High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/200780 |
Resumo: | OBJECTIVE: To evaluate possible associations between nutritional risk and the clinical outcomes of critical patients admitted to an intensive care unit. METHODS: A prospective study was carried out with a cohort comprising 200 patients admitted to a university hospital intensive care unit. Nutritional risk was assessed with the NRS-2002 and NUTRIC scores. Patients with scores ≥ 5 were considered at high nutritional risk. Clinical data and outcome measures were obtained from patients'' medical records. Multiple logistic regression analysis was used to calculate odds ratios and their respective 95% confidence intervals (for clinical outcomes). RESULTS: This sample of critical patients had a mean age of 59.4 ± 16.5 years and 53.5% were female. The proportions at high nutritional risk according to NRS-2002 and NUTRIC were 55% and 36.5%, respectively. Multiple logistic regression models adjusted for gender and type of admission indicated that high nutritional risk assessed by the NRS-2002 was positively associated with use of mechanical ventilation (OR = 2.34; 95%CI 1.31 - 4.19; p = 0.004); presence of infection (OR = 2.21; 95%CI 1.24 - 3.94; p = 0.007), and death (OR = 1.86; 95%CI 1.01 - 3.41; p = 0.045). When evaluated by NUTRIC, nutritional risk was associated with renal replacement therapy (OR = 2.10; 95%CI 1.02 - 4.15; p = 0.040) and death (OR = 3.48; 95%CI 1.88 - 6.44; p < 0.001). CONCLUSION: In critically ill patients, high nutritional risk was positively associated with an increased risk of clinical outcomes including hospital death. |
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Marchetti, JuliaReis, Audrey Machado dosSilva, Amanda Forte dos SantosFranzosi, Oellen StuaniLuft, Vivian CristineSteemburgo, Thais2019-10-17T03:52:09Z20190103-507Xhttp://hdl.handle.net/10183/200780001104396OBJECTIVE: To evaluate possible associations between nutritional risk and the clinical outcomes of critical patients admitted to an intensive care unit. METHODS: A prospective study was carried out with a cohort comprising 200 patients admitted to a university hospital intensive care unit. Nutritional risk was assessed with the NRS-2002 and NUTRIC scores. Patients with scores ≥ 5 were considered at high nutritional risk. Clinical data and outcome measures were obtained from patients'' medical records. Multiple logistic regression analysis was used to calculate odds ratios and their respective 95% confidence intervals (for clinical outcomes). RESULTS: This sample of critical patients had a mean age of 59.4 ± 16.5 years and 53.5% were female. The proportions at high nutritional risk according to NRS-2002 and NUTRIC were 55% and 36.5%, respectively. Multiple logistic regression models adjusted for gender and type of admission indicated that high nutritional risk assessed by the NRS-2002 was positively associated with use of mechanical ventilation (OR = 2.34; 95%CI 1.31 - 4.19; p = 0.004); presence of infection (OR = 2.21; 95%CI 1.24 - 3.94; p = 0.007), and death (OR = 1.86; 95%CI 1.01 - 3.41; p = 0.045). When evaluated by NUTRIC, nutritional risk was associated with renal replacement therapy (OR = 2.10; 95%CI 1.02 - 4.15; p = 0.040) and death (OR = 3.48; 95%CI 1.88 - 6.44; p < 0.001). CONCLUSION: In critically ill patients, high nutritional risk was positively associated with an increased risk of clinical outcomes including hospital death.application/pdfengRevista brasileira de terapia intensiva. Vol. 31, n. 3 (2019), p. 326-332Avaliação nutricionalFatores de riscoCuidados críticosUnidades de terapia intensivaInfecçõesMorteTerapia de substituição renalNutrition assessmentNutritional statusRisk factorsCritical careIntensive care unitsHigh nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unitO elevado risco nutricional está associado a desfechos desfavoráveis em pacientes internados na unidade de terapia intensiva info:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001104396.pdf.txt001104396.pdf.txtExtracted Texttext/plain31389http://www.lume.ufrgs.br/bitstream/10183/200780/2/001104396.pdf.txt207b540e4f95d0b4bb81755a867e5d0fMD52ORIGINAL001104396.pdfTexto completo (inglês)application/pdf220284http://www.lume.ufrgs.br/bitstream/10183/200780/1/001104396.pdf9d08773771a0ea84c7548b3acb17cd14MD5110183/2007802023-12-06 04:25:30.113575oai:www.lume.ufrgs.br:10183/200780Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-12-06T06:25:30Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit |
