Research Article

Use of mNUTRIC-Score for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Patients with COVID-19: A Retrospective Observational Study

Table 2

Characteristics and laboratory indices among patients with high and low nutritional risk.

High-nutritional-risk group
(mNUTRIC-Score ≥5, n = 46)
Low-nutritional-risk group
(mNUTRIC-Score <5, n = 52)
value

Clinical characteristics
 Female, n (%)19 (41.3%)12 (23.1%)0.053
 Male, n (%)27 (58.7%)40 (76.9%)
 Age, mean61.91 ± 12.3953.07 ± 13.49≤0.001
 Comorbidities2 (0–7)1 (0–5)≤0.001
 Charlson comorbidity index4 (2–9)2 (0–5)≤0.001
Biochemicals
 Glucose (mg/dL)175 (88–452)162 (77–533)0.105
 Creatinine (mg/dL)2.04 (0.64–20.23)0.96 (0.39–2.34)≤0.001
 BUN (mg/dL)47.40 (13–137)27.50 (9–55)≤0.001
 Albumin (g/dL)2.47 ± 0.492.63 ± 0.460.115
 C-reactive protein (mg/dL)230.28 ± 150.89171.77 ± 116.60.033
Arterial blood gas
 pH7.29 ± 0.147.34 ± 0.140.114
 PaCO2 (mmHg)38 (13–115)44 (14–163)0.378
 Bicarbonate (mmol/L)21.09 ± 7.0624.19 ± 4.930.013
 Lactate (mmol/L)2.10 (0.70–7)2 (0.60–4.9)0.889
 PaO2/FiO2 (mmHg)69 (33–366)84 (31–360)0.020
Outcomes
 Mechanical ventilation (days)10 (3–33)10 (3–40)0.162
 Total mNUTRIC-Score, median (IQR), points6 (5–8)2 (0–4)≤0.001
 Hospital length of stay (days)10.5 (2–34)15 (2–96)0.004
 Death at 28th day, n (%)42 (91.3%)29 (55.8%)≤0.001
 Initial nutrition therapy (hours)48 (12–168)76 (12–240)0.208
Initial time of nutrition support
 ≤48 h, n (%)18 (39.1%)17 (32.7%)0.193
 >48 h, n (%)15 (32.6%)26 (50%)
Complications, n (%)
 Acute kidney injury, n (%)34 (73.9%)28 (53.8%)0.004
 Upper gastrointestinal bleeding, n (%)2 (4.3%)4 (7.7%)0.491
 Vasopressors, n (%)27 (58.7%)23 (44.2%)0.153

Abbreviations: BUN, blood urea nitrogen; mNUTRIC-Score, modified Nutrition Risk in the Critically Ill-Score; IQR, interquartile range; PaCO2, arterial partial carbon dioxide pressure; PaO2/FiO2 ratio, partial pressure of arterial oxygen to fraction of inspired oxygen.