Study of Nutritional Risk Assessment and Clinical Outcome in Critically ill Covid-19 Patients at a Tertiary Care Institute in North India

 Background: Malnourished subjects in an intensive care unit have a weaker prognosis and survival. The use of digestive clinical scores concede possibility assist in the detection of malnutrition in sick patients. Nutritional dispassionate scores are more accurate than using a distinct nutritional limit.Aim: To assess the digestive risk and to evaluate the association 'tween nutritional risk and in-ward mortality in patients accompanying severe Covid-19 contamination.Methods: In this retrospective study, 119 harsh Covid-19 patients admitted to the Intensive Care Unit and High Dependency Unit were contained. A modified NUTRIC score was used to evaluate the nutritional risk for each patient. A score of ≥5 was used to classification the patient to have a high pertaining to food risk. Data with normal classification requirements were presented as mean ± SD. The results of comparing the equating between two continuous variables were marked by the equivalence coefficient (r) using equivalence analysis. The Association of digestive risk with ICU 28-day death risk was assessed utilizing univariate Cox proportional hazards reversion analysis. A result was deemed statistically meaningful when p <0.05.Results: The study population was predominately aging, with a median age of 70 age (IQR 67-76). Overall, the higher digestive risk was observed in 16(13%) victims and a low nutritional risk was noticed in 103(87%) patients. A powerful association was observed 'tween increasing mNUTRIC score and death (X2=65.32; p<0.001). The ability of the mNUTRIC score for predicting death was 0.952 (95%CI 0.9-1.0, p<0.001). Univariate Cox proportional hazards reversion analysis revealed higher mortality risk in cases with extreme nutritional risk (HR=2.25, 95% CI:1.51-3.36, p<0.001).Conclusion: Pre-hospital pertaining to food status shows an important prognostic factor in victims hospitalized for COVID-19. The changed NUTRIC score, a validated pertaining to food assessment tool for precariously ill patients, is valuable to determine nutritional risk in harsh COVID-19 patients for a better effect.

Author(s) Details:

Ajay Mishra,
Department of Medicine, Era’s Lucknow Medical College, Lucknow, UP, India.

Please see the link here: https://stm.bookpi.org/CODH-V7/article/view/9077