OMPARISON OF NUTRITIONAL RISK SCREENING WITH THE NEW GLIM CRITERIA FOR MALNUTRITION AND ASSOCIATION WITH SARCOPENIA IN ELDERLY COVID-19 PATIENTS TREATED AT INFECTIOUS FIELD HOSPITAL NO.5G

Nguyễn Duy Đông1,, Tạ Việt Hà1, Huỳnh Thị Thu Hương1, Đinh Việt Hùng1
1 Military Hospital 103

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Abstract

Objectives: To compare a popular nutritional screening tool with the new Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria in elderly hospitalized COVID-19 patients. Methods: 182 elderly COVID-19 patients admitted to the critical care ward,  Infectious Field Hospital No.5G were evaluated consecutively upon admission using the nutritional risk screening tool 2002 (NRS-2002), undernutrition according to GLIM criteria, and assess the risk of sarcopenia by SARC-F tool. Results: Malnutrition rate 46.7% according to GLIM criteria. The sensitivity and specificity of NRS-2002 in detecting malnutrition were 98.8% and 56.7%, respectively. The concordance with the GLIM criteria was 54.0%. NRS-2002 was a moderate-value screening tool for the diagnosis of malnutrition. Patients at nutritional risk according to the NRS-2002 were more likely to present with sarcopenia than patients at low risk (OR: 4.04; 95% CI: 1.31-12.4). Conclusion: NRS-2002 is valuable in detecting malnutrition in hospitalized elderly COVID-19 patients diagnosed by new GLIM criteria. Furthermore, elderly COVID-19 patients at high risk of malnutrition according to NRS-2002 are at increased risk of present with sarcopenia. Nutritional status should be determined by NRS-2002 in elderly patients with COVID-19 at hospital admission.

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References

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