tetano
Editor, Senior Moderator
Clin Nutr
. 2021 Nov 23;S0261-5614(21)00526-4.
doi: 10.1016/j.clnu.2021.11.017. Online ahead of print.
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
Cristina Cuerda[SUP] 1 [/SUP], Iván Sánchez López[SUP] 2 [/SUP], Carmen Gil Martínez[SUP] 3 [/SUP], María Merino Viveros[SUP] 4 [/SUP], Cristina Velasco[SUP] 5 [/SUP], Vanessa Cevallos Peñafiel[SUP] 6 [/SUP], María Maíz Jiménez[SUP] 7 [/SUP], Irene Gonzalo[SUP] 8 [/SUP], Víctor González-Sánchez[SUP] 9 [/SUP], Araceli Ramos Carrasco[SUP] 10 [/SUP], Patricia Díaz Guardiola[SUP] 11 [/SUP], Clara Marcuello Foncillas[SUP] 12 [/SUP], M A Sampedro-Núñez[SUP] 13 [/SUP], Marina Morato Martínez[SUP] 14 [/SUP], Icíar Galicia[SUP] 15 [/SUP], Naiara Modroño Móstoles[SUP] 16 [/SUP], María Blanca Martínez-Barbeito[SUP] 17 [/SUP], Laura Mola Reyes[SUP] 3 [/SUP], Cristina Navea Aguilera[SUP] 4 [/SUP], Loredana Arhip[SUP] 5 [/SUP], Dolores Del Olmo García[SUP] 6 [/SUP], Mario Huelves Delgado[SUP] 7 [/SUP], Emilia Cáncer-Minchot[SUP] 8 [/SUP], María Pastor García[SUP] 9 [/SUP], Beatriz Pelegrina-Cortés[SUP] 10 [/SUP], Juana Olivar Roldán[SUP] 11 [/SUP], Silmary Maichle[SUP] 12 [/SUP], Begoña Molina Bahena[SUP] 13 [/SUP], Natalia García Vázquez[SUP] 14 [/SUP], Elena Atienza[SUP] 15 [/SUP], Irene Hoyas Rodríguez[SUP] 16 [/SUP], Ángela Amengual Galbarte[SUP] 17 [/SUP], Ángela Morales[SUP] 5 [/SUP], Mªa Valero Zanuy[SUP] 7 [/SUP], Pilar Matía-Martín[SUP] 12 [/SUP], Carolina Knott[SUP] 13 [/SUP], Alexander Agrifoglio Rotaeche[SUP] 14 [/SUP], Andrés Ortiz[SUP] 15 [/SUP], Mªp Gómez Montes[SUP] 16 [/SUP], Mercedes Ramírez Ortiz[SUP] 17 [/SUP], Marta Ruiz Aguado[SUP] 7 [/SUP], Samara Palma Milla[SUP] 14 [/SUP], Teresa Montoya Álvarez[SUP] 16 [/SUP], Enrique Sanz Martínez[SUP] 17 [/SUP], Marta Rodríguez De Codesal[SUP] 17 [/SUP], Belén Quesada Bellver[SUP] 17 [/SUP], Susana Aceituno[SUP] 18 [/SUP], F J Pérez-Sádaba[SUP] 18 [/SUP], Julia Álvarez-Hernández[SUP] 2 [/SUP], NUTRICOVID study research group of SENDIMAD
Affiliations
Abstract
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.
Keywords: Coronavirus disease (COVID-19); Functional status; Health-related quality of life; Intensive care; Malnutrition; Nutritional therapy.
. 2021 Nov 23;S0261-5614(21)00526-4.
doi: 10.1016/j.clnu.2021.11.017. Online ahead of print.
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
Cristina Cuerda[SUP] 1 [/SUP], Iván Sánchez López[SUP] 2 [/SUP], Carmen Gil Martínez[SUP] 3 [/SUP], María Merino Viveros[SUP] 4 [/SUP], Cristina Velasco[SUP] 5 [/SUP], Vanessa Cevallos Peñafiel[SUP] 6 [/SUP], María Maíz Jiménez[SUP] 7 [/SUP], Irene Gonzalo[SUP] 8 [/SUP], Víctor González-Sánchez[SUP] 9 [/SUP], Araceli Ramos Carrasco[SUP] 10 [/SUP], Patricia Díaz Guardiola[SUP] 11 [/SUP], Clara Marcuello Foncillas[SUP] 12 [/SUP], M A Sampedro-Núñez[SUP] 13 [/SUP], Marina Morato Martínez[SUP] 14 [/SUP], Icíar Galicia[SUP] 15 [/SUP], Naiara Modroño Móstoles[SUP] 16 [/SUP], María Blanca Martínez-Barbeito[SUP] 17 [/SUP], Laura Mola Reyes[SUP] 3 [/SUP], Cristina Navea Aguilera[SUP] 4 [/SUP], Loredana Arhip[SUP] 5 [/SUP], Dolores Del Olmo García[SUP] 6 [/SUP], Mario Huelves Delgado[SUP] 7 [/SUP], Emilia Cáncer-Minchot[SUP] 8 [/SUP], María Pastor García[SUP] 9 [/SUP], Beatriz Pelegrina-Cortés[SUP] 10 [/SUP], Juana Olivar Roldán[SUP] 11 [/SUP], Silmary Maichle[SUP] 12 [/SUP], Begoña Molina Bahena[SUP] 13 [/SUP], Natalia García Vázquez[SUP] 14 [/SUP], Elena Atienza[SUP] 15 [/SUP], Irene Hoyas Rodríguez[SUP] 16 [/SUP], Ángela Amengual Galbarte[SUP] 17 [/SUP], Ángela Morales[SUP] 5 [/SUP], Mªa Valero Zanuy[SUP] 7 [/SUP], Pilar Matía-Martín[SUP] 12 [/SUP], Carolina Knott[SUP] 13 [/SUP], Alexander Agrifoglio Rotaeche[SUP] 14 [/SUP], Andrés Ortiz[SUP] 15 [/SUP], Mªp Gómez Montes[SUP] 16 [/SUP], Mercedes Ramírez Ortiz[SUP] 17 [/SUP], Marta Ruiz Aguado[SUP] 7 [/SUP], Samara Palma Milla[SUP] 14 [/SUP], Teresa Montoya Álvarez[SUP] 16 [/SUP], Enrique Sanz Martínez[SUP] 17 [/SUP], Marta Rodríguez De Codesal[SUP] 17 [/SUP], Belén Quesada Bellver[SUP] 17 [/SUP], Susana Aceituno[SUP] 18 [/SUP], F J Pérez-Sádaba[SUP] 18 [/SUP], Julia Álvarez-Hernández[SUP] 2 [/SUP], NUTRICOVID study research group of SENDIMAD
Affiliations
- PMID: 34893357
- DOI: 10.1016/j.clnu.2021.11.017
Abstract
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.
Keywords: Coronavirus disease (COVID-19); Functional status; Health-related quality of life; Intensive care; Malnutrition; Nutritional therapy.