Nutritional Screening of Critically Ill Emergency Patients in Urban China: A Multicenter Study
نویسندگان
1 Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, No.8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China
2 Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, No.8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China
3 Department of Emergency Medicine, Beijing Tongren Hospital, Capital Medical University, No. 1, Dongjiaomin Lane, Dongcheng District, Beijing, 100730, China
4 Department of Emergency Medicine, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical College, No.158 Shangtang Road, Hangzhou City, 310014, China
5 Department of Emergency Medicine, Zhejiang Hospital, No.12 Lingyin Road, Hangzhou City, 310007, China
6 Department of Emergency, Renmin Hospital of Wuhan University, Hubei General Hospital, No.238, Jiefang Road, Wuchang District, Wuhan City, Hubei Province, 430060. China
7 Department of Emergency Medicine, Fu Xing Hospital, Capital Medical University, No.20 A, Fuxingmenwai Street, Xicheng District, Beijing 100045, China
8 Department of Emergency Medicine, Beijing Luhe Hospital, Capital Medical University, No.82 Xinhua Nanlu, Tongzhou District, Beijing, 101199, China
9 Department of Emergency Medicine, Beijing Daxing district people’s hospital, No.26 Huangcun West Street, Daxing District, 102600, Beijing
10 Department of Emergency Medicine, The Affiliated Hospital of Hangzhou Normal University, No.126 WenZhou Road, Gongshu District, Hangzhou City, Zhejiang Province, 310015, China
doi
10.22034/ircmj.2026.532054.2303چکیده
Background and Objectives: Malnutrition is common among critically ill patients and is associated with poorer outcomes, yet it is often underrecognized during emergency care. Large urban tertiary hospitals in China manage substantial volumes of critically ill patients, making these settings essential for understanding nutritional risk patterns. To evaluate the prevalence of nutritional risk and its association with clinical outcomes among critically ill emergency patients in urban China using the Nutritional Risk Screening 2002 (NRS 2002) tool. Methods: This multicenter observational study included 804 critically ill adults admitted to emergency resuscitation rooms across ten urban tertiary hospitals in Beijing, Hangzhou, and Wuhan. Patients hospitalized for more than 72 hours were screened using NRS 2002 within 24 hours of admission. Demographics, clinical parameters, and in hospital mortality were analyzed using chi square tests, nonparametric tests, and multivariable logistic regression. Results: A total of 77% of patients were classified as having high nutritional risk (NRS 2002 ≥3). Compared with lower risk patients, this group showed lower mean arterial pressure and albumin levels and higher white blood cell counts, bilirubin, and creatinine (all P < 0.001). In hospital mortality was significantly higher in the high risk group (13.6% vs. 3.2%, P < 0.001). High nutritional risk remained independently associated with mortality after adjustment (adjusted OR 4.12, 95% CI 1.68–10.11, P = 0.002). Older age, male sex, and elevated bilirubin, sodium, and creatinine were also associated with greater nutritional risk. Conclusion: High nutritional risk is common among critically ill emergency patients in urban China and is independently associated with worse outcomes.
