Journal of Basic Research in Medical Sciences
J Basic Res Med Sci
Volume 13, Issue 4 (9-2026)
jbrms 2026, 13(4): 58-65 |
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Shahi H, Vahabzadeh D, Sayadi H, Shahbazi S, Sharifi A. Nutritional Risk Assessment in Intensive Care Unit Patients Using the mNUTRIC Score and its Association with Clinical Outcomes: A Prospective Observational Study. jbrms 2026; 13 (4) :58-65
URL: http://jbrms.medilam.ac.ir/article-1-1102-en.html
URL: http://jbrms.medilam.ac.ir/article-1-1102-en.html
Non communicable disease research center, Ilam University of medical sciences, Ilam, Iran , dvaha2003.dv@gmail.com
Abstract: (12 Views)
Introduction: Malnutrition in intensive care unit (ICU) patients is associated with adverse clinical outcomes. The modified nutrition risk score (mNUTRIC) in the critically ill patients has been proposed as an appropriate nutritional assessment tool. This study designed to evaluate the nutritional status of hospitalized patients in the intensive care by mNutric, and its relationship with the patient's condition and hospitalization outcomes.
Materials & Methods: : In this prospective observational study, the nutritional status of 90 critically hospitalized patients within a 40 week period was determined using the mNutric score tool. For calculation of this score, patient data including age, number of co-morbidities, number of hospitalization days, SOFA score, APACHE II score was extracted from patient medical documents. Patients with scores higher than 5 were considered as high nutritional risk and patients with ≤5 were low nutritional risk. Analysis was done at a significance level of 0.05.
Results: The mean age of participants was 60.72 ± 19.46 years. 60% of patients were male and 40% were female. The average hospitalization duration in the intensive care unit was 7.06 ± 6.36. The mean mNutric Score in the studied patients was 3.70 ± 2.23. Results showed 57 (63.3%) and 33 (36.7%) subjects were identified as at low and high nutritional risk, respectively, with different ventilator dependency, patient's mortality and age.
Conclusion: High percent of hospitalized patients (36.7%) in intensive care units were identified as nutritionally high risk subjects. In high risk patients compared to low ones, more ventilator dependancy, longer days of hospitalization and more deaths were seen.
Materials & Methods: : In this prospective observational study, the nutritional status of 90 critically hospitalized patients within a 40 week period was determined using the mNutric score tool. For calculation of this score, patient data including age, number of co-morbidities, number of hospitalization days, SOFA score, APACHE II score was extracted from patient medical documents. Patients with scores higher than 5 were considered as high nutritional risk and patients with ≤5 were low nutritional risk. Analysis was done at a significance level of 0.05.
Results: The mean age of participants was 60.72 ± 19.46 years. 60% of patients were male and 40% were female. The average hospitalization duration in the intensive care unit was 7.06 ± 6.36. The mean mNutric Score in the studied patients was 3.70 ± 2.23. Results showed 57 (63.3%) and 33 (36.7%) subjects were identified as at low and high nutritional risk, respectively, with different ventilator dependency, patient's mortality and age.
Conclusion: High percent of hospitalized patients (36.7%) in intensive care units were identified as nutritionally high risk subjects. In high risk patients compared to low ones, more ventilator dependancy, longer days of hospitalization and more deaths were seen.
Type of Study: Research |
Subject:
Professional Health
Received: 2026/08/14 | Accepted: 2026/09/8 | Published: 2026/09/28
Received: 2026/08/14 | Accepted: 2026/09/8 | Published: 2026/09/28
References
1. Verma P, Kumar S, Acharya S, Bawankule S, Wanjari A, Agrawal S, et al. m-NUTRIC Score for Assessment of Nutritional Status and Treatment Outcomes in Chronic Kidney Disease Patients. J Pharm Res Int. 2021;33:250-7.
2. Zhang P, He Z, Yu G, Peng D, Feng Y, Ling J, et al. The modified NUTRIC score can be used for nutritional risk assessment as well as prognosis prediction in critically ill COVID-19 patients. Clin Nutr 2021;40(2):534-41.
3. Hosseinpour-Niazi S , Naderi Z , Hosseinpour-Niazi N , Delshad M , Mirmiran P , Azizi F Prevalence of malnutrition in hospitalized patients in Taleghani hospital in Tehran. J Gorgan Univ Med Sci. 2011;13(4):97-106. doi.
4. Ibrahim DA, Elkabarity RH, Moustafa ME, El-Gendy HA. Modified NUTRIC score and outcomes in critically ill patients: A meta-analysis. Egypt J Anaesth. 2020;36(1):288-96.
5. McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. Bmj. 1994;308(6934):945-8.
6. Elnaz Daneshzad, Leila Azadbakhat, Felorance Neamani, Saeid Abasi, Fatemeh Shirani, Peiman Adibi. Nutritional AssessmentofICU impatients in Alzahra Hospital. HSR. 2015;10(4):655-68.
7. 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;15:1-11.
8. Rahman A, Hasan RM, Agarwala R, Martin C, Day AG, Heyland DK. Identifying critically-ill patients who will benefit most from nutritional therapy: further validation of the “modified NUTRIC” nutritional risk assessment tool. Clin Nutr. 2016;35(1):158-62.
9. Rosa M, Heyland DK, Fernandes D, Rabito EI, Oliveira ML, Marcadenti A. Translation and adaptation of the NUTRIC Score to identify critically ill patients who benefit the most from nutrition therapy. Clin Nutr ESPEN. 2016;14:31-6.
10. Mahmoodpoor A, Sanaie S, Sarfaraz T, Shadvar K, Fattahi V, Hamishekar H, et al. Prognostic values of modified NUTRIC score to assess outcomes in critically ill patients admitted to the intensive care units: prospective observational study. BMC Anesthesiol. 2023;23(1):131.
11. 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(5):253-6.
12. Mendes R, Policarpo S, Fortuna P, Alves M, Virella D, Heyland DK, et al. Nutritional risk assessment and cultural validation of the modified NUTRIC score in critically ill patients—a multicenter prospective cohort study. J Crit Care. 2017;37:45-9.
13. Yanowsky-Escatell FG, Ontiveros-Galindo AL, Arellano-Arteaga KJ, Román-Pintos LM, Andrade-Castellanos CA, Hernández-Corona DM, et al. Use of mNUTRIC‐score for nutrition risk assessment and prognosis prediction in critically ill patients with COVID‐19: a retrospective observational study. Crit Care Res Pract. 2021;2021(1):5866468.
14. Ishtiaq W, Yousaf M, Bano S, Mujahid AM, Akhtar A. Modified nutrition risk in critically ill (mNUTRIC) score to assess nutritional risk in mechanically ventilated patients: a prospective observational study from the Pakistani population. Cureus. 2018;10(12):e3786.
15. Tripathi H, Benjamin J, Maiwall R, Puri P, Kapoor PB, Shasthry V, et al. Identifying critically ill patients with cirrhosis who benefit from nutrition therapy: the mNUTRIC score study. J Clin Transl Res. 2022;8(5):425.
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