1. COVID-19 is associated with oropharyngeal dysphagia and malnutrition in hospitalized patients during the spring 2020 wave of the pandemic
- Author
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Alberto Martin-Martinez, Alicia Costa, Viridiana Arreola, Paula Viñas, Pere Clavé, Omar Ortega, Stephanie A Riera, Claudia Alarcón, and Weslania Viviane Nascimento
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Nutritional risk ,Nutritional Status ,030209 endocrinology & metabolism ,Critical Care and Intensive Care Medicine ,03 medical and health sciences ,0302 clinical medicine ,Swallowing ,Weight loss ,Internal medicine ,Pandemic ,Prevalence ,Medicine ,Humans ,Prospective Studies ,Risk factor ,Pandemics ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Malnutrition ,COVID-19 ,Fluid thickening ,medicine.disease ,Hospitalization ,Nutrition Assessment ,Observational study ,medicine.symptom ,business ,Deglutition Disorders ,Swallowing disorders ,Oropharyngeal dysphagia - Abstract
BACKGROUND & AIMS: Prevalence and complications of oropharyngeal dysphagia (OD) and malnutrition (MN) in COVID-19 patients is unknown. Our aim was to assess the prevalence, risk factors and clinical outcomes of OD and MN in a general hospital during the first wave of the COVID-19 pandemic. METHODS: This was a prospective, observational study involving clinical assessment of OD (Volume-Viscosity Swallowing Test), and nutritional screening (NRS2002) and assessment (GLIM criteria) in COVID-19 patients hospitalized in general wards at the Consorci Sanitari del Maresme, Catalonia, Spain. The clinical characteristics and outcomes of patients were assessed at pre-admission, admission and discharge, and after 3 and 6-months follow-up. RESULTS: We included 205 consecutive patients (69.28 ± 17.52 years, Charlson 3.74 ± 2.62, mean hospital stay 16.8 ± 13.0 days). At admission, Barthel Index was 81.3 ± 30.3; BMI 28.5 ± 5.4 kg/m2; OD prevalence 51.7% (44.1% impaired safety of swallow); and 45.5% developed MN with a mean weight loss of 10.1 ± 5.0 kg during hospitalization. OD was an independent risk factor for MN during hospitalization (OR 3.96 [1.45-10.75]), and hospitalization was prolonged in patients with MN compared with those without (21.9 ± 14.8 vs 11.9 ± 8.9 days, respectively; p
- Published
- 2021