Evidence map›Paper›PMID 32404899›Full record

ArticleEuropean journal of clinical nutrition2020

Clinical significance of nutritional risk screening for older adult patients with COVID-19.

Gaoli Liu, Shaowen Zhang, Zhangfan Mao, Weixing Wang, Haifeng Hu

Abstract read
In one paragraph

Article in European journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Gaoli LiuDepartment of Thoracic surgery, Renmin Hospital of Wuhan University, Jiefang Road 238, Hubei province, Wuhan, 430060, PR China.ORCID http://orcid.org/0000-0001-6675-2422
Shaowen ZhangDepartment of Thoracic surgery, Renmin Hospital of Wuhan University, Jiefang Road 238, Hubei province, Wuhan, 430060, PR China.
Zhangfan MaoDepartment of Thoracic surgery, Renmin Hospital of Wuhan University, Jiefang Road 238, Hubei province, Wuhan, 430060, PR China.
Weixing WangDepartment of General surgery, Renmin Hospital of Wuhan University, Jiefang Road 238, Hubei province, Wuhan, 430060, PR China. 13392186@qq.com.
Haifeng HuDepartment of Thoracic surgery, Renmin Hospital of Wuhan University, Jiefang Road 238, Hubei province, Wuhan, 430060, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to assess the nutritional risks among older patients with COVID-19 and their associated clinical outcomes using four nutritional risk screening (NRS) tools: Nutrition Risk Screening 2002 (NRS 2002), Malnutrition Universal Screening Tool (MUST), Mini Nutrition Assessment Shortcut (MNA-sf), and Nutrition Risk Index (NRI).

methodsWe retrospectively analyzed the data of patients with COVID-19 older than 65 years who were treated in our hospital from January 28, 2020 to March 5, 2020, and explored the relationship between nutritional risk and clinical outcomes.

resultsA total of 141 patients with COVID-19 (46 common COVID-19, 73 severe COVID-19, and 22 extremely severe COVID-19) were enrolled in the study. NRS 2002 identified 85.8% of patients as having risk, with being identified 41.1% by MUST, 77.3% by MNA-sf, and 71.6% by NRI. The agreement strength was moderate between NRS 2002 and MNA-sf, NRI, fair between MUST and MNA-sf, NRI, fair between MNA-sf and NRI, poor between NRS 2002 and MUST (P < 0.01). After adjustment for confounding factors in multivariate regression analysis, patients in the risk group had significantly longer LOS, higher hospital expenses (except MNA-sf), poor appetite, heavier disease severity, and more weight change(kg) than normal patients by using NRS 2002, MNA-sf, and NRI(P < 0.05).

conclusionsThe NRS 2002, MNA-sf, and NRI are useful and practical tools with respect to screening for patients with COVID-19 who are at nutritional risk, as well as in need of additional nutritional intervention.

Indexed as

BetacoronavirusNutrition AssessmentAgedAged, 80 and overCoronavirus InfectionsCOVID-19FemaleGeriatric AssessmentHumansMaleMalnutritionNutritional StatusPandemicsPneumonia, ViralPredictive Value of TestsRetrospective Studies

Identifiers

PMID32404899
PMCPMC7220650

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.