THE FEEDING STATUS AMONG COVID-19 PATIENTS AT THE INTENSIVE CARE UNIT - POISON CONTROL DEPARTMENT OF SAINT PAUL GENERAL HOSPITAL, 2022

Thi Huong Lan NGUYEN1,2,, Minh Anh TRAN2, Dang Hung NGUYEN1, Thi Bao Lien NGUYEN2, Ba Thang NGUYEN2, Thanh Tien NGUYEN2, Thi Hien NGUYEN2, Thi Phuong Lan TRAN3
1 Hanoi Medical University, Hanoi, Viet Nam
2 Saint Paul General Hospital, Hanoi, Viet Nam
3 Military Hospital 354, Hanoi, Viet Nam

Main Article Content

Abstract

Aims: To describe the current status of feeding COVID-19 patients treated at the Treatment Unit for severe and critical COVID-19 patients of the Intensive Care Unit - Poison Control Department at Saint Paul General Hospital in 2022.


Methods: A cross-sectional study was carried out on 110 COVID-19 patients aged 18 years or older, whose weight and diet data was collected during treatment.


Results: The percentage of patients, whose dietary intake met over 75% of the energy and protein requirement, remained low (13.6% and 10.9%). After 5 days of hospitalization, the range of energy and protein intake of COVID-19 patients reached only 68% to 86.7% and 50% to 66.7% of the requirement, respectively. Moreover, 57.9% of the patients experienced the mild to severe weight loss at hospital discharge point. Average weight loss among COVID-19 patients was 1,9 ± 0,3 kg.


Conclusion: Over 5 treatment days, all COVID-19 patients dietary intake were not meet energy and protein recommended requirement, which led to the high risk of weight loss after discharing from hospital.

Article Details

References

Vahdat Shariatpanahi Z, Vahdat Shariatpanahi M, et al.. Protein and Energy Intake Assessment and Their Association With In-Hospital Mortality in Critically Ill COVID-19 Patients: A Prospective Cohort Study. Front Nutr. 2021;8:708271. doi:10.3389/fnut.2021.708271
2. Barazzoni R, Bischoff SC, Breda J, et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection. Clin Nutr. 2020;39(6):1631-1638.
3. Pironi L, Sasdelli AS, Ravaioli F, et al. Malnutrition and nutritional therapy in patients with SARS-CoV-2 disease. Clin Nutr. 2021;40(3):1330-1337.
4. Hoàng Thị Hải Yến. Tình Trạng Dinh Dưỡng và Nguy Cơ Hội Chứng Nuôi Ăn Lại ở Người Bệnh COVID-19 Tại Bệnh Viện Điều Trị COVID-19 Năm 2021-2022. Luận văn cử nhân dinh dưỡng. Đại học Y Hà Nội. 2022.
5. Nguyễn Thùy Linh, Hoàng Thị Hằng, Ma Ngọc Yến, Nguyễn Thuý Nam, Tạ Thanh Nga, Bùi Thị Trà Vi, Phạm Thị Tuyết Chinh, Lê Đức Dũng. Tình trạng dinh dưỡng và đặc điểm nuôi dưỡng qua ống thông dạ dày ở người bệnh hồi sức tích cực tại Bệnh viện Điều trị người bệnh COVID-19. Tạp chí Nghiên cứu Y học. 2022;157(9):44-54.
6. Quyết định 2110/QĐ-BYT 2020 Hướng dẫn chế độ dinh dưỡng trong điều trị người nhiễm COVID 19. Accessed April 6, 2023. https://thuvienphapluat.vn/van-ban/The-thao-Y-te/Quyet-dinh-2110-QD-BYT-2020-Huong-dan-che-do-dinh-duong-trong-dieu-tri-nguoi-nhiem-COVID-19-487649.aspx
7. Viện Dinh dưỡng. Nhu Cầu Dinh Dưỡng Khuyến Nghị Cho Người Việt Nam. Nxb Y học; 2016.
8. Luo Y, Xue Y, Mao L, et al. Prealbumin as a Predictor of Prognosis in Patients With Coronavirus Disease 2019. Front. Med. 7:374. doi: 10.3389/fmed.2020.00374. https://www.frontiersin.org/articles/10.3389/fmed.2020.00374
9. Zhang P, He Z, Yu G, et al. The modified NUTRIC score can be used for nutritional risk assessment as well as prognosis prediction in critically ill COVID-19 patients. Clin Nutr. 2021;40(2):534-541.
10. Holdoway A. Nutritional management of patients during and after COVID-19 illness. Br J Community Nurs. 2020;25(Sup8):S6-S10.
11. Yue X, Li M, Wang Y, et al. Nutritional Support and Clinical Outcome of Severe and Critical Patients With COVID-19 Pneumonia. Front Nutr. 2020;7:581679. doi:10.3389/fnut.2020.581679
12. Lakenman PL, Joosten KF, Bommel JV, et al. Nutritional status of patients with COVID-19 1-y post-ICU stay: A prospective observational study. Nutrition. 2023;111:112025. doi: 10.1016/j.nut.2023.112025.