Abstract
References
- Yenibertiz D, Cirik MO. The comparison of GNRI and other nutritional indexes on short-term survival in geriatric patients treated for respiratory failure. Aging Clin Exp Res 2021; 33: 611-7.
- Javid Mishamandani Z, Norouzy A, Hashemian SM, et al. Nutritional status of patients hospitalized in the intensive care unit: A comprehensive report from Iranian hospitals. J Crit Care 2019; 54: 151-8.
- Machado Dos Reis A, Marchetti J, Forte Dos Santos A, Franzosi OS, Steemburgo T. Nutric score: isolated and combined use with the NRS-2002 to predict hospital mortality in critically Ill patients. JPEN J Parenter Enteral Nutr 2020; 44: 1250-6.
- Lew CCH, Yandell R, Fraser RJL, Chua AP, Chong MFF, Miller M. Association between malnutrition and clinical outcomes in the intensive care unit: a systematic review. J Parenter Enteral Nutr 2017; 41: 744-58.
- Lin YM, Wang M, Sun NX, Liu YY, Yin TF, Chen C. Screening and application of nutritional support in elderly hospitalized patients of a tertiary care hospital in China. PLoS One 2019; 14: e0213076.
- Bouillanne O, Morineau G, Dupont C, et al. Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients. Am J Clin Nutr 2005; 82: 777-83.
- Álvarez-Hernández J, Planas Vila M, León-Sanz M, et al. Prevalence and costs of malnutrition in hospitalized patients. Nutr Hosp 2012; 27: 1049-59.
- Agarwal E, Miller M, Yaxley A, Isenring E. Malnutrition in the elderly: a narrative review. Maturitas 2013; 76: 296-302.
- Kaya T, Açıkgöz SB, Yıldırım M, Nalbant A, Altaş AE, Cinemre H. Association between neutrophil-to-lymphocyte ratio and nutritional status in geriatric patients. J Clin Lab Anal 2019; 33: e22636.
- Yıldırım Ö, Bayram M, Özmen RS, et al. Evaluation of hematological indices in terms of COVID-19 related mortality and ICU admission. J Health Sci Med 2021; 4: 666-70.
- Lee JS, Kim NY, Na SH, Youn YH, Shin CS. Reference values of neutrophil-lymphocyte ratio, lymphocyte-monocyte ratio, platelet-lymphocyte ratio, and mean platelet volume in healthy adults in South Korea. Medicine (Baltimore) 2018; 97: e11138.
- 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; 72: 428-35.
- Tang S, Xie H, Kuang J, Gao F, Gan J, Ou H. The value of geriatric nutritional risk index in evaluating postoperative complication risk and long-term prognosis in elderly colorectal cancer patients. Cancer Manag Res 2020; 12: 165-75.
- 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 (A.S.P.E.N.). J Parenter Enteral Nutr 2016; 40: 159-211.
- 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; 72: 428-35.
- Zengin M, Alagoz A. Comparison of thoracic epidural analgesia and thoracic paravertebral block applications in the treatment of acute pain after thoracotomy in geriatric patients. Cureus 2021; 22: 18982.
- Cavalieri TA. Managing pain in geriatric patients. J Osteopath Med 2007; 107: 10-6.
- Du RH, Liang LR, Yang CQ, et al. Predictors of mortality for patients with COVID-19 pneumonia caused by SARS-CoV-2: a prospective cohort study. Eur Respir J 2020; 55: 2000524.
- Tekyol D, Hökenek NM. Comparison of the ability of the shock index, modified shock index and age shock index to predict mortality in geriatric patients with COVID-19 pneumonia. J Health Sci Med 2021; 4: 634-8.
- Aydın N. COVID-19 ve palyatif bakım. J Med Palliat Care 2021; 2: 54-57.
- 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: 268.
- Al-Kalaldeh M, Suleiman K, Al-Kalaldeh O. Prognostic performance of nutric score in quantifying malnutrition risk in the critically Ill in congruence with the bioelectrical impedance analysis. Nutr Clin Pract 2020; 35: 559-66.
- Cereda E, Klersy C, Pedrolli C, et al. The Geriatric Nutritional Risk Index predicts hospital length of stay and in-hospital weight loss in elderly patients. Clin Nutr 2015; 34: 74-8.
