The research aims to apply and evaluate a standardized protocol for nutritional risk assessment and nutritional support management, and to assess its predictive value in individuals with severe neurological disorders who are at risk of malnutrition. A retrospective analysis was performed on 930 suitable patients hospitalized in the Neurology Intensive Care Unit (NICU) at Xuanwu Hospital, Capital Medical University, between January 2012 and December 2019. At discharge, patients were categorized based on modified Rankin Scale (mRS) results (excellent prognosis: mRS 0-2, n = 600; bad prognosis: mRS 3-6, n = 330) and survival status (survivor: n = 869; deceased: n = 61). The protocol included baseline characteristics and biochemical evaluations, admission Nutritional Risk Screening 2002 (NRS 2002) scores, identifying the nutritional support modality, estimation of typical energy intake throughout the first 7 days, and level of disease evaluation using standardized assessment instruments such as the Glasgow Coma Scale (GCS), Acute Physiology and Chronic Health Evaluation II (APACHE II), and National Institutes of Health Stroke Scale (NIHSS).
Chen et al. (Fri,) studied this question.