@article{article_1369681, title={The relationship between prognostic and organ failure scoring systems and nutritional scores in geriatric patients in intensive care unit}, journal={Anatolian Journal of Health Research}, volume={2}, pages={107–111}, year={2021}, DOI={10.29228/anatoljhr.52893}, author={Sivritepe, Ridvan and Uçak Basat, Sema and Basat, Okcan and Kara, Oğuzhan and Ortaboz, Damla and Sevim, Ecem and Baygül, Arzu}, keywords={APACHE, beslenme değerlendirmesi, malnütrisyon, organ bozukluğu skorları, yaşlanma, yoğun bakım ünitesi}, abstract={Aim: The relationship between prognostic and organ failure scoring systems and nutritional scores was investigated in geriatric patients in the intensive care unit (ICU).
Methods: This cross-sectional study included 45 geriatric patients who were admitted to the ICU. Physical examinations were performed, and blood tests were analysed. Nutritional status was assessed by Mini Nutritional Assessment (MNA) and Nutritional Risk Screening 2002 (NRS2002). Acute Physiology and Chronic Health Evaluation II (APACHEII), Simplified Acute Physiology Score (SAPSII), Multiple Organ Dysfunction Score (MODS), Sequential Organ Failure Assessment (SOFA) and Glasgow Coma Scale (GCS) of patients were calculated. The patients were divided into groups as normal nutrition status, at risk of malnutrition and malnourished according to nutritional status, and high-risk and low-risk according to prognostic scores. Significance was accepted as p<0.05. Results: According to the MNA score, 18 of 45 patients had malnutrition and 22 had malnutrition risk, while only 5 patients had normal nutrition status. According to NRS2002, all patients were at risk of malnutrition. There was a difference in SAPSII and GCS scores between the malnourished group and those at risk of malnutrition according to MNA (p=0.033;p=0.040). NRS2002 score was significantly higher in the high-risk group according to the APACHEII and SAPSII score (p=0.012;p=0.021). There was negative correlation between MNA and SAPSII and MODS, and positive correlation between MNA and GCS. There was positive correlation between NRS2002 and APACHEII, SAPSII, MODS, SOFA.
Conclusion: We found that malnutrition can have a significant impact on organ failure and prognosis in patients hospitalized in ICU.}, number={3}, publisher={Tuba UÇAR}