Abstract

IN INTENSİVE CARE UNİT COMPARİNG OF “MALNUTRİTİON UNİVERSAL SCREENİNG TOOL” (MUST) AND “NUTRİTİONAL RİSK SCREENİNG” (NRS-2002) TESTS İN TERMS OF PROGNOSTİC ASPECT

Deniz Özate?*, Simay Karaduman, Hülya Sungurtekin, Asl? Mete* and Seda K?ter

Abstract

250 patients aged 18 and older in Pamukkale University Medical Faculty Hospital Anesthesiology and Reanimation Department Intensive Care Unit(ICU), between April 2014 and November 2016 were enrolled to the study. In ICU admissions of patients age, sex, height, weight and BMI data were taken. The causes of hospitalization, current comorbidity, malignancy and infection were determined. Length of stay, hospital check out status of intensive care and services were examined. APACHE II and SAPS II values were established using vital findings, laboratory values, Glaskowe Come Scale (GCS), urine volumes, detection of chronic diseases, age and organ failure values. Anthropometrically; skin fold thickness, upper middle limb circumference measured. For the purpose of evaluate the nutritional status of the patient NRS-2002 and MUST screening tests were applied. NRS-2002 was grouped as malnutrition risk expected and in malnutrition risk, MUST was grouped as low malnourishment risk, middle malnutrition risk, and high malnutrition risk. 250 patients included the study, 101 patients were female, 149 patients were male and the mean age was 63. When the hospital leaving status of NRS-2002 risk groups is examined; at the survival group of 143 patients (%57); 47 patients (%32) were in the risk expected group, 96 patients (%67) were risk group and at the exitus group of 107 patients (%42), 17 patients () were in the risk expected group, 90 patients (%84) were in risk group According to risk groups of MUST; at the survival group of 143 patients (%57) 50 patients (%34) were in the low risk group, 9 patients (%0,06) were medium risk group, 84 patients (%57) were high risk group and at the exitus group of 107 patients (%42), 5 patients (%0,04) were in the low risk group, 5 patients (%0,04) were medium risk group, 97 patients (%90) were high risk group When all of the data are evaluated; MUST screening test was more successful in detecting malnutrition-related mortality, whereas the NRS-2002 was more unsuccessful. Because there was a significant difference in the survival time between the MUST risk groups and no significant difference was found between the NRS-2002 risk groups. Therefore; we believe MUST to be more effective in predicting mortality in patients who will be performing malnutrition screening tests in intensive care units.

Keywords: Malnutrition, mortaliy, NRS-2002, MUST.