Nutritional and Functional Impact of Acute SARS-CoV-2 Infection in Hospitalized Patients
Por:
Gómez-Uranga A, Guzmán-Martínez J, Esteve-Atiénzar PJ, Wikman-Jorgensen P, Núñez-Cruz JM, Espinosa-Del-Barrio L, Hernández-Isasi I, Pomares-Gómez FJ, Perelló-Camacho E, Fernández-García N, Sánchez-Miralles Á and Giner-Galvañ V
Publicada:
1 may 2022
Ahead of Print:
26 abr 2022
Categoría:
Medicine (miscellaneous)
Resumen:
Aim: To assess the prevalence of malnutrition, frailty, and sarcopenia and the relationships between them in patients hospitalized for COVID-19. Methods: This was a cross-sectional study of the prevalence, determinants, and associations between malnutrition (GLIM 2019 criteria), sarcopenia (SARC-F scale, dynamometry, and calf circumference), and frailty (FRAIL scale) upon discharge following hospitalization for COVID 19. Results: A total of 101 patients (67.3% men, mean age 66.3 years) were recruited. Malnutrition was diagnosed in 49.5%, sarcopenia in 32.7%, and frailty in 28.7% of patients. Of the patients with malnutrition, 48% were also sarcopenic, and 42% were frail. There was a significant association between malnutrition and the severity of pneumonia according to the CURB-65 scale (odds ratio [OR] 2.61, p = 0.036), between sarcopenia and a Barthel score lower than 60 points (OR 29.52, p < 0.001), and between frailty and both a Barthel score lower than 60 points (OR 32.27, p < 0.001) and a length of hospital stay of over 30 days (OR 9.11, p = 0.008). Conclusions: Malnutrition, sarcopenia, and frailty are prevalent and interrelated entities in patients hospitalized for acute SARS CoV-2 infection, especially in patients with greater baseline functional impairment prior to admission and a higher infection severity.
Filiaciones:
:
Internal Medicine Service, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
:
Internal Medicine Service, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
:
Internal Medicine Service, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
:
Internal Medicine Service, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
:
Internal Medicine Service, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
:
Internal Medicine Service, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
:
Internal Medicine Service, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
:
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
Endocrinology and Nutrition Section, University Hospital San Juan de Alicante, 03550 Alicante, Spain
:
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
Endocrinology and Nutrition Section, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Fernández-García N:
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
Rehabilitation Service, University Hospital San Juan de Alicante, 03550 Alicante, Spain
:
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
Intensive Care Unit, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Clinical Medicine Department, University Miguel Hernández de Elche, 03550 Alicante, Spain
:
Internal Medicine Service, University Hospital San Juan de Alicante, 03550 Alicante, Spain
Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 46020 Valencia, Spain
Clinical Medicine Department, University Miguel Hernández de Elche, 03550 Alicante, Spain
gold, Green Published
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