- Miyake H, Tei H, Fujisawa M. Geriatric nutrition risk index is an important predictor of cancer-specific survival, but not recurrence-free survival, in patients undergoing surgical resection for non-metastatic renal cell carcinoma. Curr Urol 2017; 10: 26-31.
- Yamana I, Takeno S, Shimaoka H, et al. Geriatric Nutritional Risk Index as a prognostic factor in patients with esophageal squamous cell carcinoma -retrospective cohort study. Int J Surg 2018; 56: 44-8.
- Shoji F, Matsubara T, Kozuma Y, et al. Preoperative Geriatric Nutritional Risk Index: A predictive and prognostic factor in patients with pathological stage I non-small cell lung cancer. Surg Oncol 2017; 26: 483-8.
- Güngörer B. Baseline demographic, clinical and laboratory risk factors for predicting admission to intensive care unit in patients diagnosed with COVID-19 in the emergency department. Anatolian Curr Med J 2021; 3: 279-83.
- Leandro-Merhi VA, Bráz VN, Aquino JL. Is total lymphocyte count related to nutritional markers in hospitalized older adults? Arq Gastroenterol 2017; 54: 79-82.
- Kuzuya M, Kanda S, Koike T, Suzuki Y, Iguchi A. Lack of correlation between total lymphocyte count and nutritional status in the elderly. Clin Nutr 2005; 24: 427-32.
- Ak R, Doğanay F. Relationship between mean platelet volume and intensive care unit requirement in COVID-19 patients. J Health Sci Med 2021; 4: 353-7.
- Sit M, Aktas G, Ozer B, et al. Mean platelet volume: an overlooked herald of malıgnant thyroid nodules. Acta Clin Croat 2019; 58: 417-20.
- Bilgin S, Aktas G, Kahveci G, Atak BM, Kurtkulagi O, Duman TT. Does mean platelet volume/lymphocyte count ratio associate with frailty in type 2 diabetes mellitus? Bratisl Lek Listy 2021; 122: 116-9.
- Sincer I, Gunes Y, Mansiroglu AK, Cosgun M, Aktas G. Association of mean platelet volume and red blood cell distribution width with coronary collateral development in stable coronary artery disease. Postepy Kardiol Interwencyjnej 2018; 14: 263-9.
- Önder S, Ozturk M. How does omalizumab affect the immunoinflammatory response in patients with chronic spontaneous urticaria? Cutan Ocul Toxicol 2020; 39: 31-5.
- Kridin K, Shihade W, Zelber-Sagi S. Mean platelet volume in pemphigus vulgaris. Angiology 2018; 69: 303-7.
- Korniluk A, Koper-Lenkiewicz OM, Kamińska J, Kemona H, Dymicka-Piekarska V. Mean platelet volume (MPV): new perspectives for an old marker in the course and prognosis of inflammatory conditions. Mediators Inflamm 2019; 2019: 9213074.
- Şatıroğlu Ö, Durakoğlugil ME, Uydu HA, et al. The relationship between mean platelet volume and in-hospital mortality in geriatric patients with ST segment elevation myocardial infarction who underwent primary percutaneous coronary intervention. Cardiovascular Innovations and Applications 2019; 4: 135-41.
Is there a correlation between complete blood count parameters and nutritional risk score 2002, geriatric nutritional risk index and nutric score in geriatric patients admitted to intensive care unit
Abstract
Aim: Malnutrition is a common condition especially in geriatric patients admitted to intensive care. There are various screening tools to be used in the evaluation of nutritional status in geriatric patients hospitalized in intensive care. However, a laboratory test has not been found yet for nutritional status assessment. With this study, we aimed to investigate whether there is a correlation between NLR, PLR, and complete blood count parameters at the time of admission to the intensive care unit and NRS-2002, GNRI, and mNutric Score measured in the intensive care unit.
Material and Method: This retrospective study was performed in a tertiary intensive care unit of a Chest Diseases Hospital. Patients aged 65 and over were included in the study. Demographic data, length of stay in intensive care, complete blood count on the day of admission to the intensive care unit, albumin value, NLR, PLR, NRS-2002, GNRI, and mNutric Score values were recorded.
