# Can Nutritional Screening Tools Predict the Prognosis of Critically Ill Patients with Sepsis?

## TL;DR

This study evaluates how well nutritional screening tools predict the survival of critically ill sepsis patients in the ICU.

## Contribution

The study identifies the NUTRIC score on Day-5 as the only independent predictor of mortality among five nutritional screening tools in septic ICU patients.

## Key findings

- Non-survivors had higher CONUT and NUTRIC scores and lower PNI scores compared to survivors.
- Higher Day-5 NUTRIC scores were independently associated with mortality in multivariate analysis.
- NUTRIC score > 6 on Day-5 was identified as a mortality predictor using ROC analysis.

## Abstract

Background and Objectives: Although nutritional status is critical to the clinical outcomes of septic patients, studies on this topic are limited. We aim to assess the prognostic value of five nutritional screening tools (NSTs) for septic patients both at the time of admission to the intensive care unit (ICU) and five days later. Materials and Methods: This prospective observational study included adult septic patients in the ICU. Patients were divided into two groups: survivors and non-survivors. Clinical, laboratory characteristics, and NST values [The Controlling Nutritional Status (CONUT), Prognostic Nutritional Index (PNI), Nutritional Risk Screening (NRS-2002), Geriatric Nutritional Risk Index (GNRI), and Nutrition Risk in the Critically Ill (NUTRIC)] were recorded at admission and on Day-5, and intergroup and intragroup comparisons were performed. Results: A total of 126 patients were included in this study: 97 in the survival group and 29 in the non-survival group. The non-survivors had higher CONUT and NUTRIC scores and lower PNI scores. Multivariate analysis found higher Day-5 NUTRIC scores independently associated with mortality. ROC analysis identified NUTRIC > 6 as a mortality predictor. Conclusions: Although several markers differed significantly between survivors and non-survivors, our findings show that a high Day-5 NUTRIC score was the only factor independently associated with mortality among NSTs.