Relationship between nutritional scores and 28-day mortality in critical patients who received mechanical ventilator support for non-surgical reasons
Yazarlar (2)
Doç. Dr. Öztürk TAŞKIN Kastamonu Üniversitesi, Türkiye
Öğr. Gör. Özgür Yılmaz T.C. Sağlık Bakanlığı, Türkiye
Makale Türü Açık Erişim Özgün Makale (Uluslararası alan indekslerindeki dergilerde yayınlanan tam makale)
Dergi Adı Kastamonu Medical Journal
Dergi ISSN 2757-9336
Dergi Tarandığı Indeksler Index Copernicus, DRJI
Makale Dili İngilizce Basım Tarihi 03-2023
Kabul Tarihi Yayınlanma Tarihi 21-03-2023
Cilt / Sayı / Sayfa 3 / 1 / 32–36 DOI 10.51271/KMJ-0092
Makale Linki https://kastamonumedicaljournal.com//upload/article/KASMEJ-2023-0000101_Publish.pdf
UAK Araştırma Alanları
Anesteziyoloji ve Reanimasyon
Özet
Aims Malnutrition may cause an increase in morbidity and mortality in intensive care patients. In this study, we aimed to investigate the relationship between nutritional scores and 28-day mortality in critically ill patients followed on a mechanical ventilator for non-surgical reasons. Methods 91 patients admitted to the intensive care unit for non-surgical reasons, followed up on mechanical ventilators, and whose data were available were included. The prognostic nutrition index (PNI), geriatric nutrition risk index (GNRI), nutritional risk index (NRI), and controlling nutritional status (CONUT) score were calculated from the data of the patients. Patients were divided into two groups survival and non-survival. Results NRI, PNI, and GNRI scores were statistically significantly higher in the Survivor group. Neutrophil lymphocyte ratio, LDH albumin ratio, CONUT, APACHE, and SAPS scores were statistically higher in the nonsurvivor group. In logistic regression analysis for nutritional scores, CONUT was found to be an independent risk factor for mortality. In the ROC analysis, the AUC value for CONUT was 0.925. The cut-off value for CONUT was 7.5, the sensitivity was 86.4%, and the specificity was 87.0%. Conclusion The CONUT nutrition score, which can be easily calculated from routine parameters and does not cause extra costs, can be used as an independent evaluation tool in determining the 28-day mortality of intensive care patients.
Anahtar Kelimeler
Critical Patients | prognostic nutrition index | geriatric nutrition risk index | nutritional risk index | controlling nutritional status