Evidence map›Paper›PMID 42624510›Full record

ArticleAcute and critical care2026

Comparison of the NUTRIC-PNI score and NUTRIC score to assess nutritional risk and predict 28-day mortality in critically ill patients: a prospective cohort study in Vietnam.

Pham Dang Hai, Nguyen Hong Tot, Nguyen Duc Loc, Nguyen Huu Thanh, Nguyen Thi Tuong Vi, Dang Huu Thien

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Article in Acute and critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Pham Dang HaiMedical Intensive Care Unit, 108 Military Central Hospital, Hanoi, Vietnam.
Nguyen Hong TotMedical Intensive Care Unit, 108 Military Central Hospital, Hanoi, Vietnam.
Nguyen Duc LocMedical Intensive Care Unit, 108 Military Central Hospital, Hanoi, Vietnam.
Nguyen Huu ThanhDepartment of Gastroenterology, Vinmec Times City International Hospital, Hanoi, Vietnam.
Nguyen Thi Tuong ViCollege of Health Sciences, VinUniversity, Hanoi, Vietnam.
Dang Huu ThienCollege of Health Sciences, VinUniversity, Hanoi, Vietnam.

Funding

College of Health Sciences, VinUniversity, Hanoi, Vietnam
6 · The paper itself

Abstract

backgroundAdequate nutritional support is crucial in enhancing clinical outcomes for critically ill patients. The nutrition risk in the critically ill (NUTRIC) score serves as a risk assessment tool to identify critically ill patients at high risk of malnutrition. This score incorporates interleukin-6 (IL-6) as a key component, which may be costly and less accessible in low- and middle-income countries.

methodsA prospective cohort study was conducted among patients admitted to a tertiary hospital. IL-6 in the NUTRIC score was replaced by the Prognostic Nutritional Index (PNI) to establish the NUTRIC score incorporating the PNI (NUTRIC-PNI) score. The outcomes are determining the concordance in identifying nutritional risk and comparing the prognostic value between NUTRIC-PNI and NUTRIC scores in predicting 28-day mortality in critically ill patients.

resultsA total of 123 patients were analyzed with a mean age of 69±16 years and 72.4% were male. The Cohen's Kappa coefficient of 0.869 indicates strong agreement between the two scoring systems. The NUTRIC-PNI and NUTRIC scores demonstrated comparable predictive accuracy for 28-day mortality, each achieving an area under the curve of 0.68 (95% CI, 0.59-0.78 for NUTRIC-PNI and 0.59-0.77 for NUTRIC; P<0.001). The logistic regression analysis demonstrated that the NUTRIC-PNI and its high-risk classification were independent predictors of 28-day mortality (OR, 1.38; 95% CI, 1.05-1.81; P=0.021 and OR, 4.21; 95% CI, 1.55-11.43; P=0.005, respectively).

conclusionsThe concordance and performance of the NUTRIC-PNI score are comparable to the NUTRIC score. Furthermore, the NUTRIC-PNI score and its high-risk classification were independent predictors of 28-day mortality in critically ill patients. In addition to the modified NUTRIC score, the NUTRIC-PNI score is feasible and beneficial for routine clinical practice, particularly in resource-limited settings.

Indexed as

critically illmortalityNUTRIC-PNI scoreNUTRIC scorenutritional risk

Identifiers

PMID42624510
PMCPMC13575405

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