We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
¿El diagnóstico y la puntuación NUTRIC score en pacientes críticamente enfermos con nutrición enteral son factores de riesgo para el tiempo de supervivencia en una unidad de cuidados intensivos?
- Authors
Bernasconi José, Isabela; Aparecida Leandro-Merhi, Vânia; Braga de Aquino, José Luis; Alexandre Mendonça, José; José, Isabela Bernasconi; Leandro-Merhi, Vania Aparecida; Aquino, José Luis Braga de; Mendonça, José Alexandre
- Abstract
<bold>Introduction: </bold>Objective: to investigate whether the caloric and protein deficits, the diagnosis and the NUTRIC score, behaved as risk factors associated to the survival time. Methods: prospective study with 82 critically ill patients in intensive care unit (ICU), with exclusive enteral nutritional therapy (EENT). We investigated the calorie and protein deficiencies of EENT, the NUTRIC score, and the inflammatory-nutritional index by the C-reactive protein-CRP/albumin. The data were analyzed using the Chi-square, Fisher, Mann-Whitney, Kruskal-Wallis, univariate and multiple Cox regressions and the Kaplan-Meyer method. Results: in the univariate Cox regression, one-year increase in age increased the risk of death by 4.1% (p=0.0009; HR=1.041) and one-day increase with intercurrent events, by 1.8% (p = 0.0485; HR = 1.018). In the multiple Cox regression, the clinical diagnosis (p = 0.0462, HR = 2.091) and the NUTRIC score ≥ 5 (p < 0.0001; HR = 5.740) were the variables that together were associated with the survival time. The critical caloric and protein deficits did not behave as death risk factors in this population. Kaplan-Meier curves showed that the probability of survival in 40 days was 28.1% with clinical diagnosis and 40.2% with surgical diagnosis. The mean survival time with NUTRIC score ≥ 5 was 17.4 days. The probability of survival at 40 days was 72.8% with NUTRIC score < 5 and 6.4% with NUTRIC score ≥ 5. Conclusion: caloric and protein deficits are not risk factors for mortality. Only the diagnosis and the NUTRIC score were considered risk factors associated with the survival time.
- Subjects
INTENSIVE care units; SURVIVAL; TIME; PROTEIN-energy malnutrition; CATASTROPHIC illness; ENTERAL feeding; LONGITUDINAL method
- Publication
Nutrición Hospitalaria, 2019, Vol 36, Issue 5, p1027
- ISSN
0212-1611
- Publication type
journal article
- DOI
10.20960/nh.02545