Liječnički vjesnik, Vol. 142 No. 3-4, 2020.
Stručni rad
https://doi.org/10.26800/LV-142-3-4-13
ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection
Rocco Barazzoni
; Department of Medical, Surgical and Health Sciences, University of Trieste, Italy
Stephan C. Bischoff
; Institute of Nutritional Medicine, University of Hohenheim, Stuttgart, German
Joao Breda
; WHO European Office for Prevention and Control of Noncommunicable Diseases, WHO Regional Office for Europe, Moscow, Russian Federation
Kremlin Wickramasinghe
; WHO European Office for Prevention and Control of Noncommunicable Diseases, WHO Regional Office for Europe, Moscow, Russian Federation
Željko Krznarić
; Zavod za gastroenterologiju, hepatologiju i Odjel za kliničku prehranu, Klinika za unutrašnje bolesti, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb, Hrvatska
Dorit Nitzan
; Health Emergencies and Operation Management, World Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark
Matthias Pirlich
; Imperial Oak Outpatient Clinic, Endocrinology, Gastroenterology & Clinical Nutrition, Berlin, Germany
Pierre Singer
; Imperial Oak Outpatient Clinic, Endocrinology, Gastroenterology & Clinical Nutrition, Berlin, Germany
Sažetak
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.
Ključne riječi
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
Hrčak ID:
238508
URI
Datum izdavanja:
8.6.2020.
Posjeta: 2.410 *