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10.1002/jpen.2101

http://scihub22266oqcxt.onion/10.1002/jpen.2101
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33666263!8014266!33666263
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suck abstract from ncbi


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pmid33666263      JPEN+J+Parenter+Enteral+Nutr 2021 ; 45 (6): 1153-1163
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  • Nutrition evaluation and management of critically ill patients with COVID-19 during post-intensive care rehabilitation #MMPMID33666263
  • Hoyois A; Ballarin A; Thomas J; Lheureux O; Preiser JC; Coppens E; Perez-Bogerd S; Taton O; Farine S; Van Ouytsel P; Arvanitakis M
  • JPEN J Parenter Enteral Nutr 2021[Aug]; 45 (6): 1153-1163 PMID33666263show ga
  • BACKGROUND: Among hospitalized patients with coronavirus disease 2019 (COVID-19), up to 12% may require intensive care unit (ICU) management. The aim of this prospective cohort study is to assess nutrition status and outcome in patients with COVID-19 following ICU discharge. METHODS: Patients requiring a minimum of 14 days' stay in the ICU with mechanical ventilation were included. Nutrition status was assessed at inclusion (ICU discharge) and follow-up (after 15, 30, and 60 days). All patients had standardized medical nutrition therapy with defined targets regarding energy (30 kcal/kg/d) and protein intake (1.5 g/kg/d). RESULTS: Fifteen patients were included (67% males); the median age was 60 (33-75) years old. Body mass index at ICU admission was 25.7 (IQR, 24-31) kg/m(2). After a median ICU stay of 33 (IQR, 26-39) days, malnutrition was present in all patients (11.3% median weight loss and/or low muscle mass based on handgrip strength measurement). Because of postintubation dysphagia in 60% of patients, enteral nutrition was administered (57% nasogastric tube; 43% percutaneous endoscopic gastrostomy). After 2 months, a significant improvement in muscle strength was observed (median handgrip strength, 64.7% [IQR, 51%-73%] of the predicted values for age vs 19% [IQR, 4.8%-28.4%] at ICU discharge [P < 0.0005]), as well as weight gain of 4.3 kg (IQR, 2.7-6.7 kg) (P < 0.0002). CONCLUSIONS: Critically ill patients with COVID-19 requiring ICU admission and mechanical ventilation have malnutrition and low muscle mass at ICU discharge. Nutrition parameters improve during rehabilitation with standardized medical nutrition therapy.
  • |*COVID-19[MESH]
  • |*Critical Illness[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Critical Care[MESH]
  • |Enteral Nutrition[MESH]
  • |Female[MESH]
  • |Hand Strength[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prospective Studies[MESH]


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