Pupo JJM, González AJC, Cabrera LJO, Martí GGM

Language: Spanish
References: 0
Page: 341-355
PDF size: 584.30 Kb.

ABSTRACT

Rationale: Undernutrition in the critically ill patient points towards a high morbimortality. Measurement of nutritional risk might serve to effectively intervene the patient’s prognosis. Objective: To assess the influence of NUTRIC score for nutritional risk upon death prognosis in the critically ill patient. Study location: Intermediate Care Unit (IMCU), “Carlos Manuel de Céspedes” Teaching General Hospital (Bayamo, Granma). Study design: Prospective, longitudinal, with two crosssectional evaluations: First evaluation: On admission to the IMCU; and Second assessment: On discharge. Study serie: One-hundred and forty-eight patients (Males: 61.5%; Ages ≥ 60 years: 77.0%; APACHE II: 19 ± 6; SOFA: 5 ± 3; Mechanical ventilation: 24.3%; Average IMCU length of stay: 11.7 ± 20.5 days) admitted between January First and March 31st, 2017. Methods: Associations between NUTRIC score and condition upon discharge (Alive/Deceased) of the patient. Results: All-causes-mortality rate was 42.6%. Average NUTRIC score was 5 ± 2. Twenty-seven point seven percent of the patients presented with NUTRIC scores ≥ 5. Mortality associated strongly with NUTRIC score: NUTRIC ≥ 5: Survivors: 12.9% vs. Deceased: 47.6% ( = +34.7; 2 = 21.7; p < 0.05). Patients with high NUTRIC scores showed a higher mortality risk (RR = 1.7; IC 95%: 1.3 – 2.1; p < 0.05). Conclusions: NUTRIC score points to those critically ill patients at risk of dying.