COVID-19 patients at risk can be identified
by evaluating the nutritional status along with the established
diagnostic protocol.
Malnutrition or poor nutritional status was found to be related to mortality in hospitalized COVID-19 patients, a retrospective observational study in Nutrition Journal explained. Feier Song et al. assessed the nutritional and baseline clinical features of coronavirus-infected individuals and studied the possible link between malnutrition/poor nutrition/undernutrition at the time of admission and mortality risk in hospitalized patients.
The clinical data of mild or moderate, severe, critically ill COVID-19-infected individuals and mortality were assembled. Simple screening tools like Controlling Nutritional Status (CONUT) score, Geriatric nutritional risk index (GNRI) in elderly patients and Prognostic nutritional index (PNI) were used for examining malnutrition risk examination.
A total of 295 patients (66 severe patients; 41 critically ill patients) were registered for the study. Overall, 25 deaths were noted, contributing to 8.47% in the entire population and 37.88% in critically ill individuals. The patients had notable differences in nutrition-linked parameters and inflammatory biomarkers among different disease severity. Patients with higher CONUT scores along with lower GNRI and PNI were more prone to in-hospital mortality.
The receiver
operating characteristic curves illustrated a good prognostic implication of
CONUT score and GNRI. As found, the baseline nutritional status was a
prognostic indicator for death/mortality. This study brought about novel
understandings of nutritional monitoring and the significance of nutritional
screening at hospitalization.
Nutrition Journal
Nutritional screening based on objective indices at admission predicts in-hospital mortality in patients with COVID-19
Feier Song et al.
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