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[HTML][HTML] Identifying critically ill patients with cirrhosis who benefit from nutrition therapy: the mNUTRIC score study

H Tripathi, J Benjamin, R Maiwall, P Puri… - Journal of Clinical …, 2022 - ncbi.nlm.nih.gov
H Tripathi, J Benjamin, R Maiwall, P Puri, PB Kapoor, V Shasthry, V Saluja, P Agrawal…
Journal of Clinical and Translational Research, 2022•ncbi.nlm.nih.gov
Methods: A prospective study was conducted in the liver intensive care unit of a quaternary
teaching institute. Baseline and follow-up data pertaining to mNUTRIC score, clinical,
hemodynamic, biochemical, nutritional parameters, mechanical ventilation, length of ICU
stay, and development of sepsis were collected. Correlation between mNUTRIC score and
its modulation by nutritional adequacy was determined. Results: One hundred and fifty
patients were enrolled. Out of these, 116 (77%) had a high NUTRIC score (HNS) and 34 …
Methods:
A prospective study was conducted in the liver intensive care unit of a quaternary teaching institute. Baseline and follow-up data pertaining to mNUTRIC score, clinical, hemodynamic, biochemical, nutritional parameters, mechanical ventilation, length of ICU stay, and development of sepsis were collected. Correlation between mNUTRIC score and its modulation by nutritional adequacy was determined.
Results:
One hundred and fifty patients were enrolled. Out of these, 116 (77%) had a high NUTRIC score (HNS) and 34 (23%) had a low NUTRIC score (LNS). Patients with HNS had higher mortality (54% vs. 10%; P= 0.008), longer mechanical ventilation (P= 0.02), and high incidence of sepsis (32% vs. 2.6%; P= 0.002) compared to LNS. The probability of survival increased with increase in nutritional adequacy (P< 0.01) in patients with HNS.
Conclusion:
mNUTRIC score is a useful tool for identifying nutrition risk in critically ill patients with cirrhosis. Goal-directed nutrition therapy in patients with HNS can significantly improve survival.
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