Your browser doesn't support javascript.
Increased nutrition risk at admission is associated with longer hospitalization in children and adolescents with COVID-19.
Zamberlan, Patrícia; Carlotti, Ana Paula de Carvalho Panzeri; Viani, Karina Helena Canton; Rodriguez, Isadora Souza; Simas, Josiane de Carvalho; Silvério, Ariadne Beatriz; Volpon, Leila Costa; de Carvalho, Werther Brunow; Delgado, Artur Figueiredo.
  • Zamberlan P; Division of Nutrition, Instituto da Criança e do Adolescente, Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil.
  • Carlotti APCP; Department of Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil.
  • Viani KHC; Division of Nutrition, Instituto da Criança e do Adolescente, Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil.
  • Rodriguez IS; Pediatric Intensive Care Unit, Instituto da Criança e do Adolescente, Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil.
  • Simas JC; Pediatric Intensive Care Unit, Instituto da Criança e do Adolescente, Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil.
  • Silvério AB; Department of Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil.
  • Volpon LC; Department of Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil.
  • de Carvalho WB; Department of Pediatrics, Medical School, Universidade de São Paulo, São Paulo, Brazil.
  • Delgado AF; Department of Pediatrics, Medical School, Universidade de São Paulo, São Paulo, Brazil.
Nutr Clin Pract ; 37(2): 393-401, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1712164
ABSTRACT

BACKGROUND:

We investigated the association of nutritional risk and inflammatory marker level with length of stay (LOS) in children and adolescents hospitalized for COVID-19 infection in two pediatric teaching hospitals in a developing country.

METHODS:

This was a cross-sectional analytical retrospective study performed in two pediatric hospitals. We included the data from all children and adolescents who were hospitalized with a SARS-CoV-2 infection between March and December 2020. Demographic, anthropometric, clinical, and laboratory data were extracted from electronic medical records. Nutritional risk was assessed according to the STRONGkids tool within 24 hours of admission and was categorized into two levels ≥4 (high risk) and <4 (moderate or low risk). Means or medians were compared between nutritional risk groups using the t test and Mann-Whitney U test, respectively. The association of nutritional risk and inflammatory markers with LOS was estimated using the Kaplan-Meier method and log-rank test. Cox proportional-hazard and linear regression models were performed, and adjusted for sex, age, and respiratory symptoms.

RESULTS:

From a total of 73 patients, 20 (27.4%) had a STRONGkids score ≥4 at admission, which was associated with a longer LOS even after adjusting (ß = 12.30; 1.74-22.9 95% CI; P = 0.023). The same association was observed between LOS and all laboratory markers except for D-dimer.

CONCLUSION:

Among children and adolescents with COVID-19, a STRONGkids score ≥4 at admission, lower values of albumin, lymphocytes, and hemoglobin, and higher CRP values were associated with longer LOS.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Malnutrition / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adolescent / Child / Humans Language: English Journal: Nutr Clin Pract Journal subject: Nutritional Sciences / Nursing Year: 2022 Document Type: Article Affiliation country: Ncp.10846

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Malnutrition / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adolescent / Child / Humans Language: English Journal: Nutr Clin Pract Journal subject: Nutritional Sciences / Nursing Year: 2022 Document Type: Article Affiliation country: Ncp.10846