Nutrición Hospitalaria 04093 / http://dx.doi.org/10.20960/nh.04093

Trabajo Original

Nutritional assessment of patients with aneurysmal subarachnoid hemorrhage using the modified “Nutrition Risk in the Critically Ill" score, and its association with outcomes

Marta Rodrigues de Carvalho, Beatriz Schmidt Dal Berto, Amelia Maia Rodrigues, Lorena Ohrana Braz Prudente, Edmilson Leal Bastos de Moura

Prepublicado: 2022-07-15

Publicado: 2022-08-02

VOLUMEN 39, NÚM. 4, julio-agosto (2022), PAG. 709-715

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Compártelo:

Introduction: subarachnoid hemorrhage (SAH) is a rare and life-threatening cerebrovascular disease. Mitigating the factors that compromise patient recovery during neurocritical care due to SAH is of clinical benefit. Objectives: to evaluate the nutritional risk of patients with aneurysmal subarachnoid hemorrhage using “The Modified Nutrition Risk in the Critically Ill” (mNUTRIC) score, and examine its association with outcomes such as mortality, time of mechanical ventilation, and functional status among survivors. Methods: we designed a cross-sectional study. Patients with SAH admitted to the neurointensive critical care unit (neuroICU) in a tertiary care public hospital were eligible. The inclusion criteria were a minimum stay in the intensive care unit (ICU) of 24 hrs for subarachnoid hemorrhage from a nontraumatic, spontaneously ruptured cerebral aneurysm, and hospital admission within 24 hrs after the onset of symptoms. Results: high nutritional risk as stratified by the mNUTRIC score was associated with discharge type (OR = 0.346; 95 % CI = 0.182-0.650; p = 0.001), acute hypertensive hydrocephalus (OR = 4.371; 95 % CI = 2.283-8.549; p < 0.001), and functional outcome (OR = 0.106; 95 % CI = 0.025-0.0388; p < 0.001). The mNUTRIC score was significantly different among median age (p < 0.001), length of stay in the neuroICU (p = 0.005), SOFA score (p < 0.001), and APACHE II score (p < 0.001) categories. Conclusions: this study demonstrated an association between nutritional risk assessment and outcomes such as length of stay in the neuroICU, type of discharge, functional status, and mortality prediction accuracy.

Palabras Clave: Subarachnoid hemorrhage. Aneurysm. Nutritional sciences. Intensive care units. Critical care outcomes. Mortality.

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Suzuki, Kaima, Sato, Hiroki, Mori, Hiromi, Matsumoto, Ryosuke, Arimoto, Yoshihiro, Sato, Hiroshi, Kamide, Tomoya, Ikeda, Toshiki, Kikkawa, Yuichiro, Kurita, Hiroki (2022) Early Enteral Nutrition with High-Protein Whey Peptide Digestive Nutrients May Improve Prognosis in Subarachnoid Hemorrhage Patients. Medicina

Xu, Manman, Zhang, Liang, Wang, Juan, Cheng, Longyang, Chen, Chunlei, Li, Shaoya, Dai, Haibin, Zhao, Penglai, Hang, Chunhua (2023) Pre-operative prognostic nutrition index and post-operative pneumonia in aneurysmal subarachnoid hemorrhage patients. Frontiers in Neurology

Macdonald RL, Schweizer TA. Spontaneous subarachnoid haemorrhage. Lancet. 2017 Feb 11;389(10069):655-666.
DOI: 10.1016/S0140-6736(16)30668-7

Rinkel GJ, Algra A. Long-term outcomes of patients with aneurysmal subarachnoid haemorrhage. Lancet Neurol. 2011; 10:349–356.
DOI: 10.1016/S1474-4422(11)70017-5

Tavarez T, Roehl K, Koffman L. Nutrition in the Neurocritical Care Unit: a New Frontier. Curr Treat Options Neurol. 2021;23(5):16.
DOI: 10.1007/s11940-021-00670-8

Kasuya H, Kawashima A, Namiki K, Shimizu T, Takakura K. Metabolic profiles of patients with subarachnoid hemorrhage treated by early surgery. Neurosurgery. 1998;42:1265–8.
DOI: 10.1097/00006123-199806000-00038

McClave SA, Taylor BE, Martindale R, Warren MM, Johnson DR, Braunschweig C, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). J Parenter Enter Nutr. 2016;40(2):159–211.
DOI: 10.1177/0148607115621863

Heyland DK, Dhaliwal R, Jiang X, Day AG. Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool. Crit Care. 2011;15(6):R268.
DOI: 10.1186/cc10546

Rahman A, Hasan RM, Agarwala R, Martin C, Day AG, Heyland DK. Identifying critically-ill patients who will benefit most from nutritional therapy: Further validation of the "modified NUTRIC" nutritional risk assessment tool. Clin Nutr. 2016 Feb;35(1):158-162.
DOI: 10.1016/j.clnu.2015.01.015

Mukhopadhyay A, Henry J, Ong V, Leong CS, Teh AL, van Dam RM, Kowitlawakul Y. Association of modified NUTRIC score with 28-day mortality in critically ill patients. Clin Nutr. 2017 Aug;36(4):1143-1148.
DOI: 10.1016/j.clnu.2016.08.004

Rouanet C, Silva GS. Aneurysmal subarachnoid hemorrhage: current concepts and updates. Arq Neuropsiquiatr. 2019 Nov;77(11):806-814.
DOI: 10.1590/0004-282x20190112

