Heyland et al developed the NUTrition RIsk in the Critically ill (NUTRIC) score to identify a patient in the intensive care unit (ICU) who may benefit from nutrition therapy. The modified NUTRIC (mNUTRIC) score is a simplification.
Patient selection: critically ill patient in the ICU
Change from NUTRIC: removal of IL-6 measurement
Parameters:
(1) age
(2) APACHE II score
(3) SOFA score
(4) number of comorbidities
(5) number of days between hospital admission and ICU admission
Parameter
Finding
Points
age
< 50 years
0
50 to 74.9 years
1
>= 75 years
2
APACHE II score
< 15
0
15 to 19
1
20 to 27
2
>= 28
3
SOFA score
< 6
0
6 to 9
1
>= 10
2
number of comorbidities
0 or 1
0
2 or more
1
days from hospital to ICU admission
< 1 day
0
>= 1 day
1
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• The higher the score the greater the mortality rate and duration of mechanical ventilation.
• The higher the score the more likely that the patient will benefit from aggressive nutritional support.
• For severe burn patients a score >= 5 is associated with worse outcomes.
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