دورية أكاديمية
أعرض في EDS

Nutritional risk at hospital admission is associated with prolonged length of hospital stay in old patients with COVID-19.

التفاصيل البيبلوغرافية
العنوان: Nutritional risk at hospital admission is associated with prolonged length of hospital stay in old patients with COVID-19.
المؤلفون: Mendes A; Division of Geriatrics, University Hospitals of Geneva and University of Geneva, Chemin du Pont-Bochet 3, Geneva, Switzerland. Electronic address: aline.mendes@hcuge.ch., Serratrice C; Division of Internal Medicine for the Aged, University Hospitals of Geneva and University of Geneva, Chemin du Pont-Bochet 3, Geneva, Switzerland. Electronic address: christine.serratrice@hcuge.ch., Herrmann FR; Division of Geriatrics, University Hospitals of Geneva and University of Geneva, Chemin du Pont-Bochet 3, Geneva, Switzerland. Electronic address: francois.herrmann@hcuge.ch., Gold G; Division of Geriatrics, University Hospitals of Geneva and University of Geneva, Chemin du Pont-Bochet 3, Geneva, Switzerland. Electronic address: gabriel.gold@hcuge.ch., Graf CE; Division of Internal Medicine and Rehabilitation, University Hospitals of Geneva and University of Geneva, Chemin du Pont-Bochet 3, Geneva, Switzerland. Electronic address: christophe.graf@hcuge.ch., Zekry D; Division of Internal Medicine for the Aged, University Hospitals of Geneva and University of Geneva, Chemin du Pont-Bochet 3, Geneva, Switzerland. Electronic address: dina.zekry@hcuge.ch., Genton L; Clinical Nutrition, University Hospitals of Geneva and University of Geneva, Chemin du Pont-Bochet 3, Geneva, Switzerland. Electronic address: laurence.genton@hcuge.ch.
المصدر: Clinical nutrition (Edinburgh, Scotland) [Clin Nutr] 2022 Dec; Vol. 41 (12), pp. 3085-3088. Date of Electronic Publication: 2021 Mar 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 8309603 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-1983 (Electronic) Linking ISSN: 02615614 NLM ISO Abbreviation: Clin Nutr Subsets: MEDLINE
أسماء مطبوعة: Publication: <2004->: Kidlington, Oxford, U.K. : Elsevier
Original Publication: Edinburgh ; New York : Churchill Livingstone, c1982-
مواضيع طبية MeSH: Malnutrition*/diagnosis , COVID-19*/epidemiology, Humans ; Aged ; Length of Stay ; Nutrition Assessment ; Nutritional Status ; Retrospective Studies ; Hospitals
مستخلص: Background & Aims: To investigate the association of nutritional risk at admission with the length of hospital stay (LOS) and mortality in older patients with COVID-19.
Methods: Retrospective monocentric study in an acute geriatric hospital. Data were collected after an extensive review of medical records and the nutritional risk was assessed according to the Nutritional Risk Screening (NRS). Univariate and multivariate (adjusted for age, sex and comorbidity burden) Cox proportional-hazard and linear regression models were used to investigate the association with the above-mentioned outcomes.
Results: Of a total of 245 patients (86.1 ± 6.4 yrs), 50.6% had a severe nutritional risk with an NRS≥5/7 at admission. Lower BMI, cognitive impairment and swallowing disorders were more prevalent in the patients with a higher NRS. A NRS≥5 was not associated with mortality but prolonged by more than 3 days the LOS among the 173 survivors (β 3.69; 0.71-6.67 95% CI; p = 0.016), with a discharge rate delayed by 1.8 times (HR 0.55; 0.37-0.83 95% CI; p = 0.101).
Conclusion: Among the survivors of COVID-19 in an acute geriatric hospital, a NRS ≥5 at admission was associated with a longer LOS, but not with mortality.
Competing Interests: Conflict of Interest The authors have no conflict of interest to declare.
(Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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فهرسة مساهمة: Keywords: COVID-19; LOS; Malnutrition; Mortality; Nutritional risk screening
تواريخ الأحداث: Date Created: 20210502 Date Completed: 20221206 Latest Revision: 20230125
رمز التحديث: 20230127
مُعرف محوري في PubMed: PMC7985608
DOI: 10.1016/j.clnu.2021.03.017
PMID: 33933295
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-1983
DOI:10.1016/j.clnu.2021.03.017