Assessment of Muscle Function in Severe and Malnourished COVID-19 Patients

Gérard, Marine; Nguyen-Thi, Phi-Linh; Malgras, Aurélie; Bermand, Thomas; Jaussaud, R.; Quilliot, Didier

doi:10.11648/j.ijnfs.20200905.12

Cited by 2 publications

(10 citation statements)

References 15 publications

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“…an objective value of muscle strength such as the hand grip. In our previous pilot study, 14 SES was able to differentially distinguish patients with low or high progression of hand grip strength during hospitalisation (4.7%±5.6% vs 19.3%±15.3%; p=0.008). In addition, patients with SES <7 also had lower brachial circumference (26.2±3.7 cm vs 29.5±3.8 cm; p=0.024) and lower calf circumference (34.9±4.2 cm vs 30.7±3.7 cm; p=0.020).…”

Section: Discussionmentioning

confidence: 82%

“…In practice, patients were asked to evaluate their arm and leg strength in comparison with their strength prior to COVID-19. As suggested by Krznaric et al, 14 patients were asked their degree of difficulty in lifting or carrying a weight, walking across the room, rising from a chair or bed and to evaluate these difficulties using a 10-point verbal or visual analogue scales (10=same strength as before illness and 0=total loss of strength.…”

Section: Symptomsmentioning

confidence: 99%

“…12 A simpler method is thus necessary to assess the evolution of muscle deficit such as the evaluation of food intake by the self-evaluation of food intake (SEFI) using a visual analogue scale for diagnostic purposes, as well as to guide nutritional treatment. 13 In a previous pilot study, 14 we showed that a self-evaluation of strength (SES) for arms and legs enabled detecting progression in muscle strength measured with the hand grip test and could be used to screen/follow the change in subjective functional loss of inpatients or outpatients given its simplicity.…”

Section: Introductionmentioning

confidence: 99%

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Impact of severe SARS-CoV-2 infection on nutritional status and subjective functional loss in a prospective cohort of COVID-19 survivors

Quilliot¹,

Gérard²,

Bonsack³

et al. 2021

BMJ Open

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The nutritional sequelae of COVID-19 have not been explored in a large cohort study.ObjectivesTo identify factors associated with the change in nutritional status between discharge and 30 days post-discharge (D30). Secondary objectives were to determine the prevalence of subjective functional loss and severe disability at D30 and their associated factors.MethodsCollected data included symptoms, nutritional status, self-evaluation of food intake, Performance Status (PS) Scale, Asthenia Scale, self-evaluation of strength (SES) for arms and legs at discharge and at D30. An SES <7 was used to determine subjective functional loss. A composite criteria for severe disability was elaborated combining malnutrition, subjective functional loss and PS >2. Patients were classified into three groups according to change in nutritional status between discharge and D30 (persistent malnutrition, correction of malnutrition and the absence of malnutrition).ResultsOf 549 consecutive patients hospitalised for COVID-19 between 1 March and 29 April 2020, 130 died including 17 after discharge (23.7%). At D30, 312 patients were at home, 288 (92.3%) of whom were interviewed. Of the latter, 33.3% were malnourished at discharge and still malnourished at D30, while 23.2% were malnourished at discharge but no longer malnourished at D30. The highest predictive factors of persistent malnutrition were intensive care unit (ICU) stay (OR=3.42, 95% CI: 2.04 to 5.75), subjective functional loss at discharge (OR=3.26, 95% CI: 1.75 to 6.08) and male sex (OR=2.39, 95% CI: 1.44 to 3.97). Subjective functional loss at discharge (76.8%) was the main predictive factor of subjective functional loss at D30 (26.3%) (OR=32.6, 95% CI: 4.36 to 244.0). Lastly, 8.3% had a severe disability, with a higher risk in patients requiring an ICU stay (OR=3.39, 95% CI: 1.43 to 8.06).ConclusionPatients who survived a severe form of COVID-19 had a high risk of persistent malnutrition, functional loss and severe disability at D30. We believe that nutritional support and rehabilitation should be strengthened, particularly for male patients who were admitted in ICU and had subjective functional loss at discharge.Trial registration numberNCT04451694.

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Section: Discussionmentioning

confidence: 82%

Section: Symptomsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of severe SARS-CoV-2 infection on nutritional status and subjective functional loss in a prospective cohort of COVID-19 survivors

Quilliot¹,

Gérard²,

Bonsack³

et al. 2021

BMJ Open

Self Cite

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show abstract

“…All of the articles included subjects who were clinically confirmed positive COVID-19. A total of 51, 796 patients were included in the systematic review ranged from 30 participants in a study conducted in France [44] to 27,961 participants in a study conducted in USA [54]. The median age of the participants ranged from 50 to 89 years.…”

Section: Resultsmentioning

confidence: 99%

“…The median age of the participants ranged from 50 to 89 years. All studies had both sexes with the percentage of women varying between 19.2% [44] and 65.7% [37].…”

Section: Resultsmentioning

confidence: 99%

The devastating trio of sarcopenia, frailty, and COVID-19 - A systematic review and meta-analysis

Halaweh

Ghannam²

2022

Clinical Nutrition ESPEN

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Assessment of Muscle Function in Severe and Malnourished COVID-19 Patients

Cited by 2 publications

References 15 publications

Impact of severe SARS-CoV-2 infection on nutritional status and subjective functional loss in a prospective cohort of COVID-19 survivors

Impact of severe SARS-CoV-2 infection on nutritional status and subjective functional loss in a prospective cohort of COVID-19 survivors

The devastating trio of sarcopenia, frailty, and COVID-19 - A systematic review and meta-analysis

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