ESPEN 2022 Late Breaking Abstracts

Topic: Nutritional assessment

Abstract Submission Identifier: ESPEN22-LB-2170

NUTRITIONAL ASSESSMENT IN CRITICAL CARE: COMPARING THE MODIFIED NUTRITION RISK IN CRITICALLY ILL SCORE (MNUTRIC) WITH THE PATIENT-GENERATED SUBJECTIVE GLOBAL ASSESSMENT (PGSGA) IN MECHANICALLY VENTILATED CRITICAL CARE PATIENTS

S. SHRIVASTAVA^*, ^{1, 1}, M. patil ², R. samaddar ³

¹Max Hospital, delhi, ²asha kiran JHC hospital, pune, ³max healthcare, delhi, India

Rationale: An observational study was conducted, to identify the nutritional risk in mechanically ventilated ICU patients expected to stay >24 hours, using modified Nutrition Risk in critically ill (mNUTRIC) Score (with the exception of interleukin -6) and comparing with Patient Generated Subjective Global Assessment (PG-SGA).

Methods: A total sample of N=50 adult patients admitted to the ICU on mechanical ventilator were included in the study. The study was conducted for over a period of 3 months. Data was collected on variables required to calculate mNUTRIC score and PG-SGA assessment. Prognostic performance of the mNUTRIC and PG-SGA were assessed and results were compared.

Results: Study sample included 34% (17/50, N=50) females and 66% (33/50, N=50) males, with the mean age of 62.7 years in females and 62.8 years in males. Based on statistical significance 42/50(84%) patients had high nutritional risk (mNUTRIC score>5) and 8/50(16%) patients  were at low risk, whereas PG-SGA score for the same patients showed only 22 (44%) patients on high risk and 27 (54%) patients as low risk. Patients with high mNUTRIC also had longer ICU stay.

Conclusion: mNUTRIC score showed better agreement over PG-SGA for mechanically ventilated patients in terms of determining nutritional risk, length of stay in ICU and also associated with higher mortality rate.

References: 1.Kalaiselvan MS, Renuka MK, Arunkumar AS. Use of Nutrition Risk in Critically ill (NUTRIC) score to Assess Nutritional Risk in mechanically ventilated Patients. §A prospective observational study. Indian J Crit Care Med 2017; 21:253-6

2. Heyland DK, Dhaliwal R, Jiang X, Day AG. Identifying critically ill patients who benefit the most from nutrition therapy: The development and initial validation of a novel risk assessment tool. Crit Care. 2011; 15:R268.

Disclosure of Interest: None Declared

Keywords: Nutritional Assesment