ToolsCalculators
Nutrition Risk in the Critically Ill (NUTRIC) score
Identifies critically ill patients most likely to benefit from aggressive nutrition therapy.
Nutrition Risk in the Critically Ill (NUTRIC) score
Age
years
APACHE II score
points
SOFA score
points
Two or more comorbidities
ICU admission occurred >=1 day after hospital admission
Complete the fields above to see the result.
When to use
- Identifying ICU patients most likely to benefit from early, aggressive nutrition support, as opposed to those at low nutritional risk.
Formula
Modified NUTRIC (no IL-6) = age points (0-2) + APACHE II points (0-3) + SOFA points (0-2) + >=2 comorbidities (0-1) + days from hospital to ICU admission >=1 (0-1). Range 0-9; >=5 = high risk.
Pearls and pitfalls
- The original NUTRIC score included IL-6 (range 0-10); the modified version omits it since IL-6 is not routinely measured and performs comparably.
- A high score identifies risk of poor outcome, not simply the need for more calories - overfeeding should still be avoided.
References
- 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.
- 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):158-162.