Sarcopenia and risk of malnutrition as risk factors for complications from COVID-19
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2023.206364Keywords:
Aging, COVID-19, Hospitalization, Intensive care unit, MalnutritionAbstract
Purpose: This study aimed to associate nutritional and sarcopenia risk with clinical outcomes in elderly patients with COVID-19. Methods: This is a longitudinal retrospective cohort study. Hospitalized elderly individuals diagnosed with COVID-19 were included in the study. Nutritional risk was assessed using the Malnutrition Universal Screening Tool (MUST), and Sarcopenia risk was assessed using the SARC-F. Associations were assessed through
multivariable logistic models. Results: In total, 127 patients (mean age: 71.25 ±8.06 years) were followed up until the clinical outcome. Sarcopenia risk was diagnosed in 63.8% of the sample, whereas nutritional risk was observed in 72%. Hospitalization in the intensive care unit (ICU) was required in 48.8% of the sample, 38.6% required mechanical
ventilation, and 32.3% died. Elderly individuals with sarcopenia risk were more likely to be hospitalized in
ICUs (OR: 5.62; 95%CI: 2.2-14.3), require mechanical ventilation (OR: 4.0; 95% CI: 1.5-10.2), and die (OR: 5.06; 95% CI: 1.7-14.2). The risk of malnutrition assessed through MUST was an important risk factor for death (OR = 30.15; 95% CI: 3.6-245.8; p<0.01). Conclusion: Sarcopenia risk was a risk factor for death, hospitalization in ICU, and mechanical ventilation, while nutritional risk was a risk factor for death.
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Copyright (c) 2023 Laís Gomes Lessa Vasconcelos, Janatar Stella Vasconcelos de Melo Me Mpomo, Mateus de Lima Macena, Thamires Otaviano Marques de Souza, Celina de Azevedo Dias, Sandra Mary Lima Vasconcelos, Müller Ribeiro-Andrade, João Araújo Barros-Neto
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