Introduction: The mNUTRIC score is a nutritional assessment tool to identify critically
ill patients with high nutritional risk who could benefit from nutritional interventions.
This study was conducted to validate the 28-day mortality prognostic performance
of the mNUTRIC score in a Malaysian intensive care unit (ICU). Methods: This was
a retrospective cohort study of adult patients who were consecutively admitted to
the ICU from January 2017 to December 2018 for >24 hours. Data were collected on
variables required to calculate the mNUTRIC score. Patients with mNUTRIC score
≥5 points were considered to be at high nutritional risk. Main outcome was 28-
day mortality from all causes; ICU length of stay (LOS) and prolonged mechanical
ventilation (MV) (>2 days) were secondary outcomes. Results: From a total of 432
admissions, 382 (88.4%) patients fulfilled the study criteria. Seventy-seven (20.2%)
of these patients were at high nutritional risk. They had longer mean ICU LOS
(7.1±7.5 days versus 4.2±4.0 days, p=0.001), greater proportion of prolonged MV
(57.1% versus 14.4%, p
Currently, it is almost impossible to diagnose a patient at the onset of
sepsis due to the lack of real-time metrics with high sensitivity and specificity. The
purpose of the present study is to determine the diagnostic value of model-based insulin
sensitivity (SI) as a new sepsis biomarker in critically ill patients, and compare its
performance to classical inflammatory parameters. (Copied from article).
Clinical scoring methods such as the Sequential Organ Failure Assessment
(SOFA) score are frequently used to predict outcome in sepsis, with limited capacity.
Further tools for risk assessment of septic critically ill patients would thus be useful.
Our purpose was to derive a scoring method i.e. Sepsis Mortality Score using multimarker
approach for the prediction of 30-day mortality in septic critically ill patients,
and compare its performance to the SOFA score (Copied from article).
Inadvertent perioperative hypothermia (IPH) is a common problem, despite advancements in a variety of warming systems. The use of a resistive heating blanket (RHB) is a common but costly approach to patient warming. We have introduced the use of a heat-band in our centre as a cost-effective alternative to the RHB for patient warming. The efficacy of the heat-band in preventing IPH during laparotomy for gynaecological surgeries was compared with that of the RHB.