Evidence map›Paper›PMID 34620315›Full record

Observational studyClinical nutrition ESPEN2021

mNUTRIC tool is capable to predict nutritional needs and mortality early in patients suffering from severe pneumonia.

Selen Acehan, Muge Gulen, Cem Isıkber, Nurdan Unlu, Hılmı Erdem Sumbul, Erdinc Gulumsek, Salim Satar

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Clinical nutrition ESPEN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Bayesian Analysis of Modified Nutrition Risk in Critically Ill (mNUTRIC) Score for Mortality Prediction in Critically Ill Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  3. Article
  4. Modified NUTRIC Score as a Predictor of All-cause Mortality in Critically Ill Patients: A Systematic Review and Meta-analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Selen AcehanAdana City Training and Research Hospital, Department of Emergency Medicine, Adana, Turkey. Electronic address: selenacehan@hotmail.com.
Muge GulenAdana City Training and Research Hospital, Department of Emergency Medicine, Adana, Turkey. Electronic address: muge-gulen@hotmail.com.
Cem IsıkberAdana City Training and Research Hospital, Department of Emergency Medicine, Adana, Turkey. Electronic address: cemisikber@gmail.com.
Nurdan UnluAdana City Training and Research Hospital, Department of Anesthesiology and Intensive Care, Adana, Turkey. Electronic address: kondunurdan@gmail.com.
Hılmı Erdem SumbulAdana City Training and Research Hospital, Department of İnternal Medicine, Adana, Turkey. Electronic address: erdemsumbul@gmail.com.
Erdinc GulumsekAdana City Training and Research Hospital, Department of Gastroenterology, Adana, Turkey. Electronic address: drerd84@yahoo.com.tr.
Salim SatarAdana City Training and Research Hospital, Department of Emergency Medicine, Adana, Turkey. Electronic address: salim.satar@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis retrospective observational study aims to evaluate the prognostic accuracy of Modified Nutrition Risk in Critically ill (mNUTRIC) compared to Nutrition Risk Score-2002 (NRS-2002) in patients hospitalized in the intensive care unit due to severe pneumonia during the pandemic period.

methodsRT-PCR test and Chest CT was performed in all patients in the emergency department pandemic area. The CURB-65 at the time of admission to the emergency department and Acute Physiology and Chronic Health Evaluation II (APACHE II), Sequential organ failure assessment score (SOFA), NRS-2002 and mNUTRIC scores 24 h after hospitalization in the intensive care unit were calculated. The analysis of the data was made in IBM SPSS Statistics Base 22.0 package program.

resultsOne hundred and twenty-five patients found to have severe pneumonia based on the chest CT taken in the emergency department pandemic area and hospitalized in the intensive care unit were included in the study. A real-time reverse transcription PCR (RT-PCR) test was positive in 30.4% (n: 38) of the patients. Additional nutrition treatment was initiated in 54.4% of the patients. In the analytical evaluation to predict nutritional treatment needs, mNUTRIC's AUC value (AUC: 0.681, 95% 0.582-0.780, p < 0.001) was higher than NRS-2002. While 64.8% (n: 81) of the patients were discharged, 35.2% (n: 44) died. In the analytical evaluation to predict mortality, the AUC value of mNUTRIC had the highest value (AUC: 0.875, 95% CI 0.814-0.935, p < 0.001).

conclusionThe mNUTRIC score can predict at an early period the nutritional needs and mortality of patients with severe pneumonia during the Covid-19 pandemic.

Indexed as

COVID-19PneumoniaCritical IllnessHumansPandemicsSARS-CoV-2Covid-19Intensive care unıtmNUTRICNRS-2002Severe pneumonia

Identifiers

PMID34620315
PMCPMC8441546
OpenAlexW3197081063

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.