NUTRIC score as a predictor of outcome in COVID-19 ARDS patients: A retrospective observational study

被引:10
|
作者
Kumar, Neeraj [1 ]
Kumar, Abhyuday [2 ]
Kumar, Ajeet [2 ]
Pattanayak, Arunima [2 ]
Singh, Kunal [2 ]
Singh, Prabhat [3 ]
机构
[1] All India Inst Med Sci, Dept Trauma & Emergency, Patna, Bihar, India
[2] All India Inst Med Sci, Dept Anaesthesiol, Patna, Bihar, India
[3] All India Inst Med Sci, Room 505,5th Floor,OT Complex IPD,B Block, Patna, Bihar, India
关键词
COVID-19; intensive care unit; nutritional assessment; respiratory distress syndrome; CRITICALLY-ILL PATIENTS; POSITION STATEMENT; NUTRITIONAL RISK; INDIAN SOCIETY;
D O I
10.4103/ija.ija_474_21
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background and Aims: The Nutrition Risk in Critically ill (NUTRIC) score is an appropriate nutritional assessment tool in mechanically ventilated patients. We retrospectively observed the applicability of the NUTRIC score for predicting outcomes in coronavirus disease (COVID)-19 acute respiratory distress syndrome (ARDS) patients. Methods: All adult COVID-19 ARDS patients admitted to the intensive care unit and requiring various forms of oxygen therapy were included in the study. The demographic characteristics and clinical information about the patients were obtained from the hospital's medical records department. The nutritional risk for each patient was assessed using the NUTRIC score at 72 hours of ICU admission. The discriminating power and ability of NUTRIC score, Sequential Organ Failure Assessment (SOFA) score, age and Acute Physiology and Chronic Health Evaluation (APACHE) II to predict the 28-day mortality and need for mechanical ventilation (MV) was calculated using receiver operating characteristic curves and area under this curve. Results: A total of 80 COVID-19 ARDS patients fitted into the inclusion criteria. Among non-survivors, the median Glasgow Coma Score, APACHE II score, NUTRIC score and SOFA score were 10, 16, 6 and 4, respectively. The cut-off values for NUTRIC score, SOFA, and APACHE II to predict 28-day mortality and need for MV was obtained as 3.5, 3.5 and 11.5, respectively. These cut-off values of NUTRIC score, SOFA score, and APACHE II have a sensitivity of 62%, 72.5% and 75.5%, respectively, and specificity of 95%, 72% and 83% for predicting mortality. Conclusions: Most COVID-19 ARDS patients requiring MV in the ICU are at nutritional risk, and a high NUTRIC score is associated with higher mortality.
引用
收藏
页码:669 / 675
页数:7
相关论文
共 50 条
  • [1] The prognostic value of the SOFA score in patients with COVID-19 A retrospective, observational study
    Yang, Zheng
    Hu, Qinming
    Huang, Fei
    Xiong, Shouxin
    Sun, Yi
    [J]. MEDICINE, 2021, 100 (32) : E26900
  • [2] NUTRIC Score Is Not Superior to mNUTRIC Score in Prediction of Mortality of COVID-19 Patients
    Kucuk, Berkay
    Ozen, Sevil Baltaci
    Kocabeyoglu, Gul Meral
    Mutlu, Nevzat Mehmet
    Cakir, Esra
    Turan, Isil Ozkocak
    [J]. INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2022, 2022 : 1864776
  • [3] Outcome of COVID-19 in Patients Requiring Haemodialysis- A Retrospective Observational Study
    Vakrani, Girish P.
    Nambakam, Tanuja
    [J]. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2021, 15 (11) : OC23 - OC25
  • [4] Comparison between Nutric Score and modified nutric score to assess ICU mortality in critically ill patients with COVID-19
    Liberti, Annalisa
    Piacentino, Edoardo
    Umbrello, Michele
    Muttini, Stefano
    [J]. CLINICAL NUTRITION ESPEN, 2021, 44 : 479 - 482
  • [5] Rhabdomyolysis in COVID-19 Patients: A Retrospective Observational Study
    Haroun, Magued W.
    Dieiev, Vladyslav
    Kang, John
    Barbi, Mali
    Nia, Seyed Farzad Marashi
    Gabr, Mohamed
    Eman, Gerardo
    Kajita, Grace
    Swedish, Kristin
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (01)
  • [6] Tracheostomy in Covid-19 Patients: A Retrospective Observational Study
    Dal, Hayriye Cankar
    Turan, Sema
    [J]. ERCIYES MEDICAL JOURNAL, 2022, 44 (01) : 77 - 81
  • [7] Use of rotational thromboelastometry to predict the outcome of COVID-19 patients: A retrospective observational study
    Kamal, Manoj
    Hariprasad, R.
    Bhatia, Pradeep K.
    Misra, Sanjeev
    Sharma, Praveen
    Garg, Mahendra K.
    Kothari, Nikhil
    Gupta, Manoj
    Singariya, Geeta
    [J]. JOURNAL OF ANAESTHESIOLOGY CLINICAL PHARMACOLOGY, 2022, 38 (05) : 89 - 95
  • [8] Use of rotational thromboelastometry to predict the outcome of COVID-19 patients: A retrospective observational study
    Kamal, Manoj
    Hariprasad, R.
    Bhatia, Pradeep K.
    Misra, Sanjeev
    Sharma, Praveen
    Garg, Mahendra K.
    Kothari, Nikhil
    Gupta, Manoj
    Singariya, Geeta
    [J]. JOURNAL OF ANAESTHESIOLOGY CLINICAL PHARMACOLOGY, 2022, 38 : 89 - 95
  • [9] ICU strain and outcome in COVID-19 patients-A multicenter retrospective observational study
    Demoule, Alexandre
    Fartoukh, Muriel
    Louis, Guillaume
    Azoulay, Elie
    Nemlaghi, Safaa
    Jullien, Edouard
    Desnos, Cyrielle
    Clerc, Sebastien
    Yvin, Elise
    Mellati, Nouchan
    Charron, Cyril
    Voiriot, Guillaume
    Picard, Yoann
    Vieillard-Baron, Antoine
    Darmon, Michael
    [J]. PLOS ONE, 2022, 17 (07):
  • [10] Clinical frailty score as an independent predictor of outcome in COVID-19 hospitalised patients
    Koduri, Gouri
    Gokaraju, Sriya
    Darda, Maria
    Warrier, Vinod
    Duta, Irina
    Hayes, Fiona
    Sayed, Iman El
    Noeman-Ahmed, Yasser
    [J]. EUROPEAN GERIATRIC MEDICINE, 2021, 12 (05) : 1065 - 1073