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Nutritional Risk Screening Tools for Older Adults with COVID-19: A Systematic Review.
Silva, David Franciole Oliveira; Lima, Severina Carla Vieira Cunha; Sena-Evangelista, Karine Cavalcanti Mauricio; Marchioni, Dirce Maria; Cobucci, Ricardo Ney; Andrade, Fábia Barbosa de.
  • Silva DFO; Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte-UFRN, Natal 59056-000, Brazil.
  • Lima SCVC; Department of Nutrition, Federal University of Rio Grande do Norte-UFRN, Natal 59078-970, Brazil.
  • Sena-Evangelista KCM; Department of Nutrition, Federal University of Rio Grande do Norte-UFRN, Natal 59078-970, Brazil.
  • Marchioni DM; Department of Nutrition, School of Public Health, University of São Paulo-USP, São Paulo 05410-020, Brazil.
  • Cobucci RN; Postgraduate Program in Biotechnology, Potiguar University-UnP, Natal 59056-000, Brazil.
  • Andrade FB; Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte-UFRN, Natal 59056-000, Brazil.
Nutrients ; 12(10)2020 Sep 27.
Artículo en Inglés | MEDLINE | ID: covidwho-963735
ABSTRACT
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.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Evaluación Geriátrica / Evaluación Nutricional / Infecciones por Coronavirus / Desnutrición / Betacoronavirus Tipo de estudio: Estudios diagnósticos / Estudio pronóstico / Revisiones / Revisión sistemática/Meta análisis Tópicos: Covid persistente Límite: Anciano / Femenino / Humanos / Masculino / Middle aged Idioma: Inglés Año: 2020 Tipo del documento: Artículo País de afiliación: Nu12102956

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Evaluación Geriátrica / Evaluación Nutricional / Infecciones por Coronavirus / Desnutrición / Betacoronavirus Tipo de estudio: Estudios diagnósticos / Estudio pronóstico / Revisiones / Revisión sistemática/Meta análisis Tópicos: Covid persistente Límite: Anciano / Femenino / Humanos / Masculino / Middle aged Idioma: Inglés Año: 2020 Tipo del documento: Artículo País de afiliación: Nu12102956