Significance of the modified nutric score for predicting clinical outcomes in patients with severe community-acquired pneumonia

Chia Cheng Tseng, Chih Yen Tu, Chia Hung Chen, Yao Tung Wang, Wei Chih Chen, Pin Kuei Fu, Chin Ming Chen, Chih Cheng Lai, Li Kuo Kuo, Shih Chi Ku, Wen Feng Fang

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

Nutritional status could affect clinical outcomes in critical patients. We aimed to determine the prognostic accuracy of the modified Nutrition Risk in Critically Ill (mNUTRIC) score for hospital mortality and treatment outcomes in patients with severe community-acquired pneumonia (SCAP) compared to other clinical prediction rules. We enrolled SCAP patients in a multi-center setting retrospectively. The mNUTRIC score and clinical prediction rules for pneumonia, as well as clinical factors, were calculated and recorded. Clinical outcomes, including mortality status and treatment outcome, were assessed after the patient was discharged. We used the receiver operating characteristic (ROC) curve method and multivariate logistic regression analysis to determine the prognostic accuracy of the mNUTRIC score for predicting clinical outcomes compared to clinical prediction rules, while 815 SCAP patients were enrolled. ROC curve analysis showed that the mNU-TRIC score was the most effective at predicting each clinical outcome and had the highest area un-der the ROC curve value. The cut-off value for predicting clinical outcomes was 5.5. By multivariate logistic regression analysis, the mNUTRIC score was also an independent predictor of both clinical outcomes in SCAP patients. We concluded that the mNUTRIC score is a better prognostic factor for predicting clinical outcomes in SCAP patients compared to other clinical prediction rules.

Original languageEnglish
Article number198
JournalNutrients
Volume14
Issue number1
DOIs
Publication statusPublished - Jan 1 2022

Keywords

  • Clinical outcome
  • Nutrition
  • Severe community-acquired pneumonia

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

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