Schatlo B, Fung C, Stienen MN, Fathi AR, Fandino J, Smoll NR, et al. Incidence and Outcome of Aneurysmal Subarachnoid Hemorrhage: The Swiss Study on Subarachnoid Hemorrhage (Swiss SOS). Stroke. 2021 Jan;52(1):344-347.
DOI: 10.1161/STROKEAHA.120.029538

– Kondrup J. Nutrition risk screening in the ICU. Curr Opin Clin Nutr Metab Care. 2019;22(2):159-161.
DOI: 10.1097/MCO.0000000000000551

– Zhang P, Bian Y, Tang Z, Wang F. Use of Nutrition Risk in Critically Ill (NUTRIC) Scoring System for Nutrition Risk Assessment and Prognosis Prediction in Critically Ill Neurological Patients: A Prospective Observational Study. JPEN J Parenteral Enteral Nutr. 2021 Jul;45(5):1032-1041.
DOI: 10.1002/jpen.1977

– Qi H, Yang X, Hao C, Zhang F, Pang X, Zhou Z, et al. Clinical Value of Controlling Nutritional Status Score in Patients with Aneurysmal Subarachnoid Hemorrhage. World Neurosurg. 2019 Jun;126:e1352-e1358.
DOI: 10.1016/j.wneu.2019.03.100

– Abdelmalik PA, Dempsey S, Ziai W. Nutritional and Bioenergetic Considerations in Critically Ill Patients with Acute Neurological Injury. Neurocrit Care. 2017 Oct;27(2):276-286.
DOI: 10.1007/s12028-016-0336-9

– Schmidt JM, Claassen J, Ko SB, Lantigua H, Presciutti M, Lee K, et al. Nutritional support and brain tissue glucose metabolism in poor-grade SAH: a retrospective observational study. Crit Care. 2012 Jan 25;16(1):R15.
DOI: 10.1186/cc11160

– Chen S, Luo J, Reis C, Manaenko A, Zhang J. Hydrocephalus after Subarachnoid Hemorrhage: Pathophysiology, Diagnosis and Treatment. Biomed Res Int. 2017;2017:8584753.
DOI: 10.1155/2017/8584753

– Kuo LT, Huang AP. The Pathogenesis of Hydrocephalus Following Aneurysmal Subarachnoid Hemorrhage. Int J Mol Sci. 2021 May 10;22(9):5050.
DOI: 10.3390/ijms22095050

– Badjatia N, Monahan A, Carpenter A, Zimmerman J, Schmidt JM, Claassen J, et al. Inflammation, negative nitrogen balance, and outcome after aneurysmal subarachnoid hemorrhage. Neurology. 2015;84(7):680-687.
DOI: 10.1212/WNL.0000000000001259

– de Vries MC, Koekkoek WK, Opdam MH, van Blokland D, van Zanten AR. Nutritional assessment of critically ill patients: validation of the modified NUTRIC score. Eur J Clin Nutr. 2018 Mar;72(3):428-435.
DOI: 10.1038/s41430-017-0008-7

– Brascher JMM, Peres WAF, Padilha PC. Use of the modified "Nutrition Risk in the critically ill" score and its association with the death of critically ill patients. Clin Nutr ESPEN. 2020 Feb;35:162-166.
DOI: 10.1016/j.clnesp.2019.10.005

– Lin PY, Yen YT, Lam CT, Li KC, Lu MJ, Hsu HS. Use of modified-NUTRIC score to assess nutritional risk in surgical intensive care unit. J Chin Med Assoc. 2021 Sep 1;84(9):860-864.
DOI: 10.1097/JCMA.0000000000000565

– Kalaiselvan MS, Renuka MK, Arunkumar AS. Use of Nutrition Risk in Critically ill (NUTRIC) Score to Assess Nutritional Risk in Mechanically Ventilated Patients: A Prospective Observational Study. Indian J Crit Care Med. 2017;21(5):253-256.
DOI: 10.4103/ijccm.IJCCM_24_17

– Mendes R, Policarpo S, Fortuna P, Alves M, Virella D, Heyland DK; Portuguese NUTRIC Study Group. Nutritional risk assessment and cultural validation of the modified NUTRIC score in critically ill patients-A multicenter prospective cohort study. J Crit Care. 2017 Feb;37:45-49.
DOI: 10.1016/j.jcrc.2016.08.001

– Jeong DH, Hong SB, Lim CM, et al. Comparison of Accuracy of NUTRIC and Modified NUTRIC Scores in Predicting 28-Day Mortality in Patients with Sepsis: A Single Center Retrospective Study. Nutrients. 2018;10(7):911.
DOI: 10.3390/nu10070911

– Mayr U, Pfau J, Lukas M, Bauer U, Herner A, Rasch S, et al. NUTRIC and Modified NUTRIC are Accurate Predictors of Outcome in End-Stage Liver Disease: A Validation in Critically Ill Patients with Liver Cirrhosis. Nutrients. 2020 Jul 17;12(7):2134.
DOI: 10.3390/nu12072134

– Wang N, Wang MP, Jiang L, Du B, Zhu B, Xi XM. Association between the modified Nutrition Risk in Critically Ill (mNUTRIC) score and clinical outcomes in the intensive care unit: a secondary analysis of a large prospective observational study. BMC Anesthesiol. 2021 Sep 8;21(1):220.
DOI: 10.1186/s12871-021-01439-x

– Tseng CC, Tu CY, Chen CH, Wang YT, Chen WC, Fu PK, et al. Significance of the Modified NUTRIC Score for Predicting Clinical Outcomes in Patients with Severe Community-Acquired Pneumonia. Nutrients. 2021 Dec 31;14(1):198.
DOI: 10.3390/nu14010198

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