The Role of Malnutrition on Outocomes of Multisystem Inflammatory Syndrome Due to Covid-19 in Children

Autor: Tutku Soyer, Kübra Aykaç, Gözde Özer, Yasemin Özsürekçi, H Özcan, Kaya Yorganci, Osman Abbasoglu
Rok vydání: 2023
DOI: 10.21203/rs.3.rs-2637452/v1
Popis: Background Malnutrition increases the complications and mortality in critically-ill children. A retrospective study was performed to define the role malnutrition on outcomes of multisystem inflammatory syndrome (MIS-C) due to COVID-19 in children. Methods Patients with MIS-C due to COVID-19 were evaluated for demographic features, anthropometric parameters, clinical findings and outcomes. Patients with z scores of body mass index (> 5 years-of-age) and weight-for-age (< 5 years-of-age) < -2 were considered as malnourished. Sarcopenia was defined by total psoas muscle area (tPMA), calculated on abdominal computed tomography (CT) at the level of L3 and L4 vertebrae. The z scores 0.05). Conclusion Children with MIS-C due to COVID-19 already have mild to severe malnutrition at admission. Rash and higher ferritin levels are more common in patients with malnutrition. In addition to anthropometric parameters, sarcopenia calculated using tPMA can be used to predict malnutrition in critically-ill children.
Databáze: OpenAIRE