Undernourished patients do not have increased risk of severe COVID-19 outcomes.

Covid-19 Death Intensive care Invasive mechanical ventilation Undernutrition

Journal

Clinical nutrition open science
ISSN: 2667-2685
Titre abrégé: Clin Nutr Open Sci
Pays: United States
ID NLM: 101778516

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 14 01 2022
accepted: 23 03 2022
pubmed: 6 4 2022
medline: 6 4 2022
entrez: 5 4 2022
Statut: ppublish

Résumé

Undernutrition has been previously identified as a deleterious factor in acute infections. In covid-19 infection, obesity is a risk-factor of severe evolution, but initial undernutrition has not been evaluated yet. We retrospectively analyzed correlation between nutritional status at admission and severe outcomes (intensive care unit admission, invasive mechanical ventilation requirement and death) of patients hospitalized for confirmed covid-19 infection. Risk of intensive care unit admission and invasive mechanical ventilation requirement was not significantly different between undernutrition and normoweight sub-groups, but increased in excessive weight sub-group (ODDR (IC 95%) 1.048 (1.011-1.086), p = 0.011). Risk of death was the same in all sub-groups. Undernutrition didn't appear as a factor of severe outcomes in covid-19 infection.

Sections du résumé

Background UNASSIGNED
Undernutrition has been previously identified as a deleterious factor in acute infections. In covid-19 infection, obesity is a risk-factor of severe evolution, but initial undernutrition has not been evaluated yet.
Methods UNASSIGNED
We retrospectively analyzed correlation between nutritional status at admission and severe outcomes (intensive care unit admission, invasive mechanical ventilation requirement and death) of patients hospitalized for confirmed covid-19 infection.
Results UNASSIGNED
Risk of intensive care unit admission and invasive mechanical ventilation requirement was not significantly different between undernutrition and normoweight sub-groups, but increased in excessive weight sub-group (ODDR (IC 95%) 1.048 (1.011-1.086), p = 0.011). Risk of death was the same in all sub-groups.
Conclusion UNASSIGNED
Undernutrition didn't appear as a factor of severe outcomes in covid-19 infection.

Identifiants

pubmed: 35378830
doi: 10.1016/j.nutos.2022.03.002
pii: S2667-2685(22)00018-3
pmc: PMC8968129
doi:

Types de publication

Journal Article

Langues

eng

Pagination

9-14

Informations de copyright

© 2022 The Authors.

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests. All authors read and approved the final manuscript.

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Auteurs

Ahmad Fneich (A)

Univ Lyon, Hospices Civil de Lyon, Gastro-enterology and Pediatric Nutrition, Hôpital Femme Mère Enfant, F-69500, Bron, France.

Pierre Poinsot (P)

Univ Lyon, Hospices Civil de Lyon, Gastro-enterology and Pediatric Nutrition, Hôpital Femme Mère Enfant, F-69500, Bron, France.
Univ Lyon, CarMeN Laboratory, INRAE, UMR1397, INSERM, UMR1060, F-69310, Pierre-Bénite, France.

Christelle Elias (C)

Emerging Pathogens Laboratory- Fondation Mérieux, Lyon, France.
Univ Lyon, Centre International de Recherche en Infectiologie (CIRI), INSERM U1111, CNRS, UMR 5308, ENS Lyon, F-69008 Lyon, France.
Univ Lyon, Hospices Civil de Lyon, Infection Control and Epidemiology Unit, Hôpital Croix Rousse, F-69004 Lyon, France.

Lioara Restier (L)

Univ Lyon, Hospices Civil de Lyon, Gastro-enterology and Pediatric Nutrition, Hôpital Femme Mère Enfant, F-69500, Bron, France.

Philippe Vanhems (P)

Emerging Pathogens Laboratory- Fondation Mérieux, Lyon, France.
Univ Lyon, Centre International de Recherche en Infectiologie (CIRI), INSERM U1111, CNRS, UMR 5308, ENS Lyon, F-69008 Lyon, France.
Univ Lyon, Hospices Civil de Lyon, Infection Control and Epidemiology Unit, Hôpital Croix Rousse, F-69004 Lyon, France.

Florent Wallet (F)

Univ Lyon, Centre International de Recherche en Infectiologie (CIRI), INSERM U1111, CNRS, UMR 5308, ENS Lyon, F-69008 Lyon, France.
Univ Lyon, Hospices Civils de Lyon, Medical Intensive Care Unit, Lyon-Sud Hospital, F69310, Pierre Bénite, France.

Cyrielle Caussy (C)

Univ Lyon, CarMeN Laboratory, INRAE, UMR1397, INSERM, UMR1060, F-69310, Pierre-Bénite, France.
Univ Lyon, Hospices Civils de Lyon, Département Endocrinologie, Diabète et Nutrition, Hôpital Lyon Sud, F-69495, Pierre-Bénite, France.

Antoine Duclos (A)

Univ Lyon, Hospices Civils de Lyon, Health Data Department, Health Services and Performance Research Lab (HeSPeR, EA 7425), Lyon, France.

Noël Peretti (N)

Univ Lyon, Hospices Civil de Lyon, Gastro-enterology and Pediatric Nutrition, Hôpital Femme Mère Enfant, F-69500, Bron, France.
Univ Lyon, CarMeN Laboratory, INRAE, UMR1397, INSERM, UMR1060, F-69310, Pierre-Bénite, France.

Classifications MeSH