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Critical Care Nutrition at the Clinical Evaluation Research Unit (CERU)

is dedicated to improving nutrition therapies in the critically ill through knowledge generation, synthesis, and translation. We engage in a broad range of research activities and promote a culture of best practices in critical care nutrition. Ultimately, this will result in improved clinical outcomes for critically ill patients and increased efficiencies to our health care systems.

What is the NUTRIC Score?
The Nutrition Risk in Critically ill (NUTRIC) score is the first nutritional risk assessment tool developed and validated specifically for ICU patients (1). The recognition that not all ICU patients will respond the same to nutritional interventions was the main concept behind the NUTRIC score, as most other risk scores and assessment tools consider all critically ill patients to be at high nutrition risk. Below is a summary of the components of the NUTRIC score.  An online calculator can be accessed here .

NUTRIC image

Click the pdf links below to download copies of the above summary in three languages:

PDF English Version: December 16th 2015
PDF French Version: December 16th 2015
PDF Portuguese      Version: March 19th 2013
PDF Greek      Version: April 26th 2017      Contact: Michael Chourdakis (This email address is being protected from spambots. You need JavaScript enabled to view it.)
PDF Italian      Version: April 2017

Co-morbidities - click the image below to expand the list of co-morbidities used in the NUTRIC Score.

Comorbidity list


To date, there are three publications on the NUTRIC score:

1) Heyland DK, Dhaliwal R, Jiang X, Day AG. Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool. Crit Care. 2011;15(6):R268. 
Click here for free access to article or the PubMed page.
2) Rahman A, Hasan RM, Agarwala R, Martin C, Day AG, Heyland DK. Identifying critically-ill patients who will benefit most from nutritional therapy: Further validation of the "modified NUTRIC" nutritional risk assessment tool. Clin Nutr. 2016;35(1):158-62.
Click here for the PubMed page.
3) Rosa M, Heyland DK, Fernandes D, Rabito EI, Oliveira ML, Marcadenti A. Translation and adaptation of the NUTRIC Score to identify critically ill patients who benefit the most from nutrition therapy. Clin Nutr. 2016;14:31-36.
Click here for the Clinical Nutrition ESPEN page.
4) Mukhopadhyay A, Henry J, Ong V, Leong CS, Teh AL, van Dam RM, Kowitlawakul Y. Association of modified NUTRIC score with 28-day mortality in critically ill patients. Clin Nutr. 2016. (Epub).
Click here for the Clinical Nutrition ESPEN page.
5) Compher C, Chittams J, Sammarco T, Nicolo M, Heyland DK. Greater Protein and Energy Intake May Be Associated With Improved Mortality in Higher Risk Critically Ill Patients: A Multicenter, Multinational Observational Study. Critical Care Medicine 2017;45:156-63.
Click here for the PubMed page.
6) McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). Journal of Parenteral and Enteral Nutrition 2016;40:159-211.
Click here for the PubMed page.
7) Mendes R, Policarpo S, Fortuna P, Alves M, Virella D, Heyland DK. Nutritional risk assessment and cultural validation of the modified NUTRIC score in critically ill patients-A multicenter prospective cohort study. Journal of critical care 2017;37:45-9.
Click here for the PubMed page.
8) Coltman A, Peterson S, Roehl K, Roosevelt H, Sowa D. Use of 3 tools to assess nutrition risk in the intensive care unit. JPEN Journal of parenteral and enteral nutrition 2015;39:28-33.
Click here for the PubMed page.
9) Heyland DK, Dhaliwal R, Wang M, Day AG. The prevalence of iatrogenic underfeeding in the nutritionally 'at-risk' critically ill patient: Results of an international, multicenter, prospective study. Clinical Nutrition 2015;34:659-66.
Click here for the PubMed page.
10) McClave SA, Martindale RG, Rice TW, Heyland DK. Feeding the Critically III Patient. Critical Care Medicine 2014;42:2600-10.
Click here for the PubMed page.
11) Kozeniecki M, Codner P, Heyland DK. Identifying nutritional risk in critical illness. Current Pulmonology Reports 2017;6:48-53.
Click here for the PubMed page.
12) Moretti D, Bagilet DH, Buncuga M, Settecase CJ, Quaglino MB, Quintana R. STUDY OF TWO VARIANTS OF NUTRITIONAL RISK SCORE "NUTRIC" IN VENTILATED CRITICAL PATIENTS. Nutricion Hospitalaria 2014;29:166-72.
Click here for the PubMed page.
13) O'Hanlon C, Dowsett J, Smyth N. Nutrition Assessment of the Intensive Care Unit Patient. Topics in Clinical Nutrition 2015;30:47-70.
Click here for the Journal page.
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