NRS‐2002 and mNUTRIC score: Could we predict mortality of hematological malignancy patients in the ICU?

İbrahim İleri; Cemile Özsürekci; Meltem Gulhan Halil; Kursat Gundogan

doi:10.1002/ncp.10783

journal article Sep 29, 2021

NRS‐2002 and mNUTRIC score: Could we predict mortality of hematological malignancy patients in the ICU?

İbrahim İleri

Cemile Özsürekci

Meltem Gulhan Halil

Kursat Gundogan

Nutrition in Clinical Practice Vol. 37 No. 5 pp. 1199-1205 · Wiley

View at Publisher Save 10.1002/ncp.10783

Abstract

AbstractBackgroundMalnutrition is a problem that greatly affects patients with hematological malignancy (HM) throughout the course of illness. Intensity of the malignancy treatment, inadequate energy intake, complex procedures such as hematopoietic stem cell transplantation, and treatment side effects are contributing factors for malnutrition in HM patients.The aim of this study was to compare the accuracy of the modified Nutrition Risk in Critically Ill (mNUTRIC) score and Nutrition Risk Screening 2002 (NRS‐2002) in predicting hospital and long‐term mortality of HM patients in the intensive care unit (ICU) and to identify effects of malnutrition on ICU mortality.MethodsThis prospective observational cohort study was conducted in a university teaching hospital tertiary ICU service. During the study period, 112 HM patients who were >18 years old were admitted to the ICU. We excluded the patients who were discharged or died within 24 h from the statistical analysis. The patients were followed for 3 years after discharge for long‐term mortality.ResultsTwenty‐nine patients died within 24 h of admission and were excluded from the study; therefore, statistical analysis was done for 81 patients. Logistic regression analysis demonstrated that high malnutrition risk, according to the NRS‐2002 score, was associated with greater odds of ICU mortality (P = 0.002, odds ratio = 19.16).ConclusionIn this study, we showed that NRS‐2002 is superior to mNUTRIC score in predicting ICU mortality in patients with HMs. mNUTRIC score and NRS‐2002 were not superior to each other in predicting long‐term mortality.

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Details

Published: Sep 29, 2021
Vol/Issue: 37(5)
Pages: 1199-1205
License: View

Authors

�

İbrahim İleri

Internal Medicine Department, Division of Geriatrics Hacettepe University School of Medicine Ankara Turkey

C

Cemile Özsürekci

Internal Medicine Department, Division of Geriatrics Hacettepe University School of Medicine Ankara Turkey

M

Meltem Gulhan Halil

Internal Medicine Department, Division of Geriatrics Hacettepe University School of Medicine Ankara Turkey

K

Kursat Gundogan

Internal Medicine Department, Division of Medical Intensive Care Erciyes University School of Medicine Kayseri Turkey

Cite This Article

İbrahim İleri, Cemile Özsürekci, Meltem Gulhan Halil, et al. (2021). NRS‐2002 and mNUTRIC score: Could we predict mortality of hematological malignancy patients in the ICU?. Nutrition in Clinical Practice, 37(5), 1199-1205. https://doi.org/10.1002/ncp.10783

NRS‐2002 and mNUTRIC score: Could we predict mortality of hematological malignancy patients in the ICU?

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