PD088 - NUTRITIONAL RISK ASSESSMENT AND CLINICAL OUTCOMES IN CRITICALLY ILL PATIENTS: A MULTI-CENTER COMPARATIVE STUDY

PD088

"NUTRITIONAL RISK ASSESSMENT AND CLINICAL OUTCOMES IN CRITICALLY ILL PATIENTS: A MULTI-CENTER COMPARATIVE STUDY"

C. Balcı¹, O. Ekinci², S. Basat³, G. Kahveci^4,*, A. Dokuyucu⁵, O. Gürses⁶, E. B. Özşenel³, G. Kılıçarslan¹, I. Sayan¹

¹Department of Anesthesiology and Critical Care Medicine , SBU Ümraniye Training and Research Hospital, ²Department of Anesthesiology and Critical Care Medicine , Haydarpaşa Numune Training and Research Hospital, ³Internal Medicine, ⁴Nutrition Nursing, SBU Ümraniye Training and Research Hospital, ⁵Nutrition Nursing, Haydarpaşa Numune Training and Research Hospital, ⁶Dietitian, SBU Ümraniye Training and Research Hospital, İstanbul, Türkiye

Rationale: The aim of this study is to assess nutritional risk in patients under observation in the intensive care unit using a single-day point prevalence method and to examine the relationship between nutritional parameters and clinical outcomes.

Methods: This cross-sectional, single-day point prevalence study included a total of 82 critically ill patients admitted to the intensive care units of two hospitals on a specific day. The patients’ demographic characteristics, APACHE II scores, NRS-2002 scores, serum albumin levels, and lengths of hospital stay were recorded. The relationships between nutritional parameters and clinical outcomes were statistically analyzed.

Results: The mean age of the patients was 69.6 years, and the mean APACHE II score was 23.4. The mean NRS-2002 score was 4.62, indicating that the vast majority of patients were at high nutritional risk. The mean albumin level was 2.86 g/dL.  In patients on mechanical ventilation, the mean albumin level was 2.78 g/dL, the NRS-2002 score was 4.78, and the mean length of hospital stay was 23.4 days. The difference in length of hospital stay was found to be statistically significant (p<0.001). A negative correlation trend was observed between albumin levels and length of hospital stay (r = -0.20, p = 0.09); it was determined that as albumin levels decreased, the length of hospital stay tended to increase.

Conclusion: A single-day point prevalence assessment indicates that the risk of malnutrition is high among intensive care patients and that this is associated with clinical outcomes. The inverse relationship between albumin levels and length of hospital stay supports the impact of nutritional status on prognosis. These findings underscore the importance of early nutritional screening and appropriate supportive therapies in intensive care patients

Disclosure of Interest: None declared