USO DO NUTRIC SCORE EM DIFERENTES SITUAÇÕES CLÍNICAS RELACIONADAS À FORMA GRAVE DA COVID-19

The intensive care environment has a high prevalence of nutritional risk, and critically ill patients respond differently to therapeutic measures related to artificial feeding. Considering it, the main purpose of this study was to evaluate the applicability of the NUTRIC Score tool in the detection and discrimination of nutritional risk in patients with clinical situations related to the severe form of SARS-CoV-2 infection, considering the need for an instrument whose application is independent of direct contact with the infected patient. This is a descriptive study characterized as a narrative review. The articles were selected from the PUBMED databases, compiled and read in full for the construction of this narrative. Studies published between the years 2015 and 2020 were considered. It was observed that the NUTRIC Score tool is effective for assessing nutritional risk in patients dependent on mechanical ventilation and on enteral nutrition. It is not a substitute for traditional protein depletion assessments for nitrogen loss, urea analysis and urinary creatinine. High scores on the NUTRIC Score have a high correlation with increased time of dependence on mechanical ventilation, Intensive Care Unit time and hospital death. In this sense, the assessment by the NUTRIC Score can be used as a strategy to maintain effective and early care of EMTN in critically ill patients infected with SARS-CoV-2.