Nutritional risk assessment at admission can predict subsequent muscle loss in critically ill patients

Mukhopadhyay Amartya; Tai Bee Choo; Remani Deepa; Henry Jeya; Kowitlawakul Yanika; Puthucheary Zudin Amika

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Nutritional risk assessment at admission can predict subsequent muscle loss in critically ill patients

机译：入学营养风险评估可以预测患者患者的后续肌肉损失

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Muscle loss in critically ill patients may be related to nutrition. We study the association between modified NUTrition RIsk in the Critically ill (mNUTRIC) score obtained at admission to intensive care unit (ICU) and subsequent muscle loss. We measured rectus femoris cross-sectional area (RFCSA) by ultrasound on days 1, 3, 7, and 10 of ICU admission. We used linear mixed effects model following natural logarithmic transformation of the data. Forty-eight patients (median (IQR) age 66 (55-72.5) years, 71% male, APACHE II score 31 (25-34), BMI 24.2 (21.5-27.1) kg/m(2)) were analyzed. The high mNUTRIC score (5) cohort (n = 35) lost significantly more muscle as compared to the low (= 5) group (n = 13); the adjusted ratio (high versus low group) of the geometric mean RFCSA were (0.58, 95% CI 0.46-0.75) for right and (0.61, 95% CI 0.49-0.77) for left, both p 0.001. mNUTRIC score obtained at admission to ICU can identify patients at risk of subsequent muscle loss.

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来源
《European journal of clinical nutrition》 |2018年第8期|共4页
作者
Mukhopadhyay Amartya; Tai Bee Choo; Remani Deepa; Henry Jeya; Kowitlawakul Yanika; Puthucheary Zudin Amika;
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作者单位

Natl Univ Hlth Syst Univ Med Cluster Div Resp &

Crit Care Med Singapore Singapore;

Natl Univ Singapore Saw Swee Hock Sch Publ Hlth Singapore Singapore;

Natl Univ Hlth Syst Univ Med Cluster Div Resp &

Crit Care Med Singapore Singapore;

Singapore Inst Clin Sci Clin Nutr Re Ctr Singapore Singapore;

Natl Univ Hlth Syst Singapore Singapore;

Natl Univ Hlth Syst Univ Med Cluster Div Resp &

Crit Care Med Singapore Singapore;

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正文语种 eng
中图分类营养卫生、食品卫生;
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5. Nutritional risk assessment at admission can predict subsequent muscle loss in critically ill patients [J] . Mukhopadhyay Amartya, Tai Bee Choo, Remani Deepa, European journal of clinical nutrition . 2018,第8期

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Nutritional risk assessment at admission can predict subsequent muscle loss in critically ill patients

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