Resumo

MARIN RAMIREZ, A. M.; RENDON, C.  e  VALENCIA, E.. Nutritional score risk for mortality in critically ill patients: NSRR: Nutritional Score Risk Research. Nutr. Hosp. [online]. 2008, vol.23, n.5, pp.505-512. ISSN 1699-5198.

Aim: The aim of our study has been applying a nutritional score risk to mortality in a group of patients who are in the Intensive Care Unit with or without previous disease. Setting: Patients and interventions: a prospective randomized study is designed. Place: At the intensive care units. Patients: 228 admitted patients since april 2004 to december 2006 were included. The surveys were filled by the near relative who lived with the patient and/or ignorance of its pattern of food ingestion during the newspaper the survey was discarded. Critically ill patients were selected at random with pathologies (neurocritical, sepsis, trauma, patients, obstetrics critics, etc.) in 2 units of adult intensive cares. Interventions: Dialogue with the families. Variables: The selected nutritional score (NSR) which is elaborated for greater patients of 65 years now is modifid to be used in intensive care unit, it is a questionnaire that can be very useful in the detection of initial nutritional risk of the critically ill patients. Results: Our study demonstrated that the alterations of the NSR can be observed in all ages, established by not having a direct correlation between the age and the found NSR (r = 0,15, p = 0,018). This supports the concept of use of the NSR in the adult ages that are admitted in the intensive care unit. In addition, was found that suffering chronic diseases that alter the conditions of ingestion if would feed suitable is an isolated parameter significant to increase the death probability if the patient is in the ICU (p =0,002). Conclusion: Patients with a high NSR at admittion to the intensive care unit for acute pathology are under risk to mortality by nutritional risk.

Palavras-chave : Nutrition evaluation; Nutritional score; Subjective; Objective; Mortality.

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