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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
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 w...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Author(s). Published by Elsevier Ltd.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8609675/ https://www.ncbi.nlm.nih.gov/pubmed/34893357 http://dx.doi.org/10.1016/j.clnu.2021.11.017 |
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author | 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 |
author_facet | 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 |
author_sort | Cuerda, Cristina |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8609675 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Author(s). Published by Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86096752021-11-23 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 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 Clin Nutr Covid-19 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. The Author(s). Published by Elsevier Ltd. 2022-12 2021-11-23 /pmc/articles/PMC8609675/ /pubmed/34893357 http://dx.doi.org/10.1016/j.clnu.2021.11.017 Text en © 2021 The Author(s) Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Covid-19 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 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 |
title | 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 |
title_full | 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 |
title_fullStr | 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 |
title_full_unstemmed | 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 |
title_short | 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 |
title_sort | 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 |
topic | Covid-19 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8609675/ https://www.ncbi.nlm.nih.gov/pubmed/34893357 http://dx.doi.org/10.1016/j.clnu.2021.11.017 |
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