PD230 - PROGNOSTIC NUTRITIONAL INDEX AS A PREDICTOR OF IN-HOSPITAL MORTALITY IN CRITICALLY ILL-PATIENTS ADMITTED IN AN INTENSIVE CARE UNIT OF A TERTIARY GOVERNMENT HOSPITAL

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PD230

PROGNOSTIC NUTRITIONAL INDEX AS A PREDICTOR OF IN-HOSPITAL MORTALITY IN CRITICALLY ILL-PATIENTS ADMITTED IN AN INTENSIVE CARE UNIT OF A TERTIARY GOVERNMENT HOSPITAL

R.-M. Gestopa1,*, P. G. Calamba1

1Internal Medicine, Davao Regional Medical Center, Tagum City, Philippines

 

Rationale: This study was conducted to evaluate the Prognostic Nutritional Index (PNI), derived from serum albumin levels and total lymphocyte count, as a predictor of in-hospital mortality among critically ill patients. While malnutrition is recognized as a significant determinant of poor outcomes in intensive care units, the predictive value of PNI remains inconsistent across studies. This investigation seeks to clarify its prognostic role within a resource-limited government hospital setting.

Methods: A retrospective analytical study was conducted on 162 randomly selected adult ICU patients admitted to a tertiary government hospital to examine the association of PNI with demographics, comorbidities, and mortality outcomes. 

Results: The study population had a mean age of 49.2 years (SD = 15.9) with a female predominance (54.9%). Hypertension (50.5%) and combined hypertension with diabetes (28.6%) were the most prevalent comorbidities. The mean PNI was 36.4, and the in-hospital mortality rate was 51.9%. Logistic regression analysis demonstrated that PNI was not a statistically significant predictor of in-hospital mortality (OR = 1.019, p = 0.174). These results indicate that although nutritional status remains clinically important, PNI alone may not be sufficient as an independent predictor of mortality in this critically ill cohort.

Conclusion: The study found no statistically significant association between the Prognostic Nutritional Index (PNI) and in-hospital mortality among critically ill ICU patients in a tertiary government hospital. However, the high burden of comorbidities and mortality highlights the importance of ongoing nutritional assessment and comprehensive evaluation in critical care. Further studies with larger cohorts and additional clinical markers are recommended to clarify the prognostic value of PNI.

Disclosure of Interest: None declared