Nutrition Risk in the Critically Ill (NUTRIC) Score

NUTRIC Calculator
Age
APACHE II Score
SOFA Score
Number of Comorbidities
Days from Hospital to ICU Admission
IL-6 (if available)
NUTRIC Score: 0
Low Nutrition Risk
0 points: Low malnutrition risk. These patients may not benefit from aggressive nutrition therapy.
Identifies critically ill patients who can benefit from nutrition therapy, recommended by ACG guidelines .

Why Use

Other risk scores consider all ICU patients to be high risk. The NUTRIC Score identifies patients who are particularly likely to have a mortality benefit from aggressive nutrition therapy. Recommended by American College of Gastroenterology (ACG) guidelines for nutrition therapy .

Formula

Addition of the selected points: Points 0 1 2 3 Age (years) <50 50–74 ≥75 -- APACHE II <15 15–19 20–27 ≥28 SOFA Score * <6 6–9 ≥10 -- Number of comorbidities 0–1 ≥2 -- -- Days in hospital to ICU admit 0 ≥1 -- -- IL-6 (µ/mL) 0–399 ≥400 -- -- *Initial, on presentation.

Pearls / Pitfalls

Can be calculated without IL-6, which is not commonly ordered in many ICU settings, without sacrificing significant predictive power. Greater predictive power in ICU patients specifically, compared with other nutritional risk scores like NRS-2002 .

Advice

Consider aggressive nutrition therapy (enteral or parenteral) for patients at high risk.

More Information

Interpretation: NUTRIC Score Risk 28-day mortality 0 Low risk ~1% 1 ~2% 2 ~3% 3 ~8% 4 ~11% 5 ~20% 6 High risk ~30% 7 ~45% 8 ~58% 9 ~70% 10 ~80%

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