Affiliation:
1. JSC Neftyanik Hospital
2. Almazov National Medical Research Centre
3. Tyumen Cardiology Research Center
Abstract
Background. Identification of patients with a high risk of poor clinical outcome at early stages of intensive care of critical illness makes it possible to adjust the diagnostic and treatment process. Integral severity scoring systems are used for this purpose, which do not include either energy-protein metabolism or malnutrition (MN) parameters. The aim of this study was to determine the predictive value of MN markers for the risk of a poor clinical outcome in surgical (SG) and therapeutic (TG) group of intensive care units (ICU). Material and methods. During the period of 2012 to 2017, a single-center prospective cohort study based on mixed ICU was organized The patient’s critical illness severity was established by Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores. Nutritional indices: Nutritional Risk Index (NRI), Maastricht Index(MI), The Prognostic Nutritional Index (PNI)), and ND risk score: Nutritional Risk Screening 2002 (NRS-2002), Modified Nutrition Risk in the Critically Ill (mNUTRIC)), body mass index (BMI) were also calculated. Results. The best markers to predict the negative clinical outcome risk in the SG are NRI, mNUTRIC and NRS-2002, as well as patient’s age, while in the TG these are - NRS-2002 and mNUTRIC. Conclusion. NRI, mNUTRIC and NRS-2002 can be applied, as well as the traditional APACHE II and SOFA, in the clinical practice of a mixed ICU to predict a poor clinical outcome.
Publisher
Arterialnaya Gipertenziya
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