Research Article

The Addition of the Geriatric Nutritional Risk Index to the Prognostic Scoring Systems Did Not Improve Mortality Prediction in Trauma Patients in the Intensive Care Unit

Table 1

Injury and patient characteristics of adult trauma patients who died and survived in the intensive care unit.

VariablesDeath n = 138Survival n = 988OR (95% CI)

Sex0.152
 Male, n (%)101 (73.2)663 (67.1)1.34 (0.90–2.00)
 Female, n (%)37 (26.8)325 (32.9)0.75 (0.50–1.11)
Age, years62.0 ± 19.455.7 ± 19.1<0.001
Albumin (g/dl)3.1 ± 0.83.5 ± 0.7<0.001
Lymphocyte (count)2078.1 ± 1656.72007.4 ± 1468.80.602
PNI41.6 ± 11.444.8 ± 9.4<0.001
GNRI94.4 ± 14.799.8 ± 12.5<0.001
Comorbidities
 DM, n (%)36 (26.1)206 (20.9)1.34 (0.89–2.02)0.161
 HTN, n (%)57 (41.3)329 (33.3)1.41 (0.98–2.03)0.063
 CAD, n (%)21 (15.2)86 (8.7)1.88 (1.13–3.15)0.015
 CHF, n (%)4 (2.9)4 (0.4)7.34 (1.82–29.71)0.001
 CVA, n (%)5 (3.6)49 (5.0)0.72 (0.28–1.84)0.491
 ESRD, n (%)12 (8.7)29 (2.9)3.15 (1.57–6.33)0.001
GCS, median (IQR)7 (3–15)15 (9–15)<0.001
ISS, median (IQR)25 (20–33)20 (16–25)<0.001
 1–1511 (8.0)232 (23.5)0.28 (0.15–0.53)<0.001
 16–2433(23.9)425 (43.0)0.42 (0.28–0.63)<0.001
 ≥2594 (68.1)331 (33.5)4.24 (2.90–6.21)<0.001
Hospital stay, days15.2 ± 15.523.5 ± 18.1<0.001

CAD = coronary artery disease; CHF = congestive heart failure; CI = confidence interval; CVA = cerebral vascular accident; DM = diabetes mellitus; ESRD = end-stage renal disease; GCS = Glasgow coma scale; GNRI = geriatric nutritional risk index; HTN = hypertension; IQR = interquartile range; ISS = injury severity score; OR = odds ratio; PNI = prognostic nutritional index.