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KMID : 1144420220370030332
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Acute and Critical Care
2022 Volume.37 No. 3 p.332 ~ p.338
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Association of nutrition risk screening 2002 and malnutrition universal screening tool with COVID-19 severity in hospitalized patients in Iran
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Eslamian Ghazaleh
Sali Sohrab
Babaei Mansour
Parastouei Karim
Moghadam Dorsa Arman
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Abstract
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Background: Malnutrition affects normal body function and is associated with disease severity and mortality. Due to the high prevalence of malnutrition reported in patients with coronavirus disease 2019 (COVID-19), the current study examined the association between malnutrition and disease severity in hospitalized adult patients with COVID-19 in Iran.
Methods: In this prospective observational study, 203 adult patients with COVID-19 verified by real-time polymerase chain reaction test and chest computed tomography were recruited from those admitted to a university hospital in Iran. To determine COVID-19 intensity, patients were categorized into four groups. Malnutrition assessment was based on the Malnutrition Universal Screening Tool (MUST) and nutrition risk screening score (NRS-2002). An ordinal regression model was run to assess the association between malnutrition and disease severity.
Results: In the studies sample of Iranian patients with COVID-19, 38.3% of patients had severe COVID-19. According to NRS-2002, 12.9% of patients were malnourished. Based on MUST, 2% of patients were at medium, and 13.4% of patients were at high risk of malnutrition. Malnutrition was associated with a higher odds of extremely severe COVID-19 according to NRS-2002 (odds ratio, 1.38; 95% confidence interval, 0.21?2.56; P=0.021).
Conclusions: Malnutrition was not prevalent in the studies sample of Iranian patients with COVID-19; however, it was associated with a higher odds of extremely severe COVID-19.
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KEYWORD
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COVID-19, Iran, malnutrition, Malnutrition Universal Screening Tool, nutrition risk screening score
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