Evaluation of nutritional intake and malnutrition in critically ill patients and its relationship with 28-day death
Abstract Malnutrition and risk for malnutrition in critically ill patients are associated with adverse outcomes. However, the adequacy of nutrient intake and its impact on malnutrition have not been entirely determined in previous studies. Above all, this study investigates the relationship between...
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Nature Portfolio
2025-05-01
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| Online Access: | https://doi.org/10.1038/s41598-025-00780-2 |
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| author | Mohsen Rezaeian Shiva Monfared-Parizi Zahra Mousavi Shirazifard Ahmadreza Sayadi Hassan Khodadadi Maryam Ghaseminasab-Parizi |
| author_facet | Mohsen Rezaeian Shiva Monfared-Parizi Zahra Mousavi Shirazifard Ahmadreza Sayadi Hassan Khodadadi Maryam Ghaseminasab-Parizi |
| author_sort | Mohsen Rezaeian |
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| description | Abstract Malnutrition and risk for malnutrition in critically ill patients are associated with adverse outcomes. However, the adequacy of nutrient intake and its impact on malnutrition have not been entirely determined in previous studies. Above all, this study investigates the relationship between some nutrient intake and malnutrition levels and 28-day death. The observational study was done on patients over 18 years of age in Rafsanjan Intensive Care Unit (ICU) from April 21 to October 24, 2022. Subjective global assessment (SGA), modified nutrition risk in critically Ill (mNUTRIC) Score, demographic details and intake of some nutrients were assessed. Data was analyzed with SPSS 22 software, and a p-value of 0.05 was a significant level for all analysis.118 patients were studied. Malnutrition and mNUTRIC score are linked to 28-day mortality in logistic regression analysis (OR: 3.63, 95%CI 1.48–8.91, p = 0.004 and OR: 12.69, 95%CI 4.42–36.43, p < 0.001, respectively). There was no significant difference between the intake of some nutrients and malnutrition/ risk for malnutrition. This study reveals no relevance between nutrient intake with malnutrition and risk for malnutrition. Moreover, in malnourished patients, some nutrient intake was unrelated to the 28-day death. It is suggested that future studies be done with a larger sample size. |
| format | Article |
| id | doaj-art-9494850e3d04495db8ecbe1bce18c2b6 |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-05-01 |
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| spelling | doaj-art-9494850e3d04495db8ecbe1bce18c2b62025-08-20T03:09:35ZengNature PortfolioScientific Reports2045-23222025-05-011511810.1038/s41598-025-00780-2Evaluation of nutritional intake and malnutrition in critically ill patients and its relationship with 28-day deathMohsen Rezaeian0Shiva Monfared-Parizi1Zahra Mousavi Shirazifard2Ahmadreza Sayadi3Hassan Khodadadi4Maryam Ghaseminasab-Parizi5Department of Epidemiology and Biostatistics, Occupational Environment Research Center, School of Health, Rafsanjan University of Medical SciencesHospital of Aliebneabitaleb, Rafsanjan University of Medical SciencesNutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesDepartment of Psychiatric Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery, University of Medical SciencesDepartment of Health in Disasters and Emergencies, School of Health, Rafsanjan University of Medical SciencesDepartment of Health Education and Health Promotion, Occupational Environment Research Center, School of Health, Rafsanjan University of Medical SciencesAbstract Malnutrition and risk for malnutrition in critically ill patients are associated with adverse outcomes. However, the adequacy of nutrient intake and its impact on malnutrition have not been entirely determined in previous studies. Above all, this study investigates the relationship between some nutrient intake and malnutrition levels and 28-day death. The observational study was done on patients over 18 years of age in Rafsanjan Intensive Care Unit (ICU) from April 21 to October 24, 2022. Subjective global assessment (SGA), modified nutrition risk in critically Ill (mNUTRIC) Score, demographic details and intake of some nutrients were assessed. Data was analyzed with SPSS 22 software, and a p-value of 0.05 was a significant level for all analysis.118 patients were studied. Malnutrition and mNUTRIC score are linked to 28-day mortality in logistic regression analysis (OR: 3.63, 95%CI 1.48–8.91, p = 0.004 and OR: 12.69, 95%CI 4.42–36.43, p < 0.001, respectively). There was no significant difference between the intake of some nutrients and malnutrition/ risk for malnutrition. This study reveals no relevance between nutrient intake with malnutrition and risk for malnutrition. Moreover, in malnourished patients, some nutrient intake was unrelated to the 28-day death. It is suggested that future studies be done with a larger sample size.https://doi.org/10.1038/s41598-025-00780-2MalnutritionIntensive care unitNutrition assessmentDietary intakeRisk for malnutrition |
| spellingShingle | Mohsen Rezaeian Shiva Monfared-Parizi Zahra Mousavi Shirazifard Ahmadreza Sayadi Hassan Khodadadi Maryam Ghaseminasab-Parizi Evaluation of nutritional intake and malnutrition in critically ill patients and its relationship with 28-day death Scientific Reports Malnutrition Intensive care unit Nutrition assessment Dietary intake Risk for malnutrition |
| title | Evaluation of nutritional intake and malnutrition in critically ill patients and its relationship with 28-day death |
| title_full | Evaluation of nutritional intake and malnutrition in critically ill patients and its relationship with 28-day death |
| title_fullStr | Evaluation of nutritional intake and malnutrition in critically ill patients and its relationship with 28-day death |
| title_full_unstemmed | Evaluation of nutritional intake and malnutrition in critically ill patients and its relationship with 28-day death |
| title_short | Evaluation of nutritional intake and malnutrition in critically ill patients and its relationship with 28-day death |
| title_sort | evaluation of nutritional intake and malnutrition in critically ill patients and its relationship with 28 day death |
| topic | Malnutrition Intensive care unit Nutrition assessment Dietary intake Risk for malnutrition |
| url | https://doi.org/10.1038/s41598-025-00780-2 |
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