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Translation and Adaptation of the Modified Nutric Score for Critically Ill Patients Publisher Pubmed



Javid Z1 ; Zadeh Honarvar NM2 ; Khademrezaiyan M3 ; Heyland DK4, 5, 6 ; Shadnoush M7, 8 ; Ardehali SH9 ; Lashkami SK10 ; Maleki V11, 12
Authors
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Authors Affiliations
  1. 1. Department of Nutrition, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  2. 2. Department of Cellular and Molecular Nutrition, School of Nutritional Sciences & Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Community Medicine and Public Health, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  4. 4. Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, ON, Canada
  5. 5. Department of Community Health and Epidemiology, Queen's University, Kingston, ON, Canada
  6. 6. Department of Critical Care Medicine, Queen's University, Kingston, ON, Canada
  7. 7. Department of Clinical Nutrition, Faculty of Nutrition & Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  8. 8. Semnan University of Medical Sciences, Semnan, Iran
  9. 9. Department of Anesthesiology & Critical Care, Shohadaye – Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  10. 10. Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran
  11. 11. Clinical Cancer Research Center, Milad General Hospital, Tehran, Iran
  12. 12. Knee and Sport Medicine Research Center, Milad Hospital, Tehran, Iran

Source: Clinical Nutrition ESPEN Published:2021


Abstract

Background & aims: Some critically ill patients are at high nutritional risk, and early identification of these patients is needed to reduce morbidity and mortality related to underfeeding. The Modified NUTrition Risk in Critically ill (mNUTRIC) score is the first nutritional risk assessment tool developed and validated specifically for ICU patients. This study aims to translate and adapt the Modified NUTRIC (mNUTRIC) Score into Persian to facilitate use in Iranian Intensive Care Units and assess its efficiency in a pilot sample. Method: The translation process followed standardized steps: initial translation, synthesis of translations, back -translation to the English language, revision and cultural adaptation of the tool by language specialist and expert committee. A pilot study was conducted on the application of the tool in 46 critically ill patients from three ICUs in Iran hospitals. Results: The translation and adaptation process generated a feasible version of the mNUTRIC Score in the Persian language.The translated version was easily introduced into Iranian ICUs. The prevalence of patients with a mNUTRIC score of five or more was 43% (n = 46). Conclusion: Translation of mNUTRIC Score from English into Persian, following internationally accepted methodology, has provided the ICU care in Iran with a comprehensive and useful instrument. © 2021 European Society for Clinical Nutrition and Metabolism
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