Resumen

REAL POVEDA, Héctor Enrique; GALINDO MARTIN, Carlos Alfredo  y  VALLES GUERRERO, Alberto. Assessment of nutritional risk and muscle in critically ill patients. Med. crít. (Col. Mex. Med. Crít.) [online]. 2023, vol.37, n.4, pp.310-313.  Epub 16-Ago-2024. ISSN 2448-8909.  https://doi.org/10.35366/112164.

Nutritional Risk in the critically ill score, it has been used like tool to asses nutritional state in critically ill patient. A mayor limitation of this score is that not include important variables in the assessment of malnutrition, like muscular wasting. The main goal of this study is to evaluate the relevance of the muscle, by measuring the femoral quadriceps, along with NUTRIC score of critically ill patients results. An ultrasound in the first 48 hours of admission to ICU was made plus NUTRIC score and a follow up detecting in-hospital mortality. We included 43 patients, with 21 with nutritional risk (48.8%) showing no difference in muscular thickness. The NUTRIC score adjusted regression model, mechanical ventilation longer than 48 hours, body weight index and muscular thickness. The muscular thickness shows as mortality protector factor (OR: 0.21, 95% CI: 0.03-0.83). This study remarks the need for integral assessment considering muscular mass as a main variable in the malnutrition detection in critically ill patients.

Palabras llave : NUTRIC score; ultrasound; femoral quadriceps; APACHE II; SOFA.

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