-Corona Tonatiuh González-Heredia Geannyne Villegas-Rivera |
| author_facet | Francisco G. Yanowsky-Escatell Areli L. Ontiveros-Galindo Kevin J. Arellano-Arteaga Luis M. Román-Pintos Carlos A. Andrade-Castellanos Diana M. Hernández-Corona Tonatiuh González-Heredia Geannyne Villegas-Rivera |
| author_sort | Francisco G. Yanowsky-Escatell |
| collection | DOAJ |
| description | Introduction. Nutritional risk is highly prevalent in patients with COVID-19. Relevant data on nutritional assessment in the critically ill population are scarce. This study was conducted to evaluate the modified Nutrition Risk in the Critically Ill (mNUTRIC)-Score as a mortality risk factor in mechanically ventilated patients with COVID-19. Methods. We conducted this retrospective observational study in critically ill patients with COVID-19. Patients’ characteristics and clinical information were obtained from electronic medical records. The nutritional risk for each patient was assessed at the time of mechanical ventilation using the mNUTRIC-Score. The major outcome was 28-day mortality. Results. Ninety-eight patients were analyzed (mean age, 57.22 ± 13.66 years, 68.4% male); 46.9% of critically ill COVID-19 patients were categorized as being at high nutrition risk (mNUTRIC-Score of ≥5). A multivariate logistic regression model indicated that high nutritional risk has higher 28-day hospital mortality (OR = 4.206, 95% CI: 1.147–15.425, p=0.030). A multivariate Cox regression analysis showed that high-risk mNUTRIC-Score had a significantly increased full-length mortality risk during hospitalization (OR = 1.991, 95% CI: 1.219–3.252, p=0.006). Conclusion. The mNUTRIC-Score is an independent mortality risk factor during hospitalization in critically ill COVID-19 patients. |
| format | Article |
| id | doaj-art-8dc70fd798c242daaa2bbea50d12dd46 |
| institution | OA Journals |
| issn | 2090-1313 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-8dc70fd798c242daaa2bbea50d12dd462025-08-20T02:09:41ZengWileyCritical Care Research and Practice2090-13132021-01-01202110.1155/2021/5866468Use of mNUTRIC-Score for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Patients with COVID-19: A Retrospective Observational StudyFrancisco G. Yanowsky-Escatell0Areli L. Ontiveros-Galindo1Kevin J. Arellano-Arteaga2Luis M. Román-Pintos3Carlos A. Andrade-Castellanos4Diana M. Hernández-Corona5Tonatiuh González-Heredia6Geannyne Villegas-Rivera7Departamento de Medicina InternaDepartamento de Medicina InternaDepartamento de Medicina InternaDepartamento de Medicina InternaDepartamento de Medicina InternaDepartamento de Ciencias BiomédicasDepartamento de Ciencias BiomédicasDepartamento de Ciencias de la Salud-Enfermedad como Proceso IndividualIntroduction. Nutritional risk is highly prevalent in patients with COVID-19. Relevant data on nutritional assessment in the critically ill population are scarce. This study was conducted to evaluate the modified Nutrition Risk in the Critically Ill (mNUTRIC)-Score as a mortality risk factor in mechanically ventilated patients with COVID-19. Methods. We conducted this retrospective observational study in critically ill patients with COVID-19. Patients’ characteristics and clinical information were obtained from electronic medical records. The nutritional risk for each patient was assessed at the time of mechanical ventilation using the mNUTRIC-Score. The major outcome was 28-day mortality. Results. Ninety-eight patients were analyzed (mean age, 57.22 ± 13.66 years, 68.4% male); 46.9% of critically ill COVID-19 patients were categorized as being at high nutrition risk (mNUTRIC-Score of ≥5). A multivariate logistic regression model indicated that high nutritional risk has higher 28-day hospital mortality (OR = 4.206, 95% CI: 1.147–15.425, p=0.030). A multivariate Cox regression analysis showed that high-risk mNUTRIC-Score had a significantly increased full-length mortality risk during hospitalization (OR = 1.991, 95% CI: 1.219–3.252, p=0.006). Conclusion. The mNUTRIC-Score is an independent mortality risk factor during hospitalization in critically ill COVID-19 patients.http://dx.doi.org/10.1155/2021/5866468 |
| spellingShingle | Francisco G. Yanowsky-Escatell Areli L. Ontiveros-Galindo Kevin J. Arellano-Arteaga Luis M. Román-Pintos Carlos A. Andrade-Castellanos Diana M. Hernández-Corona Tonatiuh González-Heredia Geannyne Villegas-Rivera Use of mNUTRIC-Score for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Patients with COVID-19: A Retrospective Observational Study Critical Care Research and Practice |
| title | Use of mNUTRIC-Score for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Patients with COVID-19: A Retrospective Observational Study |
| title_full | Use of mNUTRIC-Score for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Patients with COVID-19: A Retrospective Observational Study |
| title_fullStr | Use of mNUTRIC-Score for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Patients with COVID-19: A Retrospective Observational Study |
| title_full_unstemmed | Use of mNUTRIC-Score for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Patients with COVID-19: A Retrospective Observational Study |
| title_short | Use of mNUTRIC-Score for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Patients with COVID-19: A Retrospective Observational Study |
| title_sort | use of mnutric score for nutrition risk assessment and prognosis prediction in critically ill patients with covid 19 a retrospective observational study |
| url | http://dx.doi.org/10.1155/2021/5866468 |
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