Avaliação do alto risco nutricional pelo NUTRIC Score em pacientes críticos
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Resumo
Objetivo: Avaliar a associação entre alto risco nutricional pelo mNUTRIC e mortalidade em Unidade de Terapia Intensiva (UTI). Métodos: Trata-se de um estudo transversal descritivo e analítico. Foram coletados dados do prontuário eletrônico e de um banco de dados informatizado. Foi utilizada a versão NUTRIC modificada, que desconsidera a variável interleucina-6 (IL-6) e participantes com Score superior a 5 pontos foram classificados como em alto risco nutricional. Foram inclusos 732 pacientes graves admitidos em UTI entre 2017 e 2021 e com tempo de internação hospitalar superior a 24h. Resultados: A Regressão de Cox demonstrou que pacientes classificados em baixo risco nutricional pelo mNUTRIC Score apresentaram em média 2,5 vezes maior sobrevida (RR = 2,509; p < 0,01; 95% CI = 2,011 – 3,129). A regressão logística revelou que pacientes em alto risco nutricional apresentam 6 vezes mais chances de evoluir a óbito durante a internação (HR = 5,986; p < 0,01; 95% CI = 4,329 – 8,277). Conclusão: Conclui-se que o alto risco nutricional pelo mNUTRIC Score prediz corretamente o risco de morte e outros desfechos desfavoráveis em pacientes críticos.
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