Articles Vol. 65 No. 1 18/01/2024

20. ASSESSMENT OF NUTRITIONAL RISK AND SOME RELATED FACTORS IN MECHANICALLY VENTILATED PATIENTS USING MODIFIED NUTRIC (MNUTRIC) SCORE

Nguyen Duc Phuc1,2, Luong Thi Hong Minh3,4
1 Nghe An General Friendship Hospital
2 Bệnh viện Hữu Nghị Đa khoa Nghệ An
3 Vinh University of Medicine
4 Đại học Y khoa Vinh
Corresponding author: Nguyenducphuckhoacc@gmail.com
DOI: 10.52163/yhc.v65i1.893
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Keywords
Nutritional risk, Modified-NUTRIC score, Mechanical ventilation.
Abstract

Malnutrition affects disease status, increases the risk of infection, increases the length of hospital stay and length of mechanical ventilation and increases the risk of death in critically ill patients.

Objectives: Classification the nutritional risk and identification some factors related to treament results in mechanically venticated (MV) patients using the mNUTRIC scale value.

Subjects: The study was conducted on 100 patients ≥18 years old and required MV for more 48h at the intensive care unit (ICU) - Nghe An friendship general hospital from march to may, 2023. Methods: Cross-sectional descriptive study.

Results: Average age 72.99; male 72%; The high risk of malnutrition according to the mNUTRIC scale accounted for 40% and had an average score of 6.43. The overall mortality rate was 26% and the mortality rate in the mNUTRIC group ≥ 5 was 47.5%. The mean score of mNUTRIC ≥5 in the mortality group was higher than that of mNUTRIC <5. The mNUTRIC scale has a predictive value for mortality in the ICU patients with AUC = 0.767 (95% CI 0.659 - 0.874), a cut-off point of 4.5 with a sensitivity of 73.08% and a specificity of 71.62% (p<0.05).

Conclusions: The mNUTRIC score is valuable in assessing nutritional risk and predicting mortality in mechanically ventilated patients in the ICU.

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