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Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis

(1) Background: Studies have reported that COVID-19 may increase the risk of malnutrition among patients. However, the prevalence of such risk in hospitalized COVID-19 patients is uncertain due to the inconsistent use of assessment methods. (2) Methods: PubMed, Web of Science, and EMBASE were search...

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Autores principales: Feng, Xiaoru, Liu, Zeqi, He, Xiaotong, Wang, Xibiao, Yuan, Changzheng, Huang, Liyan, Song, Rui, Wu, You
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780808/
https://www.ncbi.nlm.nih.gov/pubmed/36558436
http://dx.doi.org/10.3390/nu14245267
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author Feng, Xiaoru
Liu, Zeqi
He, Xiaotong
Wang, Xibiao
Yuan, Changzheng
Huang, Liyan
Song, Rui
Wu, You
author_facet Feng, Xiaoru
Liu, Zeqi
He, Xiaotong
Wang, Xibiao
Yuan, Changzheng
Huang, Liyan
Song, Rui
Wu, You
author_sort Feng, Xiaoru
collection PubMed
description (1) Background: Studies have reported that COVID-19 may increase the risk of malnutrition among patients. However, the prevalence of such risk in hospitalized COVID-19 patients is uncertain due to the inconsistent use of assessment methods. (2) Methods: PubMed, Web of Science, and EMBASE were searched to identify studies on the nutritional status of hospitalized COVID-19 patients. A pooled prevalence of malnutrition risk evaluated by Nutrition Risk Score (NRS-2002) was obtained using a random effects model. Differences by study-level characteristics were examined by hospitalization setting, time of assessment, age, and country. Risk of bias was assessed using the Newcastle–Ottawa Scale. (3) Results: 53 studies from 17 countries were identified and summarized. A total of 17 studies using NRS-2002, including 3614 COVID-19 patients were included in the primary meta-analysis. The pooled prevalence of risk of malnutrition was significantly higher among ICU patients (92.2%, 95% CI: 85.9% to 96.8%) than among general ward patients (70.7%, 95% CI: 56.4% to 83.2%) (p = 0.002). No significant differences were found between age groups (≥65 vs. <65 years, p = 0.306) and countries (p = 0.893). (4) Conclusions: High risk of malnutrition is common and concerning in hospitalized patients with COVID-19, suggesting that malnutrition screening and nutritional support during hospitalization are needed.
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spelling pubmed-97808082022-12-24 Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis Feng, Xiaoru Liu, Zeqi He, Xiaotong Wang, Xibiao Yuan, Changzheng Huang, Liyan Song, Rui Wu, You Nutrients Review (1) Background: Studies have reported that COVID-19 may increase the risk of malnutrition among patients. However, the prevalence of such risk in hospitalized COVID-19 patients is uncertain due to the inconsistent use of assessment methods. (2) Methods: PubMed, Web of Science, and EMBASE were searched to identify studies on the nutritional status of hospitalized COVID-19 patients. A pooled prevalence of malnutrition risk evaluated by Nutrition Risk Score (NRS-2002) was obtained using a random effects model. Differences by study-level characteristics were examined by hospitalization setting, time of assessment, age, and country. Risk of bias was assessed using the Newcastle–Ottawa Scale. (3) Results: 53 studies from 17 countries were identified and summarized. A total of 17 studies using NRS-2002, including 3614 COVID-19 patients were included in the primary meta-analysis. The pooled prevalence of risk of malnutrition was significantly higher among ICU patients (92.2%, 95% CI: 85.9% to 96.8%) than among general ward patients (70.7%, 95% CI: 56.4% to 83.2%) (p = 0.002). No significant differences were found between age groups (≥65 vs. <65 years, p = 0.306) and countries (p = 0.893). (4) Conclusions: High risk of malnutrition is common and concerning in hospitalized patients with COVID-19, suggesting that malnutrition screening and nutritional support during hospitalization are needed. MDPI 2022-12-10 /pmc/articles/PMC9780808/ /pubmed/36558436 http://dx.doi.org/10.3390/nu14245267 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Feng, Xiaoru
Liu, Zeqi
He, Xiaotong
Wang, Xibiao
Yuan, Changzheng
Huang, Liyan
Song, Rui
Wu, You
Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis
title Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis
title_full Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis
title_fullStr Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis
title_full_unstemmed Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis
title_short Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis
title_sort risk of malnutrition in hospitalized covid-19 patients: a systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780808/
https://www.ncbi.nlm.nih.gov/pubmed/36558436
http://dx.doi.org/10.3390/nu14245267
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