الفهرس 
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Abstract
Background : Nutrition is a significant issue in managing critically ill patients, because they are at increased risk of malnutrition as the disease progresses. Malnutrition is associated with a decline in functional status, impaired muscle function, decreased bone mass, immune dysfunction, anemia, reduced cognitive function, poor wound healing, delayed recovering from surgery, higher hospital and readmission rate, and mortality. Nutritional assessment of the critically ill patient is performed to classify nutritional status, identify nutritional risk and to serve as a base line for monitoring nutrition support adequacy. Aim of study: This study aim to assess nutritional status of cardiac and thoracic critically ill patients at Damietta hospital-Egypt. Methods: Descriptive exploratory research design was used in this study. The study was carried out at Intensive Care Unit of Damietta Chest Disease Hospital. A convenience sample of 100 cardiac/thoracic critically ill patients, neuromuscular conditions and debilitating disease were excluded patients. Nutritional assessment tool was used to collected data. Results : This study showed that almost half of patient’s age ranged between (50–59), more than half of patients were female and almost two-third of patients (61%) suffered from chest disease. The study reflect that high significant statistical difference in patients on admission and after one week regarding body built (X2 = 52.6; p = 0.0), skin color (X2= 12.9; p = 0.02), skin turgor (X2= 13.19; p = 0.0), bed sore (X2= 27.7; p = 0.0). No significant statistical differences in the patient’s weight on admission and after one week and no significant statistical difference between patient’s biochemical analysis as serum albumin and total cholesterol except lymphocyte count. Conclusion & Recommendations : it concluded that cardiac and thoracic critically ill patients admitted to ICU need nutritional assessment. Because of nutritional status may be deteriorated during hospital stay so, it is suggested that nutritional assessment applied at admission to hospital. And recommended to nutritional assessment data must be included in patient assessment sheet such as anthropometric measurements, and biochemical analysis.