Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

Version 1 : Received: 15 December 2023 / Approved: 19 December 2023 / Online: 19 December 2023 (08:34:36 CET)

A peer-reviewed article of this Preprint also exists.

Díaz Chavarro, B.C.; Molina-Recio, G.; Assis Reveiz, J.K.; Romero-Saldaña, M. Factors Associated with Nutritional Risk Assessment in Critically Ill Patients Using the Malnutrition Universal Screening Tool (MUST). J. Clin. Med. 2024, 13, 1236. Díaz Chavarro, B.C.; Molina-Recio, G.; Assis Reveiz, J.K.; Romero-Saldaña, M. Factors Associated with Nutritional Risk Assessment in Critically Ill Patients Using the Malnutrition Universal Screening Tool (MUST). J. Clin. Med. 2024, 13, 1236.

Abstract

Purpose: To identify factors linked with nutritional risk via the Malnutrition Universal Screening Tool scale assessment among critically ill patients from a hospital in Cali (Colombia). Materials and methods: A retrospective, analytical observational study was conducted with patients admitted to an intensive care unit (ICU). Sociodemographic, clinical, hematological, and biochemical parameters were analyzed, as well as their association with nutritional risk and patient mortality. Binary logistic regression was applied to outline nutritional risk. Results: Overall, 28.4% prevalence of elevated nutritional risk was observed. An association was found between nutritional risk and hemoglobin and hematocrit values, primary diseases accounting for ICU admission, gastrointestinal symptoms, and nutritional support route (p < 0.05). Mortality was 11.6% and it was correlated with nutritional risk, hemoglobin, and blood urea nitrogen. Conclusions: Gastrointestinal symptoms and the type of nutritional support received during hospitalization may increase nutritional risk, whereas polycythemia was a protective factor. We found an associative model to determine nutritional risk with high specificity and an adequate diagnostic validity index.

Keywords

Nutritional Status; Nutritional Assessment; Critical Patients; Nutritional Risk; Mortality

Subject

Public Health and Healthcare, Nursing

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