Results: A total of 218 geriatric patients were analyzed. It was determined that 72.5% of the patients were at medium/high risk in terms of nutritional risk according to the GNRI classification, 76.6% were at high risk according to NRS-2002, and 84.9% were at high risk according to the mNutric score. According to the GNRI, the MPV values were statistically significantly higher (p<0.05). According to the biserial correlation analysis, there is a statistically significant correlation between GNRI and MPV in the positive direction (p<0.05). The cut-off value for MPV was determined as 7.895 in terms of nutritional risk assessment
Conclusion: It was observed that the majority of geriatric patients in the intensive care unit were at high risk for malnutrition according to nutritional scores. It was determined that the MPV value of the patients in the intermediate/high-risk group for GNRI was significantly higher and there was a positive correlation between MPV and GNRI. The cut-off value for MPV was determined as 7.895 in terms of nutritional risk assessment. We think that MPV can be used practically in nutritional risk scoring in geriatric patients hospitalized in the intensive care unit.
Keywords
Complete Blood Count Geriatric Nutritional Risk Index Intensive Care Nutric Score Nutritional Risk Score-2002 Mean Platelet Volüme
References
- Yenibertiz D, Cirik MO. The comparison of GNRI and other nutritional indexes on short-term survival in geriatric patients treated for respiratory failure. Aging Clin Exp Res 2021; 33: 611-7.
- Javid Mishamandani Z, Norouzy A, Hashemian SM, et al. Nutritional status of patients hospitalized in the intensive care unit: A comprehensive report from Iranian hospitals. J Crit Care 2019; 54: 151-8.
- Machado Dos Reis A, Marchetti J, Forte Dos Santos A, Franzosi OS, Steemburgo T. Nutric score: isolated and combined use with the NRS-2002 to predict hospital mortality in critically Ill patients. JPEN J Parenter Enteral Nutr 2020; 44: 1250-6.
- Lew CCH, Yandell R, Fraser RJL, Chua AP, Chong MFF, Miller M. Association between malnutrition and clinical outcomes in the intensive care unit: a systematic review. J Parenter Enteral Nutr 2017; 41: 744-58.
- Lin YM, Wang M, Sun NX, Liu YY, Yin TF, Chen C. Screening and application of nutritional support in elderly hospitalized patients of a tertiary care hospital in China. PLoS One 2019; 14: e0213076.
- Bouillanne O, Morineau G, Dupont C, et al. Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients. Am J Clin Nutr 2005; 82: 777-83.
- Álvarez-Hernández J, Planas Vila M, León-Sanz M, et al. Prevalence and costs of malnutrition in hospitalized patients. Nutr Hosp 2012; 27: 1049-59.
- Agarwal E, Miller M, Yaxley A, Isenring E. Malnutrition in the elderly: a narrative review. Maturitas 2013; 76: 296-302.
- Kaya T, Açıkgöz SB, Yıldırım M, Nalbant A, Altaş AE, Cinemre H. Association between neutrophil-to-lymphocyte ratio and nutritional status in geriatric patients. J Clin Lab Anal 2019; 33: e22636.
- Yıldırım Ö, Bayram M, Özmen RS, et al. Evaluation of hematological indices in terms of COVID-19 related mortality and ICU admission. J Health Sci Med 2021; 4: 666-70.
- Lee JS, Kim NY, Na SH, Youn YH, Shin CS. Reference values of neutrophil-lymphocyte ratio, lymphocyte-monocyte ratio, platelet-lymphocyte ratio, and mean platelet volume in healthy adults in South Korea. Medicine (Baltimore) 2018; 97: e11138.
- 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; 72: 428-35.
- Tang S, Xie H, Kuang J, Gao F, Gan J, Ou H. The value of geriatric nutritional risk index in evaluating postoperative complication risk and long-term prognosis in elderly colorectal cancer patients. Cancer Manag Res 2020; 12: 165-75.
- 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 (A.S.P.E.N.). J Parenter Enteral Nutr 2016; 40: 159-211.
- 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; 72: 428-35.
- Zengin M, Alagoz A. Comparison of thoracic epidural analgesia and thoracic paravertebral block applications in the treatment of acute pain after thoracotomy in geriatric patients. Cureus 2021; 22: 18982.
- Cavalieri TA. Managing pain in geriatric patients. J Osteopath Med 2007; 107: 10-6.
- Du RH, Liang LR, Yang CQ, et al. Predictors of mortality for patients with COVID-19 pneumonia caused by SARS-CoV-2: a prospective cohort study. Eur Respir J 2020; 55: 2000524.
