ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection
| Autor: | Dorit Nitzan, Kremlin Wickramasinghe, Rocco Barazzoni, Stephan C. Bischoff, Pierre Singer, Zeljko Krznaric, Matthias Pirlich, João Breda |
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| Přispěvatelé: | Barazzoni, R., Bischoff, S. C., Breda, J., Wickramasinghe, K., Krznaric, Z., Nitzan, D., Pirlich, M., Singer, P. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Complications
Coronavirus Infections / therapy Method Disease Comorbidity COVID-19 elder people intensive care malnutrition SARS-CoV-2 Critical Care and Intensive Care Medicine law.invention 0302 clinical medicine Dietary Supplemetn Prevetion and control therapy Age Factor Muscle Weakness Nutritional Support Respiration BETAKORONAVIRUS INFEKCIJE KORONAVIRUSOM – komplikacije liječenje RESPIRACIJSKA INSUFICIJENCIJA – etiologija liječenje MALNUTRICIJA – dijagnoza liječenje prevencija PROCJENA NUTRITIVNOG STATUSA PREHRAMBENI DODACI NUTRITIVNA POTPORA – metode INTENZIVNO LIJEČENJE – metode JEDINICE INTENZIVNE SKRBI NEINVAZIVNA VENTILACIJA MEHANIČKA VENTILACIJA EKSTUBACIJA – neželjeni učinci SMETNJE GUTANJA – etiologija TJELESNA AKTIVNOST MIŠIĆNA SLABOST KARANTENA MEDICINSKA DRUŠTVA EUROPA SMJERNICE General Medicine Prognosis Practice Guidelines As Topic ESPEN nutritional management SARS-CoV-2 infection Artificial Quarantine Human Diagnosi medicine.medical_specialty Prognosi Pneumonia Viral Intensive Care Unit Clinical nutrition Malnutrition / prevention & control 03 medical and health sciences Betacoronavirus Medical Humans Risk factor Intensive care medicine Exercise Pneumonia Viral / therapy Aged 030109 nutrition & dietetics Noninvasive Ventilation Betacoronaviru Pneumonia medicine.disease Respiration Artificial Etology Nutrition Therapy / methods Airway Extubation Deglutition Disorders Complication 0301 basic medicine BETACORONAVIRUS CORONAVIRUS INFECTIONS – complications therapy RESPIRATORY INSUFFICIENCY – etiology therapy MALNUTRITION – diagnosis prevetion and control therapy NUTRITION ASSESSMENT DIETARY SUPPLEMETNS NUTRITIONAL SUPPORT – methods CRITICAL CARE –methods INTENSIVE CARE UNITS NONINVASIVE VENTILATION RESPIRATION ARTIFICIAL AIRWAY EXTUBATION – adverse effects DEGLUTITION DISORDERS – etology EXERCISE MUSCLE WEAKNESS QUARANTINE SOCIETIES MEDICAL EUROPE PRACTICE GUIDELINES AS TOPIC Adverse effects Coronavirus Infections Critical Care-methods Diagnosis Dietary Supplemetns Etiology therapy Europe Intensive Care Units Malnutrition Methods Nutrition Assessment Respiratory Insufficiency Societies Therapy Coronavirus Infections / epidemiology Adverse effect law Risk Factors Malnutrition / therapy Pandemic Medical nutrition therapy Viral Deglutition Disorder Nutrition and Dietetics Age Factors Intensive care unit Nutrition Therapy Muscle Weakne Coronavirus disease 2019 (COVID-19) Pneumonia Viral / epidemiology Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 030209 endocrinology & metabolism Malnutrition / diagnosis medicine Nutritional Requirements Pandemics Societie business.industry Coronavirus Infection Risk Factor Critical Care-method Nutritional Requirement business |
| Zdroj: | Liječnički vjesnik Volume 142 Issue 3-4 |
| ISSN: | 0024-3477 1849-2177 |
| Popis: | Pandemija infekcije COVID-19 predstavlja neviđene izazove i prijetnje za pacijente i zdravstvene sustave u cijelome svijetu. Akutne respiratorne komplikacije koje zahtijevaju liječenje u jedinicama intenzivnog liječenja (JIL) glavni su uzrok pobola i smrtnosti kod pacijenata sa infekcijom COVID-19. Pacijenti s najlošijim ishodima i većom smrtnošću su imunokompromitirani bolesnici, posebice starije dobi te polimorbidni, kao i pothranjeni bolesnici. Trajanje boravka u JIL-u, polimorbiditet i starija dob obično su povezani s visokim rizikom pothranjenosti, što je samo po sebi relevantan čimbenik rizika za veći pobol i smrtnost u bolesnika s kroničnim i akutnim bolestima. Za bolesnike s infekcijom COVID-19 često je potreban produljeni boravak u JIL-u u svrhu stabilizacije, a to može izravno uzrokovati ili pogoršati malnutriciju, uz pridruženi gubitak skeletne mišićne mase i funkcije koji vode ka invaliditetu, smanjenoj kvaliteti života i dodatnom morbiditetu. Prevenciju, dijagnozu i liječenje malnutricije stoga treba rutinski uključiti u liječenje bolesnika s infekcijom COVID-19. U ovome dokumentu Europsko društvo za kliničku prehranu i metabolizam (ESPEN) ima za cilj pružiti sažete smjernice za nutritivnu potporu bolesnika s COVID-19 te predlaže 10 praktičnih preporuka. Praktične smjernice usmjerene su na bolesnike u JIL-u ili u slučaju starije dobi i polimorbiditeta, koji su neovisno povezani s malnutricijom i njezinim negativnim utjecajem na preživljavanje bolesnika. The COVID-19 pandemics is posing unprecedented challenges and threats to patients and healthcare systems worldwide. Acute respiratory complications that require intensive care unit (ICU) management are a major cause of morbidity and mortality in COVID-19 patients. Patients with worst outcomes and higher mortality are reported to include immunocompromised subjects, namely older adults and polymorbid individuals and malnourished people in general. ICU stay, polymorbidity and older age are all commonly associated with high risk for malnutrition, representing per se a relevant risk factor for higher morbidity and mortality in chronic and acute disease. Also importantly, prolonged ICU stays are reported to be required for COVID-19 patients stabilization, and longer ICU stay may per se directly worsen or cause malnutrition, with severe loss of skeletal muscle mass and function which may lead to disability, poor quality of life and additional morbidity. Prevention, diagnosis and treatment of malnutrition should therefore be routinely included in the management of COVID-19 patients. In the current document, the European Society for Clinical Nutrition and Metabolism (ESPEN) aims at providing concise guidance for nutritional management of COVID-19 patients by proposing 10 practical recommendations. The practical guidance is focused to those in the ICU setting or in the presence of older age and polymorbidity, which are independently associated with malnutrition and its negative impact on patient survival. |
| Databáze: | OpenAIRE |
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