Nutritional management of COVID-19 patients in a rehabilitation
      unit

Brugliera, Luigia; Spina, Alfio; Castellazzi, Paola; Cimino, Paolo; Arcuri, Pietro; Negro, Alessandra; Houdayer, Elise; Alemanno, Federica; Giordani, Alessandra; Mortini, Pietro; Iannaccone, Sandro

doi:10.1038/s41430-020-0664-x

Cited by 108 publications

(139 citation statements)

References 14 publications

Supporting

Mentioning

128

Contrasting

Unclassified

Order By: Relevance

“…In addition to assessing older people’ nutritional risk upon hospital admission and during treatment of COVID-19, follow-up after improvement of or recovery from the disease with remission of pneumonia is necessary. A study including 50 young and older adult patients in a hospital unit and in rehabilitation after recovery from COVID-19 identified that 45% were at high nutritional risk and 26% were at moderate risk, according to MUST criteria [ 92 ].…”

Section: Discussionmentioning

confidence: 99%

Nutritional Risk Screening Tools for Older Adults with COVID-19: A Systematic Review

et al. 2020

View full text Add to dashboard Cite

Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in older people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature was searched in the MEDLINE, Embase, and LILACS databases. Four studies conducted in China met the eligibility criteria. Sample sizes ranged from six to 182, and participants’ ages from 65 to 87 years. Seven nutritional screening and assessment tools were used: the Nutritional Risk Screening 2002 (NRS-2002), the Mini Nutritional Assessment (MNA), the MNA-short form (MNA-sf), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Index (NRI), the Geriatric NRI (GNRI), and modified Nutrition Risk in the Critically ill (mNUTRIC) score. Nutritional risk was identified in 27.5% to 100% of participants. The NRS-2002, MNA, MNA-sf, NRI, and MUST demonstrated high sensitivity; the MUST had better specificity. The MNA and MUST demonstrated better criterion validity. The MNA-sf demonstrated better predictive validity for poor appetite and weight loss; the NRS-2002 demonstrated better predictive validity for prolonged hospitalization. mNUTRIC score demonstrated good predictive validity for hospital mortality. Most instruments demonstrate high sensitivity for identifying nutritional risk, but none are acknowledged as the best for nutritional screening in older adults with COVID-19.

show abstract

Section: Discussionmentioning

confidence: 99%

Nutritional Risk Screening Tools for Older Adults with COVID-19: A Systematic Review

et al. 2020

View full text Add to dashboard Cite

show abstract

“…We have read with great interest the article by Brugliera et al [ 1 ] reporting the prevalence of dysphagia and malnutrition in COVID-19 patients admitted to the San Raffaele Hospital in Milan (Italy). In their work, authors present a three-step nutritional protocol specifically developed for patients infected by SARS-Cov-2.…”

Section: To the Editormentioning

confidence: 99%

“…The study is meritorious especially for its potential implications for healthcare policies as targeting a condition (i.e., malnutrition) that has been severely neglected during this time of pandemic. In particular, Brugliera et al [ 1 ] reported an extremely high prevalence of dysphagia (i.e., >90%) in their COVID-19 patients. Moreover, the vast majority of them (i.e., >70%) presented a moderate-to-marked risk of malnutrition.…”

Section: To the Editormentioning

confidence: 99%

“…Another aspect to consider in addition to what presented by Brugliera et al [ 1 ] is that sarcopenia is not limited to lower limbs, but should be recognized as a whole body process, also affecting respiratory, masticatory, and swallowing muscles [ 6 ]. Recently, the construct of a “sarcopenic dysphagia”, characterized by the concomitant presence of sarcopenia and dysphagia, has been evoked [ 7 ].…”

Section: To the Editormentioning

confidence: 99%

See 1 more Smart Citation

Nutritional strategies for the rehabilitation of COVID-19 patients

et al. 2020

View full text Add to dashboard Cite

“…We read with interest the comments to our previous article by Azzolino et al about the nutritional management and the swallowing function in SARS-CoV-2 patients [ 1 , 2 ]. These comments highlighted that malnutrition and all its related issues represent a pivotal point, which has not been entirely studied both in COVID-19 and normal patients [ 1 ].…”

Section: To the Editormentioning

confidence: 99%