{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T21:54:34Z","timestamp":1779918874455,"version":"3.53.1"},"reference-count":25,"publisher":"King Faisal Specialist Hospital and Research Centre","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Saudi Med"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>Few clinical studies have addressed nutritional risk assessment in patients with COVID-19 pneumonia admitted to the intensive care unit (ICU).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>OBJECTIVES:<\/jats:title>\n            <jats:p>Assess the nutritional risk status of the critically ill COVID-19 pneumonia patients admitted to the ICU, and compare the nutritional risk screening tools.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>DESIGN:<\/jats:title>\n            <jats:p>Medical record review<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SETTING:<\/jats:title>\n            <jats:p>Tertiary critical care unit<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>PATIENTS AND METHODS:<\/jats:title>\n            <jats:p>We included adult (age &gt;18 years) PCR-confirmed critically ill COVID-19 pneumonia cases admitted to the ICU between August 2020 and September 2021. Scoring systems were used to assess COVID-19 severity and nutritional status (mNUTRIC: modified Nutrition Risk in Critically Ill, NRS2002: Nutritional Risk Screening 2002). The 30-day mortality prediction performance of nutritional scores and survival comparisons between clinical and demographic factors were assessed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>MAIN OUTCOME MEASURES:<\/jats:title>\n            <jats:p>Compare the nutrition risk tools<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SAMPLE SIZE:<\/jats:title>\n            <jats:p>281 patients with a mean (SD) age of 64.3 (13.3) years; 143 (50.8%) were 65 years and older.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              The mean mNUTRIC score of the cases was 3.81 (1.66) and the mean NRS-2002 score was 3.21 (0.84.), and 101 (35.9%) were at high risk of malnutrition according to the mNUTRIC score and 229 (81.4%) according to the NRS 2002 score. In cases at high risk of malnutrition by the mNUTRIC score there was a greater need for invasive mechanical ventilation, vasopressors, and renal replacement therapy (\n              <jats:italic>P<\/jats:italic>\n              &lt;.001 for all comparisons). The mNUTRIC score was superior to the NRS-2002 score in estimating 30-day mortality. In patients who died within 30 days, the mNUTRIC score and NRS-2002 score on the day of hospitalization were significantly higher (\n              <jats:italic>P<\/jats:italic>\n              &lt;.001), and the proportion of patients with NRS-2002 score \u22653 and mNUTRIC score \u22655 was significantly higher in the non-surviving group (\n              <jats:italic>P<\/jats:italic>\n              &lt;.001). In addition, patients with a high risk of malnutrition had a shorter survival time. The mNUTRIC score was an independent and important prognostic factor for 30-day mortality, and patients with an mNUTRIC score \u22655 had a 6.26-fold risk for 30-day mortality in the multivariate Cox regression.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION:<\/jats:title>\n            <jats:p>One third of critical COVID-19 pneumonia cases hospitalized in the ICU due to acute respiratory failure have a high risk of malnutrition, and a high mNUTRIC score is associated with increased mortality.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>LIMITATIONS:<\/jats:title>\n            <jats:p>Single center retrospective study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONFLICT OF INTEREST:<\/jats:title>\n            <jats:p>None.<\/jats:p>\n          <\/jats:sec>","DOI":"10.5144\/0256-4947.2022.236","type":"journal-article","created":{"date-parts":[[2022,8,7]],"date-time":"2022-08-07T10:38:07Z","timestamp":1659868687000},"page":"236-245","source":"Crossref","is-referenced-by-count":8,"title":["Comparison of nutritional risk status assessment tools in predicting 30-day survival in critically ill COVID-19 pneumonia patients"],"prefix":"10.5144","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2869-9872","authenticated-orcid":true,"given":"Umut Sabri","family":"Kasapoglu","sequence":"first","affiliation":[{"name":"From the Department of Pulmonary and Critical Care Medicine, Malatya Training and Research Hospital, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Gok","sequence":"additional","affiliation":[{"name":"From the Department of Anesthesiology and Reanimation, Malatya Training and Research Hospital, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leman Acun","family":"Delen","sequence":"additional","affiliation":[{"name":"From the Department of Anesthesiology and Reanimation, Malatya Training and Research Hospital, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayse Belin","family":"Ozer","sequence":"additional","affiliation":[{"name":"From the Department of Anesthesiology and Reanimation, Division of Critical Care Medicine, Inonu University School of Medicine, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3134","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-82492-x"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000141"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2020.03.012"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2017.02.005"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.08.037"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10242"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607117709766"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607113500308"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115621863"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/bf01709751"},{"issue":"2","key":"e_1_3_2_12_2","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1177\/014107689408700205","article-title":"APACHE II scoring system on a general intensive care unit: audit of daily APACHE II scores and 6-month survival of 691 patients admitted to a general intensive care unit between May 1990 and December 1991","volume":"87","author":"Campbell NN","year":"1994","unstructured":"Campbell NN, Tooley MA, Willatts SM. 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