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What is the NUTRIC Score?
 
The Nutrition Risk in Critically ill (NUTRIC) score is the first nutritional risk assessment tool developed and validated specifically for ICU patients (1). The recognition that not all ICU patients will respond the same to nutritional interventions was the main concept behind the NUTRIC score, as most other risk scores and assessment tools consider all critically ill patients to be at high nutrition risk. Below is a summary of the components of the NUTRIC score. 
 
An online calculator can be accessed here.

NUTRIC image

Click the pdf links below to download copies of the above summary in multiple languages:

PDF English Version: December 16th 2015
PDF French Version: December 16th 2015
PDF Portuguese      Version: March 19th 2013
PDF Greek      Version: April 26th 2017      Contact: Michael Chourdakis (This email address is being protected from spambots. You need JavaScript enabled to view it.)
PDF Italian      Version: April 2017
 

Co-morbidities - click the image below to expand the list of co-morbidities used in the NUTRIC Score.

Comorbidity list

Publications

1) Heyland DK, Dhaliwal R, Jiang X, Day AG. Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool. Crit Care. 2011;15(6):R268. 
Click here for free access to article or the PubMed page.
 
2) Rahman A, Hasan RM, Agarwala R, Martin C, Day AG, Heyland DK. Identifying critically-ill patients who will benefit most from nutritional therapy: Further validation of the "modified NUTRIC" nutritional risk assessment tool. Clin Nutr. 2016;35(1):158-62.
Click here for the PubMed page.
 
3) Rosa M, Heyland DK, Fernandes D, Rabito EI, Oliveira ML, Marcadenti A. Translation and adaptation of the NUTRIC Score to identify critically ill patients who benefit the most from nutrition therapy. Clin Nutr. 2016;14:31-36.
Click here for the Clinical Nutrition ESPEN page.
 
4) Mukhopadhyay A, Henry J, Ong V, Leong CS, Teh AL, van Dam RM, Kowitlawakul Y. Association of modified NUTRIC score with 28-day mortality in critically ill patients. Clin Nutr. 2016. (Epub).
Click here for the Clinical Nutrition ESPEN page.
 
5) Compher C, Chittams J, Sammarco T, Nicolo M, Heyland DK. Greater Protein and Energy Intake May Be Associated With Improved Mortality in Higher Risk Critically Ill Patients: A Multicenter, Multinational Observational Study. Critical Care Medicine 2017;45:156-63.
Click here for the PubMed page.
 
6) McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). Journal of Parenteral and Enteral Nutrition 2016;40:159-211.
Click here for the PubMed page.
 
7) Mendes R, Policarpo S, Fortuna P, Alves M, Virella D, Heyland DK. Nutritional risk assessment and cultural validation of the modified NUTRIC score in critically ill patients-A multicenter prospective cohort study. Journal of critical care 2017;37:45-9.
Click here for the PubMed page.
 
8) Coltman A, Peterson S, Roehl K, Roosevelt H, Sowa D. Use of 3 tools to assess nutrition risk in the intensive care unit. JPEN Journal of parenteral and enteral nutrition 2015;39:28-33.
Click here for the PubMed page.
 
9) Heyland DK, Dhaliwal R, Wang M, Day AG. The prevalence of iatrogenic underfeeding in the nutritionally 'at-risk' critically ill patient: Results of an international, multicenter, prospective study. Clinical Nutrition 2015;34:659-66.
Click here for the PubMed page.
 
10) McClave SA, Martindale RG, Rice TW, Heyland DK. Feeding the Critically III Patient. Critical Care Medicine 2014;42:2600-10.
Click here for the PubMed page.
 
11) Kozeniecki M, Codner P, Heyland DK. Identifying nutritional risk in critical illness. Current Pulmonology Reports 2017;6:48-53.
Click here for the PubMed page.
 
12) Moretti D, Bagilet DH, Buncuga M, Settecase CJ, Quaglino MB, Quintana R. STUDY OF TWO VARIANTS OF NUTRITIONAL RISK SCORE "NUTRIC" IN VENTILATED CRITICAL PATIENTS. Nutricion Hospitalaria 2014;29:166-72.
Click here for the PubMed page.
 
13) O'Hanlon C, Dowsett J, Smyth N. Nutrition Assessment of the Intensive Care Unit Patient. Topics in Clinical Nutrition 2015;30:47-70.
Click here for the Journal page.
 
14) Kondrup J. Nutritional-risk scoring systems in the intensive care unit. Curr Opin Clin Nutr Metab Care. 2014 Mar;17(2):177-82.
Click here for the PubMed page.
 
