Nutritional parameters of individuals with COVID-19 hospitalized in ICU
DOI:
https://doi.org/10.33448/rsd-v10i12.20253Keywords:
Coronavirus infection; ICU; Nutritional status; COVID-19; Pandemic.Abstract
As it is a disease that mainly affects the respiratory system, COVID-19 can evolve into a more critical situation, even leading to multiple organ failure, even fatal. Conditions in which acute respiratory complications require prolonged stay in Intensive Care Units (ICUs) are the main causes of morbidity and mortality in patients with COVID-19. The stay in the ICU, especially for a long time, is, by itself, a cause of changes in nutritional parameters. In view of this, this study aims to analyze the behavior of the nutritional status and parameters of patients with COVID-19 admitted to the ICU during the course of the pandemic. An integrative literature review was carried out, in which a systematic method was used for the synthesis and analysis of available scientific papers. It was found that, in cases of aggravated COVID-19 patients undergoing treatment in the ICU, there was a significant presence of comorbidities such as diabetes, hypertension and their association among hospitalized individuals, as well as changes in the profile of caloric and protein intake and in the nitrogen balance. It was also found that malnutrition and moderate to high nutritional risk were considered risk factors for longer hospital stays. The possibility of investigating more detailed parameters is crossed by the pandemic context itself, in which the urgency of patient management and the need for isolation and adoption of sanitary protocols often make it impossible to carry out scientific research with critically ill patients due to COVID-19.
References
Arkin, N., Krishnan, K., Chang, M. G. & Bittner, E. A. (2020). Nutrition in critically ill patients with COVID-19: Challenges and special considerations. Clin. Nutr., 39(7), 2327-2328.
Barazzoni, R., Bischoff, S. C., Breda, J., Pirlich, M. & Singer, P. (2020). ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection. Clin. Nutr. ESPEN, 39, 1631-1638.
Bedock, D., Couffignal, J., Lassen, P. B. & Soares, L. et al. (2021). Evolution of Nutritional Status after Early Nutritional Management in COVID-19 Hospitalized Patients. Nutrients, 13(7), 1-11.
Bouadma, L., Lescure, F. X., Lucet, J. C., Yazdanpanah, Y. & Timsit, J. F. (2020). Severe SARS-CoV-2 infections: practical considerations and management strategy for intensivists. Intensive Care Medicine, 46, 579-582.
Cederholm, T., Jensen, G. L., Correia, M. I. T. D., Gonzalez, M. C. et al. (2019). GLIM criteria for the diagnosis of malnutrition – A consensus report from the global clinical nutrition Community. Journal of Cachexia, Sarcopenia and Muscle, 10(1), 207-217.
Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y. et al. (2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavírus pneumonia in Wuhan, China: a descriptive study. The Lancet, 395, 507-513.
Formenti, P., Bichi, F., Castagna, V., Pozzi, T. & Chiumello, D. (2021). Nutrition Support in Patients With Acute Respiratory Distress Syndrome COVID-19. Nutrition in Clinical Practice, 36(2), 500-501.
Gomes, F., Schuetz, P., Bounoure, L., Austin, P., Ballesteros-Pomar, M., Cederholm, T. et al. (2018). ESPEN guideline on nutritional support for polymorbid internal medicine patients. Clin. Nutr. ESPEN, 37, 336-353.
González, M. C., Borges, L. R., Silveira, D. H., Assunção, M. C. F. & Orlandi, S. P. (2010). Validação da versão em português da avaliação subjetiva global produzida pelo paciente. Rev. Bras. Nutr. Clin., 25(2), 102-108.
Huang, C., Wang, Y., Li, X, Ren, L., Zhao, J., Hu, Y. et al. (2020). Clinical features of patients infected with 2019 novel coronavírus in Wuhan, China. The Lancet, 395, 497-500.
Larrazabal Jr., R. B., Chiu, H. H. C. & Palileo-Villanueva, L. A. M. (2021). Outcomes of nutritionally at-risk Coronavirus Disease 2019 (COVID 19) patients admitted in a tertiary government hospital: A follow-up study of the MalnutriCoV study. Clin. Nutr. ESPEN, 43, 239-244.
Lin, J., Ke, L., Doig, G. S., Ye, B. et al. (2021). Nutritional practice in critically ill COVID-19 patients: A multicenter ambidirectional cohort study in Wuhan and Jingzhou. Asia Pac. J. Clin. Nutr., 30(1), 15-21.
Micic, D., Wall, E. & Semrad, C. (2020). Nutrition support in the ICU – A refresher in the era of COVID-19. The American Journal of Gastroentrology, 115, 1367-1370.
Nicolau, J., Ayala, L., Sanchís, P., Olivares, J. et al. (2021). Influence of nutritional status on clinical outcomes among hospitalized patients with COVID-19. Clin. Nutr. ESPEN, 43, 223-229.
Osuna-Padilla, I. A., Rodríguez-Moguel, N. C., Aguilar-Vargas, A. & Rodríguez-Llamazares, S. (2021). High nutritional risk using NUTRIC-Score is associated with worse outcomes in COVID-19 critically ill patients. Nutrición Hospitalaria, 38(3), 540-544.
Singer, P., Blaser, A. R., Berger, M. M., Alhazzani, W., Calder, P. C., Casaer, M. P. et al. (2019). ESPEN guideline on clinical nutrition in the intensive care unit. Clin. Nutr. ESPEN, 38, 48-79.
Souza, M. T., Silva, M. D. & Carvalho, R. (2010). Revisão Integrativa: o que é e como fazer. Einstein, 8(1), 102-106.
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Goisser, S., Hooper, L. et al. (2019). ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin. Nutr. ESPEN, 38, 10-47.
Vries, M. C. H., Koekkoek, W. A. C., Opdam, M. H., Blokland, D. V. & Zanten, A. R. H. V. (2018). Nutritional assessment of critically ill patients: validation of the modified NUTRIC score. European Journal of Clinical Nutrition, 72, 428-435.
Watteville, A., Genton, L., Barcelos, G. K., Pugin, J., Pichard, C. & Heidegger, C. P. (2020). Easy-to-prescribe nutrition support in the intensive care in the era of COVID-19. Clin. Nutr. ESPEN, 39, 74-78.
Wu, S., Lou, J., Xu, P., Luo, R. & Li, L. (2021). Early enteral nutrition improves the outcome of critically ill patients with COVID-19: A retrospective study. Asia Pac. J. Clin. Nutr., 30(2), 192-198.
Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z. et al. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The Lancet, 395, 1054-1062.
Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J. et al. (2020). A novel coronavírus from patients with pneumonia in china, 2019. N. Engl. J. Med., 382, 727-733.
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