Authors (including presenting author) :
Liu KW (1) , Luk KH, (2) Chan MK, (3), Tang WS (1) , Kwok CY, Timothy (4)
Affiliation :
(1) Department of Medicine and Geriatric of Shatin Hospital
(2) Dietetic Department of Shatin Hospital
(3) Department of Surgery of Shatin Hospital
(4) Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong
Introduction :
Anorexia and malnutrition were common in the hospitalized COVID-19 patient. Low nutritional status is likely contributed increase in poor rehabilitation outcome, Length of Stay, LOS & mortality. However, there is paucity of physical marker could monitor and estimate the prognosis of the COVID-19 patient in relation with their nutritional status and clinical outcomes. Also, high mortality rate among the COVID-19 elders were well known. Phase angle, expressed through bioelectrical impedance could assist to evaluate the patient nutritional status, sarcopenia, rate of recovery and prognostic value for COVID-19 elder patients.
Objectives :
To examine the new parameter of phase angle in relation with clinical response towards patient's malnutrition status and response to the medical treatments and advice in terms of multi-disciplinary approaches.
Methodology :
4 COVID-19 patients were admitted to the Shatin Hospital, SH for rehabilitation purpose. Age, weight, BMI and malnutritional risk were evaluated. Collaborations among Geriatrician, Dietitians, Nurses and allied health workers for opinions on progress in team approach.
Nutritional interventions and phase angle monitoring were offered.
Result & Outcome :
The average of age was 83.25, BMI was 19.8 Kg/ meter square. Their average phase angle was 3 on admission to SH and average of phase angle after team members advice, interventions and oral supplements were 3.13. The 60-day of hospital readmission and the 90-day of mortality of them were zero after nutritional team approach.