dc.title.alternative.pt.fl_str_mv |
O elevado risco nutricional está associado a desfechos desfavoráveis em pacientes internados na unidade de terapia intensiva |
title |
High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit |
spellingShingle |
High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit Marchetti, Julia Avaliação nutricional Fatores de risco Cuidados críticos Unidades de terapia intensiva Infecções Morte Terapia de substituição renal Nutrition assessment Nutritional status Risk factors Critical care Intensive care units |
title_short |
High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit |
title_full |
High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit |
title_fullStr |
High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit |
title_full_unstemmed |
High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit |
title_sort |
High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit |
author |
Marchetti, Julia |
author_facet |
Marchetti, Julia Reis, Audrey Machado dos Silva, Amanda Forte dos Santos Franzosi, Oellen Stuani Luft, Vivian Cristine Steemburgo, Thais |
author_role |
author |
author2 |
Reis, Audrey Machado dos Silva, Amanda Forte dos Santos Franzosi, Oellen Stuani Luft, Vivian Cristine Steemburgo, Thais |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Marchetti, Julia Reis, Audrey Machado dos Silva, Amanda Forte dos Santos Franzosi, Oellen Stuani Luft, Vivian Cristine Steemburgo, Thais |
dc.subject.por.fl_str_mv |
Avaliação nutricional Fatores de risco Cuidados críticos Unidades de terapia intensiva Infecções Morte Terapia de substituição renal |
topic |
Avaliação nutricional Fatores de risco Cuidados críticos Unidades de terapia intensiva Infecções Morte Terapia de substituição renal Nutrition assessment Nutritional status Risk factors Critical care Intensive care units |
dc.subject.eng.fl_str_mv |
Nutrition assessment Nutritional status Risk factors Critical care Intensive care units |
description |
OBJECTIVE: To evaluate possible associations between nutritional risk and the clinical outcomes of critical patients admitted to an intensive care unit. METHODS: A prospective study was carried out with a cohort comprising 200 patients admitted to a university hospital intensive care unit. Nutritional risk was assessed with the NRS-2002 and NUTRIC scores. Patients with scores ≥ 5 were considered at high nutritional risk. Clinical data and outcome measures were obtained from patients'' medical records. Multiple logistic regression analysis was used to calculate odds ratios and their respective 95% confidence intervals (for clinical outcomes). RESULTS: This sample of critical patients had a mean age of 59.4 ± 16.5 years and 53.5% were female. The proportions at high nutritional risk according to NRS-2002 and NUTRIC were 55% and 36.5%, respectively. Multiple logistic regression models adjusted for gender and type of admission indicated that high nutritional risk assessed by the NRS-2002 was positively associated with use of mechanical ventilation (OR = 2.34; 95%CI 1.31 - 4.19; p = 0.004); presence of infection (OR = 2.21; 95%CI 1.24 - 3.94; p = 0.007), and death (OR = 1.86; 95%CI 1.01 - 3.41; p = 0.045). When evaluated by NUTRIC, nutritional risk was associated with renal replacement therapy (OR = 2.10; 95%CI 1.02 - 4.15; p = 0.040) and death (OR = 3.48; 95%CI 1.88 - 6.44; p < 0.001). CONCLUSION: In critically ill patients, high nutritional risk was positively associated with an increased risk of clinical outcomes including hospital death. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-10-17T03:52:09Z |
dc.date.issued.fl_str_mv |
2019 |
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info:eu-repo/semantics/publishedVersion |
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publishedVersion |
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http://hdl.handle.net/10183/200780 |
dc.identifier.issn.pt_BR.fl_str_mv |
0103-507X |
dc.identifier.nrb.pt_BR.fl_str_mv |
001104396 |
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0103-507X 001104396 |
url |
http://hdl.handle.net/10183/200780 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Revista brasileira de terapia intensiva. Vol. 31, n. 3 (2019), p. 326-332 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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