15) Compher C, Chittams J, Sammarco T, Higashibeppu N, Higashiguchi T, Heyland DK. Greater Nutrient Intake Is Associated With Lower Mortality in Western and Eastern Critically Ill Patients With Low BMI: A Multicenter, Multinational Observational Study. JPEN. 2018. [Epub ahead of print].
Click here for the PubMed page.
 
16) Jeong DH, Hong SB, Lim CM, Koh Y, Seo J, Kim Y, Min JY, Huh JW. Comparison of Accuracy of NUTRIC and Modified NUTRIC Scores in Predicting 28-Day Mortality in Patients with Sepsis: A Single Center Retrospective Study. Nutrients. 2018 Jul 17;10(7). pii: E911.
Click here for the PubMed page.
 
17) Canales C, Elsayes A, Yeh DD, Belcher D, Nakayama A, McCarthy CM, Chokengarmwong N, Quraishi SA. Nutrition Risk in Critically Ill Versus the Nutritional Risk Screening 2002: Are They Comparable for Assessing Risk of Malnutrition in Critically Ill Patients? JPEN J Parenter Enteral Nutr. 2018. [Epub ahead of print]
Click here for the PubMed page.
 
18) Md Ralib A, Mat Nor MB. Refeeding hypophosphataemia after enteral nutrition in a Malaysian intensive care unit: risk factors and outcome. Asia Pac J Clin Nutr. 2018;27(2):329-335.
Click here for the PubMed page.
 
19) Compher C, Martin ND, Heyland DK. Reservations about Permissive Underfeeding in Low versus High NUTRIC Patients? Am J Respir Crit Care Med. 2018 May 1;197(9):1226-1227.
Click here for the PubMed page.
 
20) de Vries MC, Koekkoek WK, Opdam MH, van Blokland D, van Zanten AR. Nutritional assessment of critically ill patients: validation of the modified NUTRIC score. Eur J Clin Nutr. 2018 Mar;72(3):428-435.
Click here for the PubMed page.
 
21) Lew CCH, Cheung KP, Chong MFF, Chua AP, Fraser RJL, Miller M. Combining 2 Commonly Adopted Nutrition Instruments in the Critical Care Setting Is Superior to Administering Either One Alone. JPEN. 2017. [Epub ahead of print]
Click here for the PubMed page.
 
22) Lee ZY, Noor Airini I, Barakatun-Nisak MY. Relationship of energy and protein adequacy with 60-day mortality in mechanically ventilated critically ill patients: A prospective observational study. Clin Nutr. 2018 Aug;37(4):1264-1270.
Click here for the PubMed page.
 
23) Kalaiselvan MS, Renuka MK, Arunkumar AS. Use of Nutrition Risk in Critically ill (NUTRIC) Score to Assess Nutritional Risk in Mechanically Ventilated Patients: A Prospective Observational Study. Indian J Crit Care Med. 2017 May;21(5):253-256.
Click here for the PubMed page.
 
24) Özbilgin Ş, Hanc V, Ömür D, Özbilgin M, Tosun M, Yurtlu S, Küçükgüçlü S, Arkan A. Morbidity and mortality predictivity of nutritional assessment tools in the postoperative care unit. Medicine (Baltimore). 2016 Oct;95(40):e5038.
Click here for the PubMed page.
 
25) Patel C, Omer E, Diamond SJ, McClave SA. Can Nutritional Assessment Tools Predict Response to Nutritional Therapy? Curr Gastroenterol Rep. 2016 Apr;18(4):15.
Click here for the PubMed page.
 
26) Mukhopadhyay A, Tai BC, Remani D, Henry J, Kowitlawakul Y, Puthucheary ZA. Nutritional risk assessment at admission can predict subsequent muscle loss in critically ill patients. Eur J Clin Nutr. 2018 Aug;72(8):1187-1190.
Click here for the PubMed page.
 
27) Lew CCH, Cheung KP, Chong MFF, Chua AP, Fraser RJL, Miller M. Combining 2 Commonly Adopted Nutrition Instruments in the Critical Care Setting Is Superior to Administering Either One Alone. JPEN J Parenter Enteral Nutr. 2017 Aug.
Click here for the PubMed page.
 
28) Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, Hiesmayr M, Mayer K, Montejo JC, Pichard C, Preiser JC, van Zanten ARH, Oczkowski S, Szczeklik W, Bischoff SC. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2018 Sep 29.
Click here to access the publication
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