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Preliminary Exploration of Setting the Disease Severity Score in the Nutritional Risk Screening of Patients with Severe Novel Coronavirus Pneumonia by Applying NRS2002

Authors Sun Y, He J, Li W, Li S, Lin Y, Cen Y, Li Y

Received 27 November 2020

Accepted for publication 1 March 2021

Published 31 March 2021 Volume 2021:14 Pages 1167—1172

DOI https://doi.org/10.2147/IJGM.S289655

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Dr Scott Fraser


Yanbo Sun,1,* Jing He,2,* Weiming Li,1,* Shumin Li,1 Yueying Lin,1 Yunyun Cen,1 Yanli Li3

1Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650000, People’s Republic of China; 2The First Department of Infectious Disease, The Third People’s Hospital of Kunming, Kuming, 650041, People’s Republic of China; 3First Department of Pulmonary and Critical Care Medicine, Yan’an Hospital of Kunming City/Yan’an Hospital Affiliated to Kunming Medical University, Yunnan, 650000, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Yunyun Cen
Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Kunming Medical University, No. 374 of Yunnan-Burma Road, Kunming City, Yunnan Province, 650101, People’s Republic of China
Tel +86-871-63402778
Fax +86-871-65361017
Email [email protected]

Objective: This study was designed to explore the impact of different scoring settings of disease severity on the accuracy of screening by NRS2002.
Methods: Patients with severe COVID-19 who were admitted to our hospital from January 26, 2020, to March 16, 2020, were enrolled in this study. The basic data, the scores of the NRS2002 score sheet, and the serum prealbumin (PAB) level when these patients were admitted were collected, and the reflection of NRS2002 scores under different disease severity score settings to abnormal patients was analyzed.
Results: 1. When the severity of the disease was set to 0 points, four of the six hospitalized patients with PAB levels below the lower normal limit were not screened out; 2. When the severity was set to 1 point, two patients with COVID-19 who developed to a severe stage during the treatment process were screened out, but three of the six hospitalized patients with PAB levels below the lower normal limit at admission were not screened out; 3. When the severity of the disease of a patient with severe COVID-19 and fever scored 2 points, and that of a patient without fever scored 1 point, two patients with COVID-19 who developed to the severe stage during the treatment process were screened out, and six patients who were hospitalized with PAB levels below the lower normal limit at admission were also screened out.
Conclusion: When the severe degree of patients with COVID-19 and fever is rated as 2 points, and that of the patients without fever is rated as 1 point, it can more accurately reflect the severity degree of patients with undernourishment.

Keywords: novel coronavirus pneumonia, severe patients, nutritional risk, NRS2002, prealbumin

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