mNUTRIC與NRS?2002評分對重癥病人預(yù)后的評估價值比較

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基金項目 南通市衛(wèi)生健康委員會（指令性）青年項目，編號：QN2022008；南通大學(xué)附屬醫(yī)院護(hù)理科研項目，編號： Tfh2115

作者簡介 王伶俐，主管護(hù)師，碩士

通訊作者 陳天喜，E?mail：19825283393@163.com

引用信息 王伶俐，陳天喜，冒颯嫻，等.mNUTRIC與NRS?2002評分對重癥病人預(yù)后的評估價值比較[J].護(hù)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：采用改良危重癥營養(yǎng)風(fēng)險（mNUTRIC）評分和營養(yǎng)風(fēng)險篩查（NRS?2002）評分評估急診重癥監(jiān)護(hù)病房（EICU）病人的營養(yǎng)風(fēng)險，并比較兩種工具對EICU病人28 d死亡率的評估價值。（剩余9946字）