Could nutritional and functional status serve as prognostic factors for COVID-19 in the elderly?
Date
2020Author
Lidoriki, Irene
Frountzas, Maximos
Schizas, Dimitrios
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Abstract
Geriatric patients seem to be the most vulnerable group in COVID-19. These patients are usually characterized by
impaired mobilization and malnutrition. In addition, obesity has been correlated with increased mortality rates
after COVID-19 infection, highlighting the role of nutrition in prognosis of COVID-19 as well. In the past, several
indices of nutritional status (GNRI) and functional status (ECOG performance status, Barthel Index, Handgrip
Strength) have demonstrated a prognostic ability for hospitalized patients with influenza-like respiratory infections from coronavirus, metapneumovirus, parainfluenza and rhinovirus. Our hypothesis suggests that the
previously mentioned nutritional and functional status indices, combined with the pneumonia severity index
(CRB-65), could be useful in prognosis of morbidity and mortality of the elderly after the novel COVID-19
infection. Our hypothesis, is the first in the literature, which suggests a prognostic association between nutritional status of patients and COVID-19 infection, offering a quick and low-cost prognostic tool for COVID-19 in
the elderly
Palabras clave
COVID-19; Malnutrition; Frailty; Elderly; Functional statusLink to resource
https://doi.org/10.1016/j.mehy.2020.109946Collections
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