Nutritional risk and functional limitation one month after discharge in patients treated for COVID-19 in a tertiary care hospital.

Authors

  • Fabián Andrés Avila Rozo aDepartamento de Nutrición y terapia, Clínica Infantil Santa María del Lago; Clínica Colsanitas, Grupo Keralty. Bogotá, Colombia; Grupo de investigación en nutrición clínica; Fundación Universitaria Sanitas, Clínica Colsanitas, Grupo Keralty. Bogotá; Fundación Universitaria Sanitas, Facultad de Medicina, Bogotá, Colombia.
  • José Fredy Pérez Cubaque Departamento de Nutrición y terapia, Clínica Infantil Santa María del Lago; Clínica Colsanitas, Grupo Keralty. Bogotá, Colombia; Fundación Universitaria Sanitas, Facultad de Medicina, Bogotá, Colombia.
  • Carolina Otalora Rivera Departamento de Nutrición y terapia, Clínica Infantil Santa María del Lago; Clínica Colsanitas, Grupo Keralty. Bogotá, Colombia.
  • Laura Camila García Pineda Departamento de Nutrición y terapia, Clínica Infantil Santa María del Lago; Clínica Colsanitas, Grupo Keralty. Bogotá, Colombia.
  • María Esther Checa Rubio Departamento de Nutrición y terapia, Clínica Infantil Santa María del Lago; Clínica Colsanitas, Grupo Keralty. Bogotá, Colombia.
  • Jorge Medina-Parra Grupo de investigación en nutrición clínica; Fundación Universitaria Sanitas, Clínica Colsanitas, Grupo Keralty. Bogotá; Fundación Universitaria Sanitas, Facultad de Medicina, Bogotá, Colombia
  • Ricardo Alfonso Merchán Chaverra Departamento de Nutrición y terapia, Clínica Infantil Santa María del Lago; Clínica Colsanitas, Grupo Keralty. Bogotá, Colombia; Grupo de investigación en nutrición clínica; Fundación Universitaria Sanitas, Clínica Colsanitas, Grupo Keralty. Bogotá. Fundación Universitaria Sanitas, Facultad de Medicina, Bogotá, Colombia. Centro Latinoamericano de Nutrición (CELAN).

DOI:

https://doi.org/10.14306/renhyd.28.3.2152

Keywords:

COVID-19, Rehabilitation, Malnutrition, Swallowing disorders

Abstract

Introduction. Hospital discharge of patients with COVID-19 does not imply full recovery. Long COVID affects 50 to 70% of hospitalised cases and has physical and economic implications.

Objective. To identify the prevalence of nutritional risk, functional limitation and risk factors associated with one month of discharge in patients treated for COVID-19.

Methods: A cross-sectional descriptive study was conducted in adults with COVID-19 (July 2020 to February 2021), and telephone follow-up was carried out 30 days after discharge. A logistic regression model was performed, in which nutritional risk at hospital admission was considered as a dependent variable and clinical variables at 30-day follow-up as explanatory factors.

Results: A total of 852 patients were included, 65.22% female with a median age of 56 years, 21.59% were admitted to the ICU. The logistic regression model showed that the associated factors found were difficulty in passing food (OR: 5.40 [2.11 – 13.9]), weight loss on hospital admission (OR: 2.13 [1.07 – 4.24]), decreased strength (OR: 2.69 [1.63 – 4.44]) and difficulty performing activities of daily living (OR: 1.92 [1.03 – 3.58]).

Conclusions: The prevalence of nutritional risk at 30 days after discharge in patients with COVID-19 was 15.72%; The associated factors that were found were having difficulty passing food, having weight loss on hospital admission, having decreased strength in upper and lower limbs, and having difficulty performing activities of daily living.

Funding: Clínicas Colsanitas y Fundación Universitaria Sanitas

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Published

2024-07-20

How to Cite

Avila Rozo, F. A., Pérez Cubaque, J. F., Otalora Rivera, C., García Pineda, L. C., Checa Rubio, M. E., Medina-Parra, J., & Merchán Chaverra, R. A. (2024). Nutritional risk and functional limitation one month after discharge in patients treated for COVID-19 in a tertiary care hospital. Spanish Journal of Human Nutrition and Dietetics, 28(3), 202–210. https://doi.org/10.14306/renhyd.28.3.2152