Impact of COVID-19 in nutritional and functional status of survivors admitted in intensive care units during the first outbreak. Preliminary results of the NUTRICOVID study. Issue 12 (December 2022)

• Record Type: Journal Article
• Authors: Cuerda, Cristina; Sánchez López, Iván; Gil Martínez, Carmen; Merino Viveros, María; Velasco, Cristina; Cevallos Peñafiel, Vanessa; Maíz Jiménez, María; Gonzalo, Irene; González-Sánchez, Víctor; Ramos Carrasco, Araceli; Díaz Guardiola, Patricia; Marcuello Foncillas, Clara; Sampedro-Núñez, M.A.; Morato Martínez, Marina; Galicia, Icíar; Modroño Móstoles, Naiara; Blanca Martínez-Barbeito, María; Mola Reyes, Laura; Navea Aguilera, Cristina; Arhip, Loredana; Del Olmo García, Dolores; Huelves Delgado, Mario; Cáncer-Minchot, Emilia; Pastor García, María; Pelegrina-Cortés, Beatriz; Olivar Roldán, Juana; Maichle, Silmary; Molina Bahena, Begoña; García Vázquez, Natalia; Atienza, Elena; Hoyas Rodríguez, Irene; Amengual Galbarte, Ángela; Morales, Ángela; Valero Zanuy, MªA; Matía-Martín, Pilar; Knott, Carolina; Agrifoglio Rotaeche, Alexander; Ortiz, Andrés; Gómez Montes, MªP; Ramírez Ortiz, Mercedes; Ruiz Aguado, Marta; Palma Milla, Samara; Montoya Álvarez, Teresa; Sanz Martínez, Enrique; Rodríguez De Codesal, Marta; Quesada Bellver, Belén; Aceituno, Susana; Pérez-Sádaba, F.J.; Álvarez-Hernández, Julia;
• Is Part Of: Clinical nutrition. Volume 41:Issue 12(2022)
• Page Start: 2934
• Page End: 2939
• Publication Date: 2022-12
• Subjects: Coronavirus disease (COVID-19) -- Intensive care -- Nutritional therapy -- Malnutrition -- Functional status -- Health-related quality of life; Critically ill -- Nutrition -- Periodicals; Diet therapy -- Periodicals; Parenteral feeding -- Periodicals; Enteral feeding -- Periodicals; Enteral Nutrition -- Periodicals; Parenteral Nutrition -- Periodicals; Metabolism -- Periodicals; Diétothérapie -- Périodiques; Alimentation parentérale -- Périodiques; Alimentation entérale -- Périodiques; Nutrition -- Périodiques; Diet therapy; Enteral feeding; Nutrition; Parenteral feeding; Electronic journals; Periodicals; Electronic journals; 615.854
• DOI: 10.1016/j.clnu.2021.11.017
• Languages: English
• ISSNs: 0261-5614

Abstract

Summary: Background & aims: COVID-19 patients present a high hospitalization rate with a high mortality risk for those requiring intensive care. When these patients have other comorbid conditions and older age, the risk for severe disease and poor outcomes after ICU admission are increased. The present work aims to describe the preliminary results of the ongoing NUTRICOVID study about the nutritional and functional status and the quality of life of adult COVID-19 survivors after ICU discharge, emphasizing the in-hospital and discharge situation of this population. Methods: A multicenter, ambispective, observational cohort study was conducted in 16 public hospitals of the Community of Madrid with COVID-19 survivors who were admitted to the ICU during the first outbreak. Preliminary results of this study include data retrospectively collected. Malnutrition and sarcopenia were screened at discharge using MUST and SARC-F; the use of healthcare resources was measured as the length of hospital stay and requirement of respiratory support and tracheostomy during hospitalization; other study variables were the need for medical nutrition therapy (MNT); and patients' functional status (Barthel index) and health-related quality of life (EQ-5D-5L). Results: A total of 176 patients were included in this preliminary analysis. Most patients were male and older than 60 years, who suffered an average (SD) weight loss of 16.6% (8.3%) during the hospital stay, with a median length of stay of 53 (27–89.5) days and a median ICU stay of 24.5 (11–43.5) days. At discharge, 83.5% and 86.9% of the patients were at risk of malnutrition and sarcopenia, respectively, but only 38% were prescribed MNT. In addition, more than 70% of patients had significant impairment of their mobility and to conduct their usual activities at hospital discharge. Conclusions: This preliminary analysis evidences the high nutritional and functional impairment of COVID-19 survivors at hospital discharge and highlights the need for guidelines and systematic protocols, together with appropriate rehabilitation programs, to optimize the nutritional management of these patients after discharge.