Abstract

Objective:

Our aim in this study was to examine whether critically ill patients with coronavirus disease-2019 (COVID-19) achieved the targeted calories (ATC) while being treated in the intensive care unit (ICU) and their relationship with the modified nitric score (mNUTRIC) and mortality.

Materials and Methods:

The patients were categorized into two cohorts based on the attainment of the intended caloric intake during their stay in the ICU: the ATC group and the not achieved target calorie (NATC) group. A comparative analysis was conducted on the mNUTRIC scores, as well as the ICU and hospital mortality rates, between these two groups.

Results:

The number of patients in the ATC group was 59 (63.4%) and the number of patients in the group that could NATC was 34 (36.6%). mNUTRIC scores on admission were 3 (2-4) in the ATC group and 5 (4-6) in the NATC group. In multivariate regression analysis, a mNUTRIC score of 5 and higher (p<0.01), hemodynamic instability (p=0.02) and male gender (p=0.04) were found to be significant as independent risk factors for NATC. ICU and hospital mortality was higher in the NATC group than in the ACT group (p<0.01, p<0.03 respectively).

Conclusion:

Inability to reach the targeted calories and high mNUTRIC score might relate to mortality in critically ill COVID-19 patients treated in the ICU.

Keywords: Nutrition, targeted calory, intensive care, modified nutric score, mortality

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Copyright © 2023 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite?

1.
Öner Ö, Ergan B, Gürkök MÇ, Küçük M, Eren-Kutsoylu OÖ, Yaka E, et al. Is There a Relationship Between Mortality Rates and Nutritional Factors in Critical Ill Patients with COVID-19?. Turk J Intensive Care. 2023;21(2):74-82. https://doi.org/10.4274/tybd.galenos.2022.92905