Evidence map›Paper›PMID 36212700›Full record

ArticleJournal of clinical and translational research2022

Identifying critically ill patients with cirrhosis who benefit from nutrition therapy: the mNUTRIC score study.

Harshita Tripathi, Jaya Benjamin, Rakhi Maiwall, Puneet Puri, Puja Bhatia Kapoor, Varsha Shasthry, Vandana Saluja, Prashant Agrawal, Guresh Kumar, Yogendra Kumar Joshi and 1 more

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Article in Journal of clinical and translational research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

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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

4 citing papers in PubMed, 3 citations in OpenAlex.

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4 · The record

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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

11 authors at 1 institution in 1 country.

Harshita TripathiDepartment of Clinical Nutrition, Institute of Liver and Biliary Sciences, New Delhi, India.
Jaya BenjaminDepartment of Clinical Nutrition, Institute of Liver and Biliary Sciences, New Delhi, India.
Rakhi MaiwallDepartment of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India.
Puneet PuriSection of Gastroenterology, Hepatology and Nutrition, Hunter Holmes McGuire VA, Medical Center, Virginia Commonwealth University, Richmond VA, United States.
Puja Bhatia KapoorDepartment of Clinical Nutrition, Institute of Liver and Biliary Sciences, New Delhi, India.
Varsha ShasthryDepartment of Clinical Nutrition, Institute of Liver and Biliary Sciences, New Delhi, India.
Vandana SalujaDepartment of Anesthesia and Critical Care, Institute of Liver and Biliary Sciences, New Delhi, India.
Prashant AgrawalDepartment of Anesthesia and Critical Care, Institute of Liver and Biliary Sciences, New Delhi, India.
Guresh KumarDepartment of Clinical Research, Institute of Liver and Biliary Sciences, New Delhi, India.
Yogendra Kumar JoshiDepartment of Clinical Research, Institute of Liver and Biliary Sciences, New Delhi, India.
Shiv Kumar SarinDepartment of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India.
Institute of Liver and Biliary Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aim: Malnutrition increases risk of mortality in critically ill patients with cirrhosis. Modified Nutrition Risk in Critically ill (mNUTRIC) score is a validated tool to identify at risk patients who may benefit from goal-directed nutrition therapy. We aimed to study the association between mNUTRIC score and 28-day mortality in critically ill patients with cirrhosis. Methods: A prospective study was conducted in the liver intensive care unit of a quaternary teaching institute. Baseline and follow-up data pertaining to mNUTRIC score, clinical, hemodynamic, biochemical, nutritional parameters, mechanical ventilation, length of ICU stay, and development of sepsis were collected. Correlation between mNUTRIC score and its modulation by nutritional adequacy was determined. Results: One hundred and fifty patients were enrolled. Out of these, 116 (77%) had a high NUTRIC score (HNS) and 34 (23%) had a low NUTRIC score (LNS). Patients with HNS had higher mortality (54% vs. 10%; Conclusion: mNUTRIC score is a useful tool for identifying nutrition risk in critically ill patients with cirrhosis. Goal-directed nutrition therapy in patients with HNS can significantly improve survival. Relevance for Patients: Critically ill patients with cirrhosis who are at a higher nutritional risk as identified by the mNUTRIC score may have a better survival benefit if higher calorie and protein adequacy are achieved in the ICU.

Indexed as

cirrhosisintensive care unitlivermNUTRIC scorenutritional risk

Identifiers

PMID36212700
PMCPMC9536184
OpenAlexW4297821706

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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.