The Comparison of Reliabilities of Nutritional Risk Scoring and Physiological Severity Score in Critical Care Patients

Abstract

Objective: APACHE II is most commonly used severity prognostic model in ICU patients. Nutritional risk screening 2002 NRS-2002 score is widely suggested for screening of nutritional risk in general hospitalized patients. In this study, we aimed to compare the reliability of NRS-2002 with APACHE II on outcome in critical care patients.Material and Methods: Discrimination and calibration characteristics of the scoring systems were evaluated.Results: APACHE II on admission had moderate power of discrimination and calibration for mortality and complication prediction in critical care patients. On the other hand, NRS-2002 had insufficient discrimination statistics.Conclusion: APACHE II is superior in outcome prediction compared to NRS-2002 in ICU patient population

Keywords

• APACHE II, NRS-2002, Mortality, Complication, Intensive care

Yoğun Bakım Hastalarında Nütrisyonel Risk Skorlaması ve Fizyolojik Ciddiyet Skorunun Güvenilirliklerinin Karşılaştırılması

Öz

Amaç: APACHE II yoğun bakım hastalarında en yaygın kullanılan hastalık ciddiyet skoru ve prognostik modeldir. Nütrisyonel risk tarama 2002 NRS-2002 skoru hastaneye yatan hastalarda nütrisyonel riskin belirlenmesi amacı ile kullanılmaktadır. Çalışmada yoğun bakım hastalarında NRS2002 ve APACHE II skorlarının mortalite ve komplikasyon öngörü güçlerinin ve güvenilirliğinin karşılaştırılması amaçlanmıştır.Gereç ve Yöntemler: Skorlama sistemlerinin mortalite ve komplikasyon tahminindeki diskriminasyon ve kalibrasyon karakteristikleri değerlendirildi.Bulgular: Yatış sırasında hesaplanan APACHE II skoru yoğun bakım hastalarında mortalite ve komplikasyon tahmininde orta düzeyde diskriminasyon ve kalibrasyon kuvvetine sahiptir. Diğer taraftan NRS-2002 skoru yetersiz discrimination istatistikleri ortaya koymuştur.Sonuç: NRS-2002 ile karşılaştırıldığında APACHE II skorunun yoğun bakım hastalarında mortalite öngörü gücü daha yüksektir

Anahtar Kelimeler

• APACHE II, NRS-2002, Mortalite, Komplikasyon, Yoğun bakım

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