🥩 Critical Illness Nutrition Risk Score (mNUTRIC)
UseUse to stratify critical-illness nutrition risk and identify patients who benefit most from early aggressive …
SourceHeyland DK, et al. Identifying critically ill patients who benefit the most from nutrition therapy:…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
mNUTRIC drops IL-6 from the original score, making it usable where IL-6 is unavailable while preserving risk stratification. (original synthesis · not guideline verbatim)
When to use
Use to stratify critical-illness nutrition risk and identify patients who benefit most from early aggressive nutrition support.
How it works
Sum age, APACHE II, SOFA, comorbidity count, and pre-ICU stay (0–9). 0–4 low risk; 5–9 high risk → early aggressive nutrition with monitoring.
Key points
- mNUTRIC drops IL-6 from the original score, making it usable where IL-6 is unavailable while preserving risk stratification. (original synthesis · not guideline verbatim)
- It suits mechanically ventilated patients in whom dietary and weight history cannot be obtained.
- High-risk patients gain more from early enteral nutrition and progressive target achievement.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age | 50–74 yr (1) |
|---|---|
| APACHE II score | 15–19 (1) |
| SOFA score | 6–9 (1) |
| Number of comorbidities | 0–1 (0) |
| Days from admission to ICU | < 1 day (0) |
→mNUTRIC3 points
- Grade：3 points (0–9) → low nutrition risk (0–4)
- Management direction：Low risk: routine nutrition management, advance per ICU nutrition guidelines
- Note：mNUTRIC is the 9-point version with IL-6 removed (the original NUTRIC with IL-6 is 10 points). It integrates age, disease severity (APACHE II/SOFA), comorbidities, and acute starvation (length of hospital stay before ICU). Suitable for mechanically ventilated patients in whom dietary/weight history cannot be obtained
| Age | < 50 yr (0) |
|---|---|
| APACHE II score | < 15 (0) |
| SOFA score | < 6 (0) |
| Number of comorbidities | 0–1 (0) |
| Days from admission to ICU | < 1 day (0) |
→mNUTRIC0 points
- Grade：0 points (0–9) → low nutrition risk (0–4)
- Management direction：Low risk: routine nutrition management, advance per ICU nutrition guidelines
- Note：mNUTRIC is the 9-point version with IL-6 removed (the original NUTRIC with IL-6 is 10 points). It integrates age, disease severity (APACHE II/SOFA), comorbidities, and acute starvation (length of hospital stay before ICU). Suitable for mechanically ventilated patients in whom dietary/weight history cannot be obtained
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Critical Illness Nutrition Risk Score (mNUTRIC)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Critical Illness Nutrition Risk Score (mNUTRIC) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Critical Illness Nutrition Risk Score (mNUTRIC) calculated in practice? Can you show a worked example?
- Inputs: Age 50–74 yr (1), APACHE II score 15–19 (1), SOFA score 6–9 (1), Number of comorbidities 0–1 (0), Days from admission to ICU < 1 day (0) → Result: mNUTRIC 3 points（Grade: 3 points (0–9) → low nutrition risk (0–4), Management direction: Low risk: routine nutrition management, advance per ICU nutrition guidelines, Note: mNUTRIC is the 9-point version with IL-6 removed (the original NUTRIC with IL-6 is 10 points). It integrates age, disease severity (APACHE II/SOFA), comorbidities, and acute starvation (length of hospital stay before ICU). Suitable for mechanically ventilated patients in whom dietary/weight history cannot be obtained） Inputs: Age < 50 yr (0), APACHE II score < 15 (0), SOFA score < 6 (0), Number of comorbidities 0–1 (0), Days from admission to ICU < 1 day (0) → Result: mNUTRIC 0 points（Grade: 0 points (0–9) → low nutrition risk (0–4), Management direction: Low risk: routine nutrition management, advance per ICU nutrition guidelines, Note: mNUTRIC is the 9-point version with IL-6 removed (the original NUTRIC with IL-6 is 10 points). It integrates age, disease severity (APACHE II/SOFA), comorbidities, and acute starvation (length of hospital stay before ICU). Suitable for mechanically ventilated patients in whom dietary/weight history cannot be obtained）