So sánh sàng lọc nguy cơ dinh dưỡng với tiêu chí GLIM mới về suy dinh dưỡng và liên quan đến suy nhược cơ ở bệnh nhân Covid-19 cao tuổi điều trị tại Bệnh viện Dã chiến truyền nhiễm 5G

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Tác giả: Việt Hùng Đinh, Thị Thu Hương Huỳnh, Duy Đông Nguyễn, Việt Hà Tạ

Ngôn ngữ: vie

Ký hiệu phân loại: 641.1 Food and drink

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 136-141

Bộ sưu tập: Metadata

ID: 498929

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Để so sánh công cụ sàng lọc dinh dưỡng phổ biến với tiêu chuẩn chẩn đoán mới của Sáng kiến Lãnh đạo Toàn cầu về Suy dinh dưỡng (GLIM) ở những bệnh nhân COVID-19 lớn tuổi nhập viện. Phương pháp: 182 bệnh nhân COVID-19 cao tuổi nhập khoa điều trị bệnh nhân nặng, Bệnh viện Dã chiến truyền nhiễm 5G được đánh giá liên tiếp khi nhập viện bằng công cụ sàng lọc nguy cơ dinh dưỡng 2002 (NRS-2002), suy dinh dưỡng theo tiêu chuẩn GLIM, và đánh giá nguy cơ suy nhược cơ bằng SARC-F. Kết quả: Tỷ lệ suy dinh dưỡng 46,7% theo GLIM. Độ nhạy, độ đặc hiệu của NRS-2002 trong phát hiện suy dinh dưỡng là 98,8% và 56,7%. Mức độ phù hợp với tiêu chuẩn GLIM là 54,0%. Công cụ sàng lọc có giá trị để chẩn đoán suy dinh dưỡng. Những bệnh nhân có nguy cơ dinh dưỡng theo NRS-2002 có nhiều khả năng hiện diện suy nhược cơ hơn những bệnh nhân có nguy cơ thấp (OR:4,04
KTC 95%: 1,31-12,4). Kết luận: NRS-2002 có giá trị trong phát hiện suy dinh dưỡng ở bệnh nhân COVID-19 cao tuổi nằm viện được chẩn đoán bởi tiêu chuẩn GLIM mới. Hơn nữa, bệnh nhân COVID-19 cao tuổi có nguy cơ cao suy dinh dưỡng theo NRS-2002 có nguy cơ cao mắc suy nhược cơ. Tình trạng dinh dưỡng nên được xác định bởi NRS-2002 ở bệnh nhân cao tuổi mắc COVID-19 khi nhập viện.To compare a popular nutritional screening tool with the new Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria in elderly hospitalized COVID-19 patients. Methods: 182 elderly COVID-19 patients admitted to the critical care ward, Infectious Field Hospital No.5G were evaluated consecutively upon admission using the nutritional risk screening tool 2002 (NRS-2002), undernutrition according to GLIM criteria, and assess the risk of sarcopenia by SARC-F tool. Results: Malnutrition rate 46.7% according to GLIM criteria. The sensitivity and specificity of NRS-2002 in detecting malnutrition were 98.8% and 56.7%, respectively. The concordance with the GLIM criteria was 54.0%. NRS-2002 was a moderate-value screening tool for the diagnosis of malnutrition. Patients at nutritional risk according to the NRS-2002 were more likely to present with sarcopenia than patients at low risk (OR: 4.04
95% CI: 1.31-12.4). Conclusion: NRS-2002 is valuable in detecting malnutrition in hospitalized elderly COVID-19 patients diagnosed by new GLIM criteria. Furthermore, elderly COVID-19 patients at high risk of malnutrition according to NRS-2002 are at increased risk of present with sarcopenia. Nutritional status should be determined by NRS-2002 in elderly patients with COVID-19 at hospital admission.

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