Relationship between mNutric score and Outcomes in Patients with Critically Illness Myopathy

Document Type : Original Article

Authors

1 Demonstrator of Critical Care and Emergency Nursing Department Faculty of Nursing, Sohag University, Egypt.

2 Professor of Critical Care & Emergency Nursing, Department, Faculty of Nursing, Assuit University, Egypt.

3 Lecturer of Critical Care & Emergency Nursing, Nursing Department, Sohag University, Egypt.

Abstract

Malnutrition and muscular atrophy developed early in the intensive care unit stay due to an imbalance in energy and protein demands and intake. Early identification of individuals with high nutritional risk may enhance clinical outcomes since these patients may benefit more from nutritional therapies than those with reduced nutritional risk. The modified nutrition risk in the critically ill score (mNUTRIC) was developed as a suitable nutritional assessment tool in critically ill  patients. Study aim: To assess the relationship between mNutric score and outcomes in patients with critical illness myopathy. Design: Descriptive correlational research design. Setting: The study was conducted at different critical care units at Sohag University Hospitals. Sample:  All available adult critically ill patients met inclusion criteria. Tools: Two main tools were used to collect data, Tool (I): Myopathy patient assessment sheet, Tool (II): Patient outcomes assessment sheet The Results of the present study revealed that the bulk of the patients were males with ages over fifty. Also, more than half of patients experienced high mNutric ≥ 5, and furthermore, there were significant positive correlations of mNutric score with mortality, Acute Physiology and Chronic Health Evaluation II score, and Sequential Organ Failure Assessment, while there was a significant negative correlation of mNutric score with Medical Research Council scale for muscle strength. Conclusion: The mNUTRIC score is most effective in the prediction of the prognosis of patients with critical illness myopathy. Recommendations: Incorporate a nutritional assessment into regular clinical assessments of patients in the critical care units.

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