We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
The prognostic value of modified NUTRIC score for patients in cardiothoracic surgery recovery unit: A retrospective cohort study.
- Authors
Zheng, Chao; Xie, Kai; Li, Xiao‐Kun; Wang, Gao‐Ming; Luo, Jing; Zhang, Chi; Jiang, Zhi‐Sheng; Wang, Yi‐Lin; Luo, Chao; Qiang, Yong; Hu, Li‐Wen; Wang, Yan‐Qing; Shen, Yi
- Abstract
Background: Malnutrition is highly prevalent in critically ill patients. The modified Nutrition Risk in the Critically ill (mNUTRIC) score has been introduced to evaluate the nutritional risk of patients in an intensive care unit (ICU). The mNUTRIC score is a predictive factor of mortality for patients in a medical or mixed ICU, whereas the relationship between mNUTRIC and prognosis of patients in a cardiothoracic surgery recovery unit (CSRU) is unclear and related researches are limited. Methods: We conducted this retrospective cohort study to explore the value of mNUTRIC score in CSRU patients. We identified totally 4059 patients from the Multiparameter Intelligent Monitoring in Intensive Care III (MIMIC III) database. Results: The optimal cut‐off value of mNUTRIC score was 4 and a total of 1498 (36.9%) patients were considered to be at high nutritional risk (mNUTRIC ≥ 4). A multivariate logistic regression model indicated that patients at high nutritional risk have higher hospital mortality compared to those at low nutritional risk (odds ratio = 2.49, 95% confidence interval (CI) = 1.32‐4.70, p = 0.005]. Furthermore, a Cox regression model was established adjusted for age, white blood cell and body mass index. The Kaplan–Meier curve indicated that patients at high nutritional risk have poorer 365‐days [hazard ratio (HR) = 1.76, 95% CI = 1.30‐2.37, p < 0.001] and 1000‐days (HR = 2.30, 95% CI = 1.87–2.83, p < 0.001) overall survival. Conclusions: The mNUTRIC score could not only predict hospital mortality, but also be an independent prognostic factor for long‐term survival in CSRU patients. More well‐designed clinical trials are needed to verify and update our findings.
- Subjects
MALNUTRITION diagnosis; CARDIAC surgery; NUTRITIONAL assessment; PREDICTIVE tests; CONFIDENCE intervals; THORACIC surgery; CRITICALLY ill; CONVALESCENCE; AGE distribution; LEUCOCYTES; PATIENTS; RETROSPECTIVE studies; SURGERY; TREATMENT effectiveness; HOSPITAL mortality; RISK assessment; DESCRIPTIVE statistics; KAPLAN-Meier estimator; SURVIVAL analysis (Biometry); LOGISTIC regression analysis; BODY mass index; LONGITUDINAL method
- Publication
Journal of Human Nutrition & Dietetics, 2021, Vol 34, Issue 6, p926
- ISSN
0952-3871
- Publication type
Article
- DOI
10.1111/jhn.12899