mNUTRIC与NRS⁃2002评分对重症病人预后的评估价值比较

打开文本图片集

基金项目 南通市卫生健康委员会（指令性）青年项目，编号：QN2022008；南通大学附属医院护理科研项目，编号： Tfh2115

作者简介 王伶俐，主管护师，硕士

通讯作者 陈天喜，E⁃mail：19825283393@163.com

引用信息 王伶俐，陈天喜，冒飒娴，等.mNUTRIC与NRS⁃2002评分对重症病人预后的评估价值比较[J].护理研究，2024，38（13）：2265⁃2269.

Comparison of application value of mNUTRIC and NRS⁃2002 in prognosis evaluation of critically ill patients

WANG Lingli， CHEN Tianxi， MAO Saxian， DING Jiamin， WU Min， CHEN Ye

Affiliated Hospital of Nantong University， Jiangsu 226000 China

Corresponding Author  CHEN Tianxi， E⁃mail： 19825283393@163.com

Abstract  Objective：To evaluate the nutritional risk of patients in emergency intensive care unit （EICU） using mNUTRIC score and NRS-2002， and to compare the value of the two tools in assessing 28-day mortality Methods： Patients admitted to the EICU from February to May 2023 were selected. Data were collected from electronic medical records， and nutritional assessment was performed using NRS⁃2002 and mNUTRIC score within 24 hours of admission. Cox regression analysis was used to explore the effect of nutritional risk on 28-day mortality. ROC curve was drawn to evaluate the predictive value of NRS⁃2002， mNUTRIC， APACHE Ⅱ and SOFA for 28⁃day mortality.Results：A total of 152 patients were enrolled in this study. According to mNUTRIC score， 102 patients （67.1%） were at high nutritional risk（>5 points）. NRS⁃2002 score screened 67 patients（44.1%） with high nutritional risk （≥5 points）.The results showed that the results of the two scoring systems were inconsistent.Cox regression analysis showed that mNUTRIC （OR=1.782） and SOFA （OR=1.186） were risk factors for the death of critically ill patients in EICU.The AUC of mNUTRIC score for predicting 28⁃day mortality was 0.82［95%CI（0.73，0.90）］，and the best critical value was 6.The predictive value of mNUTRIC score was better than NRS⁃2002， APACHE Ⅱ and SOFA.Conclusions：mNUTRIC score can be used as an effective tool for nutritional risk assessment in critically ill EICU patients and is associated with 28⁃day mortality. However， the characteristics of patients in the acute stage and recovery stage should be considered to dynamically assess nutritional risk.

Keywords    emergency intensive care unit， EICU； mNUTRIC； NRS⁃2002； nutritional risk； mortality； the influencing factors； predictive value

摘要  目的：采用改良危重症营养风险（mNUTRIC）评分和营养风险筛查（NRS⁃2002）评分评估急诊重症监护病房（EICU）病人的营养风险，并比较两种工具对EICU病人28 d死亡率的评估价值。（剩余9946字）