Nutritional support protocol for patients with COVID-19

COVID-19 is a hypercatabolic disease with possible pulmonary and gastrointestinal symptoms, and consequent deterioration of the nutritional status and the worst clinical prognosis. This study presents a protocol to guide the nutritional care of adult and elderly people non-critically and critically...

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Bibliographic Details
Published in:	Clinical nutrition ESPEN Vol. 49; pp. 544 - 550
Main Authors:	Hinkelmann, Jéssica Viana, de Oliveira, Natália Alves, Marcato, Daniela Falcão, Costa, Allana Rúbio Ramos Oliveira, Ferreira, Arícia Mendes, Tomaz, Marcilene, Rodrigues, Thalita Jhennyfer, Mendes, Anangelly Paula
Format:	Journal Article
Language:	English
Published:	England Elsevier Ltd 01-06-2022 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd
Subjects:	Adult Aged Coronavirus COVID-19 Critical Illness - therapy Humans Nutrition Assessment Nutrition therapy Nutritional assessment Nutritional Status Nutritional Support - methods Protocol Review Literature as Topic SARS-CoV-2 COVID-19 Nutritional assessment SARS-CoV-2 Coronavirus Nutrition therapy
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Summary:	COVID-19 is a hypercatabolic disease with possible pulmonary and gastrointestinal symptoms, and consequent deterioration of the nutritional status and the worst clinical prognosis. This study presents a protocol to guide the nutritional care of adult and elderly people non-critically and critically ill with COVID-19. A critical review of the literature was carried out in the databases PubMed, Scielo, Bireme, and Science Direct, in search of articles and guidelines that presented assessment criteria and nutritional conduct for COVID-19 and Severe Acute Respiratory Syndrome (SARS), as well as guidelines for managing the symptoms presented by patients. The results are recommendations based on the literature and the professional experience of nutritionists who provide nutritional assistance to individuals hospitalized with COVID-19 since the beginning of the pandemic in Brazil. We present tools and suggestions for assessing the nutritional status, calculating nutritional needs, initiating nutritional therapy and monitoring tolerance to it, nutritional monitoring during hospitalization, and guidelines for hospital discharge. Patients with COVID-19 are at nutritional risk. A complete nutritional assessment (anthropometric, dietary, and laboratory assessment) enables the establishment of an individualized nutritional approach in order to contribute to better clinical and nutritional prognoses.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2405-4577 2405-4577
DOI:	10.1016/j.clnesp.2022.03.002