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A UK survey of nutritional care pathways for patients with COVID‐19 prior to and post‐hospital stay

BACKGROUND: During the global COVID‐19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. The present study examined the development and evaluation of care pathways to manage nutritional care of patients following COVID‐19 infection prior to and after d...

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Autores principales: Lawrence, Victoria, Hickson, Mary, Weekes, C. Elizabeth, Julian, Anna, Frost, Gary, Murphy, Jane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8250968/
https://www.ncbi.nlm.nih.gov/pubmed/33735530
http://dx.doi.org/10.1111/jhn.12896
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author Lawrence, Victoria
Hickson, Mary
Weekes, C. Elizabeth
Julian, Anna
Frost, Gary
Murphy, Jane
author_facet Lawrence, Victoria
Hickson, Mary
Weekes, C. Elizabeth
Julian, Anna
Frost, Gary
Murphy, Jane
author_sort Lawrence, Victoria
collection PubMed
description BACKGROUND: During the global COVID‐19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. The present study examined the development and evaluation of care pathways to manage nutritional care of patients following COVID‐19 infection prior to and after discharge. METHODS: Registered UK dietitians completed an online questionnaire comprising 26 questions about the development of a pathway, its use, evaluation and training needs. RESULTS: Of 57 responses from organisations, 37 (65%) were involved in the planning/management of nutritional care. Only 19 responses had a new or adapted COVID‐19 pathway. Of these, 74% reported involvement of dietetic services, 47% reported > 1 eligibility criteria for pathway inclusion and 53% accepted all positive or suspected cases. All respondents used nutritional screening, first‐line dietary advice (food first) and referral for further advice and monitoring. Weight and food intake were the most used outcome measure. All pathways addressed symptoms related to nutrition, with the most common being weight loss with poor appetite, not being hungry and skipping meals in 84% of pathways. Over half of respondents (54%) planned to evaluate their pathway and 83% reported that they were ‘very or reasonably confident’ in their team's nutritional management of COVID‐19. Less than half (42%) reported on training needs. CONCLUSIONS: Despite challenges encountered, pathways were developed and implemented. Dietitians had adapted to new ways of working to manage nutritional care in patients prior to and after discharge from hospital following COVID‐19 infection. Further work is needed to develop strategies for evaluation of their impact.
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spelling pubmed-82509682021-07-02 A UK survey of nutritional care pathways for patients with COVID‐19 prior to and post‐hospital stay Lawrence, Victoria Hickson, Mary Weekes, C. Elizabeth Julian, Anna Frost, Gary Murphy, Jane J Hum Nutr Diet Covid‐19 BACKGROUND: During the global COVID‐19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. The present study examined the development and evaluation of care pathways to manage nutritional care of patients following COVID‐19 infection prior to and after discharge. METHODS: Registered UK dietitians completed an online questionnaire comprising 26 questions about the development of a pathway, its use, evaluation and training needs. RESULTS: Of 57 responses from organisations, 37 (65%) were involved in the planning/management of nutritional care. Only 19 responses had a new or adapted COVID‐19 pathway. Of these, 74% reported involvement of dietetic services, 47% reported > 1 eligibility criteria for pathway inclusion and 53% accepted all positive or suspected cases. All respondents used nutritional screening, first‐line dietary advice (food first) and referral for further advice and monitoring. Weight and food intake were the most used outcome measure. All pathways addressed symptoms related to nutrition, with the most common being weight loss with poor appetite, not being hungry and skipping meals in 84% of pathways. Over half of respondents (54%) planned to evaluate their pathway and 83% reported that they were ‘very or reasonably confident’ in their team's nutritional management of COVID‐19. Less than half (42%) reported on training needs. CONCLUSIONS: Despite challenges encountered, pathways were developed and implemented. Dietitians had adapted to new ways of working to manage nutritional care in patients prior to and after discharge from hospital following COVID‐19 infection. Further work is needed to develop strategies for evaluation of their impact. John Wiley and Sons Inc. 2021-05-12 2021-08 /pmc/articles/PMC8250968/ /pubmed/33735530 http://dx.doi.org/10.1111/jhn.12896 Text en © 2021 The Authors. Journal of Human Nutrition and Dietetics published by John Wiley & Sons Ltd on behalf of British Dietetic Association. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Covid‐19
Lawrence, Victoria
Hickson, Mary
Weekes, C. Elizabeth
Julian, Anna
Frost, Gary
Murphy, Jane
A UK survey of nutritional care pathways for patients with COVID‐19 prior to and post‐hospital stay
title A UK survey of nutritional care pathways for patients with COVID‐19 prior to and post‐hospital stay
title_full A UK survey of nutritional care pathways for patients with COVID‐19 prior to and post‐hospital stay
title_fullStr A UK survey of nutritional care pathways for patients with COVID‐19 prior to and post‐hospital stay
title_full_unstemmed A UK survey of nutritional care pathways for patients with COVID‐19 prior to and post‐hospital stay
title_short A UK survey of nutritional care pathways for patients with COVID‐19 prior to and post‐hospital stay
title_sort uk survey of nutritional care pathways for patients with covid‐19 prior to and post‐hospital stay
topic Covid‐19
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8250968/
https://www.ncbi.nlm.nih.gov/pubmed/33735530
http://dx.doi.org/10.1111/jhn.12896
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