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10.1038/s41430-020-0659-7

http://scihub22266oqcxt.onion/10.1038/s41430-020-0659-7
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suck abstract from ncbi


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pmid32404899      Eur+J+Clin+Nutr 2020 ; 74 (6): 876-883
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  • Clinical significance of nutritional risk screening for older adult patients with COVID-19 #MMPMID32404899
  • Liu G; Zhang S; Mao Z; Wang W; Hu H
  • Eur J Clin Nutr 2020[Jun]; 74 (6): 876-883 PMID32404899show ga
  • OBJECTIVES: 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.
  • |*Betacoronavirus[MESH]
  • |*Nutrition Assessment[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications/physiopathology/virology[MESH]
  • |Female[MESH]
  • |Geriatric Assessment/*methods[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Malnutrition/*diagnosis/virology[MESH]
  • |Nutritional Status[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/physiopathology/virology[MESH]
  • |Predictive Value of Tests[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Assessment/methods[MESH]
  • |Risk Factors[MESH]


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