- Tekyol D, Hökenek NM. Comparison of the ability of the shock index, modified shock index and age shock index to predict mortality in geriatric patients with COVID-19 pneumonia. J Health Sci Med 2021; 4: 634-8.
- Aydın N. COVID-19 ve palyatif bakım. J Med Palliat Care 2021; 2: 54-57.
- 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: 268.
- Al-Kalaldeh M, Suleiman K, Al-Kalaldeh O. Prognostic performance of nutric score in quantifying malnutrition risk in the critically Ill in congruence with the bioelectrical impedance analysis. Nutr Clin Pract 2020; 35: 559-66.
- Cereda E, Klersy C, Pedrolli C, et al. The Geriatric Nutritional Risk Index predicts hospital length of stay and in-hospital weight loss in elderly patients. Clin Nutr 2015; 34: 74-8.
- Miyake H, Tei H, Fujisawa M. Geriatric nutrition risk index is an important predictor of cancer-specific survival, but not recurrence-free survival, in patients undergoing surgical resection for non-metastatic renal cell carcinoma. Curr Urol 2017; 10: 26-31.
- Yamana I, Takeno S, Shimaoka H, et al. Geriatric Nutritional Risk Index as a prognostic factor in patients with esophageal squamous cell carcinoma -retrospective cohort study. Int J Surg 2018; 56: 44-8.
- Shoji F, Matsubara T, Kozuma Y, et al. Preoperative Geriatric Nutritional Risk Index: A predictive and prognostic factor in patients with pathological stage I non-small cell lung cancer. Surg Oncol 2017; 26: 483-8.
- Güngörer B. Baseline demographic, clinical and laboratory risk factors for predicting admission to intensive care unit in patients diagnosed with COVID-19 in the emergency department. Anatolian Curr Med J 2021; 3: 279-83.
- Leandro-Merhi VA, Bráz VN, Aquino JL. Is total lymphocyte count related to nutritional markers in hospitalized older adults? Arq Gastroenterol 2017; 54: 79-82.
- Kuzuya M, Kanda S, Koike T, Suzuki Y, Iguchi A. Lack of correlation between total lymphocyte count and nutritional status in the elderly. Clin Nutr 2005; 24: 427-32.
- Ak R, Doğanay F. Relationship between mean platelet volume and intensive care unit requirement in COVID-19 patients. J Health Sci Med 2021; 4: 353-7.
- Sit M, Aktas G, Ozer B, et al. Mean platelet volume: an overlooked herald of malıgnant thyroid nodules. Acta Clin Croat 2019; 58: 417-20.
- Bilgin S, Aktas G, Kahveci G, Atak BM, Kurtkulagi O, Duman TT. Does mean platelet volume/lymphocyte count ratio associate with frailty in type 2 diabetes mellitus? Bratisl Lek Listy 2021; 122: 116-9.
- Sincer I, Gunes Y, Mansiroglu AK, Cosgun M, Aktas G. Association of mean platelet volume and red blood cell distribution width with coronary collateral development in stable coronary artery disease. Postepy Kardiol Interwencyjnej 2018; 14: 263-9.
- Önder S, Ozturk M. How does omalizumab affect the immunoinflammatory response in patients with chronic spontaneous urticaria? Cutan Ocul Toxicol 2020; 39: 31-5.
- Kridin K, Shihade W, Zelber-Sagi S. Mean platelet volume in pemphigus vulgaris. Angiology 2018; 69: 303-7.
- Korniluk A, Koper-Lenkiewicz OM, Kamińska J, Kemona H, Dymicka-Piekarska V. Mean platelet volume (MPV): new perspectives for an old marker in the course and prognosis of inflammatory conditions. Mediators Inflamm 2019; 2019: 9213074.
- Şatıroğlu Ö, Durakoğlugil ME, Uydu HA, et al. The relationship between mean platelet volume and in-hospital mortality in geriatric patients with ST segment elevation myocardial infarction who underwent primary percutaneous coronary intervention. Cardiovascular Innovations and Applications 2019; 4: 135-41.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Early Pub Date | January 21, 2022 |
| Publication Date | January 24, 2022 |
| Published in Issue | Year 2022 Volume: 4 Issue: 1 |
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Cited By
Determination of Nutritional Status Using Various Screening Tools in Elderly
International Journal of Pharmaceutical And Phytopharmacological Research
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