A104 CRITICAL CARE: IMPROVING ICU EXERCISE, REHABILITATION, RECOVERY, AND SURVIVORSHIP: Post-Icu Disability And Cognition Predicted By Nutritional Risk In Adults With Critical Illness

• Published in: American journal of respiratory and critical care medicine Vol. 195
• Main Authors: Gettler, E B, Girard, T D, Thompson, J L, Chandrasekhar, R, Pandharipande, P P, Heyland, D, Ely, E W, Brummel, N E
• Format: Journal Article
• Language: English
• Published: New York American Thoracic Society 01-01-2017
• Subjects: Activities of daily living; Cognition & reasoning; Disability; Exercise; Health risk assessment; Illnesses; Recovery (Medical); Survivor
• ISSN: 1073-449X; 1535-4970

METHODS We used the modified version of the validated Nutrition Risk in Critically Ill (NUTRIC) score, which ranges from 0 (low risk) to 9 (high risk), to assess nutritional risk at the time of ICU admission in adults with respiratory failure or shock from medical and surgical ICUs in two centers. At 3 and 12 months after hospital discharge, we assessed vital status through contact with patients/families and using the Social Security Death Index, disability in basic activities of daily living (BADLs) using the Katz ADL, disability in instrumental ADLs (IADLs) using the Functional Activities Questionnaire (FAQ), global cognition using the Repeatable Battery for the Assessment of Neuropsychological Status, and executive function using the Trail Making Test Part B. We used multivariable regression to examine the association between NUTRIC scores and outcomes, adjusting for sex, education, BMI, clinical frailty, baseline BADL and IADL scores, baseline cognition, mean daily SOFA score, and durations of severe sepsis, delirium, coma, and mechanical ventilation.