A Comparative Study between the Three Waves of the Pandemic on the Prevalence of Oropharyngeal Dysphagia and Malnutrition among Hospitalized Patients with COVID-19
Viñas, Paula ![Identificador ORCID](/img/uab/orcid.ico)
(Hospital de Mataró. Consorci Sanitari del Maresme)
Martín-Martínez, Alberto (Hospital de Mataró. Consorci Sanitari del Maresme)
Alarcón Pedrero, Claudia ![Identificador ORCID](/img/uab/orcid.ico)
(Hospital de Mataró. Consorci Sanitari del Maresme)
Riera, Stephanie ![Identificador ORCID](/img/uab/orcid.ico)
(Hospital de Mataró. Consorci Sanitari del Maresme)
Miró Ramos, Jaume ![Identificador ORCID](/img/uab/orcid.ico)
(Hospital de Mataró. Consorci Sanitari del Maresme)
Amadó Ruiz, Cristina ![Identificador ORCID](/img/uab/orcid.ico)
(Hospital de Mataró. Consorci Sanitari del Maresme)
Clavé i Civit, Pere
(Hospital de Mataró. Consorci Sanitari del Maresme)
Ortega, Omar
(Hospital de Mataró. Consorci Sanitari del Maresme)
Universitat Autònoma de Barcelona
Data: |
2022 |
Resum: |
The phenotype of patients affected by COVID-19 disease changed between the waves of the pandemic. We assessed the prevalence of oropharyngeal dysphagia (OD), malnutrition (MN), and mortality between the first three waves of COVID-19 patients in a general hospital. A prospective observational study between April 2020-May 2021. Clinical assessment for OD was made with the volume-viscosity swallowing test; nutritional assessment was performed consistent with GLIM criteria. A multimodal intervention was implemented in the second and third wave, including (a) texturized diets-fork mashable (1900 kcal + 90 g protein) or pureed (1700 kcal + 75 g protein), (b) oral nutritional supplements (500-600 kcal + 25-30 g protein), and (c) fluid thickening (250 mPa·s or 800 mPa·s). We included 205 patients (69. 3 ± 17. 6 years) in the 1st, 200 (66. 4 ± 17. 5 years) in the 2nd, and 200 (72. 0 ± 16. 3 years;) in the 3rd wave (p = 0. 004). On admission, prevalence of OD was 51. 7%, 31. 3% and 35. 1%, and MN, 45. 9%, 36. 8% and 34. 7%, respectively; mortality was 10. 7%, 13. 6% and 19. 1%. OD was independently associated with age, delirium, and MN; MN, with age, OD, diarrhea and ICU admission; mortality, with age, OD and MN. Prevalence of OD, MN and mortality was very high among COVID-19 patients. OD was independently associated with MN and mortality. An early and proactive multimodal nutritional intervention improved patients' nutritional status. |
Drets: |
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Llengua: |
Anglès |
Document: |
Article ; recerca ; Versió publicada |
Matèria: |
COVID-19 ;
Fluid thickening ;
Malnutrition ;
Nutritional risk ;
Oropharyngeal dysphagia ;
Swallowing disorders |
Publicat a: |
Nutrients, Vol. 14 Núm. 18 (september 2022) , p. 3826, ISSN 2072-6643 |
DOI: 10.3390/nu14183826
PMID: 36145215
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Registre creat el 2024-05-17, darrera modificació el 2024-06-03