Impact of the Nutritional Status on Clinical Outcomes of Patients with Coronavirus Disease Undergoing Cancer Treatment

Nutr Cancer. 2023;75(2):582-590. doi: 10.1080/01635581.2022.2139395. Epub 2022 Nov 12.

Abstract

Coronavirus disease (COVID-19) is a critical and potentially fatal condition. The nutritional status affects the evolution and clinical outcome throughout the disease course among factors influencing the patient prognosis. In patients with cancer, the Patient-Generated Subjective Global Assessment (PG-SGA) is the preferred instrument for assessing the nutritional status. The aim of this retrospective cross-sectional study was to evaluate the impact of the nutritional status on the clinical outcome of patients with COVID-19 undergoing cancer treatment. We enrolled 52 patients with cancer under outpatient follow-up who had been diagnosed with COVID-19 during the cancer treatment course. The PG-SGA instrument revealed age (p = 0.045) and nutritional status (p = 0.042) before infection as the main risk factors of death from COVID-19. In addition, the risk of mortality due to COVID-19 increased with the degree of malnutrition. Twelve (23.1%) of the 52 patients showed no negative effects related to COVID-19, and age below 65 years was considered to be a protective factor.

MeSH terms

  • Aged
  • COVID-19* / complications
  • Cross-Sectional Studies
  • Humans
  • Malnutrition* / diagnosis
  • Neoplasms* / complications
  • Neoplasms* / therapy
  • Nutrition Assessment
  • Nutritional Status
  • Retrospective Studies