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dc.creatorLiu, Gaoli
dc.creatorZhang, Shaowen
dc.creatorMao, Zhangfan
dc.creatorWang, Weixing
dc.creatorHu, Haifeng
dc.date.accessioned2020-07-15T14:15:56Z
dc.date.available2020-07-15T14:15:56Z
dc.date.created2020-05-13
dc.identifier.issn1476-5640 (online)spa
dc.identifier.otherhttps://www.nature.com/articles/s41430-020-0659-7spa
dc.identifier.urihttp://hdl.handle.net/20.500.12010/10541
dc.format.extent8 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.publisherEuropean Journal of Clinical Nutritioneng
dc.sourcereponame:Expeditio Repositorio Institucional UJTLspa
dc.sourceinstname:Universidad de Bogotá Jorge Tadeo Lozanospa
dc.subjectolder adult patientsspa
dc.subjectnutritional riskspa
dc.titleClinical significance of nutritional risk screening for older adult patients with COVID-19spa
dc.type.localArtículospa
dc.subject.lembSíndrome respiratorio agudo gravespa
dc.subject.lembCOVID-19spa
dc.subject.lembSARS-CoV-2spa
dc.subject.lembCoronavirusspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.identifier.doihttps://doi.org/10.1038/s41430-020-0659-7spa
dc.description.abstractenglishObjectives The aim of this study was to assess the nutritional risks among older patients with COVID-19 and their associated clinical outcomes using four nutritional risk screening (NRS) tools: Nutrition Risk Screening 2002 (NRS 2002), Malnutrition Universal Screening Tool (MUST), Mini Nutrition Assessment Shortcut (MNA-sf), and Nutrition Risk Index (NRI). Methods We retrospectively analyzed the data of patients with COVID-19 older than 65 years who were treated in our hospital from January 28, 2020 to March 5, 2020, and explored the relationship between nutritional risk and clinical outcomes. Results A total of 141 patients with COVID-19 (46 common COVID-19, 73 severe COVID-19, and 22 extremely severe COVID-19) were enrolled in the study. NRS 2002 identified 85.8% of patients as having risk, with being identified 41.1% by MUST, 77.3% by MNA-sf, and 71.6% by NRI. The agreement strength was moderate between NRS 2002 and MNA-sf, NRI, fair between MUST and MNA-sf, NRI, fair between MNA-sf and NRI, poor between NRS 2002 and MUST (P < 0.01). After adjustment for confounding factors in multivariate regression analysis, patients in the risk group had significantly longer LOS, higher hospital expenses (except MNA-sf), poor appetite, heavier disease severity, and more weight change(kg) than normal patients by using NRS 2002, MNA-sf, and NRI(P < 0.05). Conclusions The NRS 2002, MNA-sf, and NRI are useful and practical tools with respect to screening for patients with COVID-19 who are at nutritional risk, as well as in need of additional nutritional intervention.spa


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