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新型冠状病毒2型急性感染对住院患者的营养和功能影响

Nutritional and Functional Impact of Acute SARS-CoV-2 Infection in Hospitalized Patients.

作者信息

Gómez-Uranga Angie, Guzmán-Martínez Javier, Esteve-Atiénzar Pedro Jesús, Wikman-Jorgensen Philip, Núñez-Cruz Juan Manuel, Espinosa-Del-Barrio Leticia, Hernández-Isasi Isidro, Pomares-Gómez Francisco J, Perelló-Camacho Eva, Fernández-García Nuria, Sánchez-Miralles Ángel, Giner-Galvañ Vicente

机构信息

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.

出版信息

J Clin Med. 2022 Apr 26;11(9):2424. doi: 10.3390/jcm11092424.

Abstract

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.

摘要

目的

评估因新型冠状病毒肺炎(COVID-19)住院患者中营养不良、衰弱和肌肉减少症的患病率及其相互关系。方法:这是一项横断面研究,旨在探讨COVID-19住院患者出院时营养不良(2019年全球营养不良领导倡议(GLIM)标准)、肌肉减少症(SARC-F量表、握力测定和小腿围)和衰弱(FRAIL量表)的患病率、决定因素及相关性。结果:共纳入101例患者(男性占67.3%,平均年龄66.3岁)。49.5%的患者被诊断为营养不良,32.7%为肌肉减少症,28.7%为衰弱。在营养不良患者中,48%同时患有肌肉减少症,42%存在衰弱。根据CURB-65量表,营养不良与肺炎严重程度之间存在显著关联(比值比[OR]2.61,p = 0.036);肌肉减少症与Barthel评分低于60分之间存在显著关联(OR 29.52,p < 0.001);衰弱与Barthel评分低于60分(OR 32.27,p < 0.001)以及住院时间超过30天(OR 9.11,p = 0.008)均存在显著关联。结论:在因急性严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染住院的患者中,尤其是入院前基线功能损害较大且感染严重程度较高的患者,营养不良、肌肉减少症和衰弱是普遍存在且相互关联的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e1/9103467/e1ad1dc3c9df/jcm-11-02424-g001.jpg

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