Cochrane COVID-19 Study Register
Kagueyama 2020

The importance of early nutritional intake in patients diagnosed with Sars-Cov-2

  1. Study Type
  2. Observational
  1. Study Aim
  2. Not applicable
  1. Study Design
  2. Case series/Case control/Cohort
  1. Intervention Assignment
  2. Not Applicable

The importance of early nutritional intake in patients diagnosed with Sars-Cov-2

Kagueyama L, Golin N, Pereira CV, Suiter E, do Nascimento LA, Severine AN
Rationale: The current SARS-Cov-2 pandemic is characterized by acute respiratory complications that require prolonged ICU stays, favoring malnutrition development, once there is a difficulty in meeting the nutritional needs, making nutritional assistance essential to contribute to better prognosis. Methods: Retrospective, transversal study with patients admitted to critical units of a private hospital of Sao Paulo from March to April 2020. The data collected were age, gender, nutritional risk, pursuant to the Nutritional Risk Screening 2002, degree of malnutrition, pursuant to the Global Leadership Initiative on Malnutrition, and feeding path. In enteral and parental nutritional therapies (ENT/PNT): time for beginning, nutritional goals, and reasons for its inadequacy. The data were analyzed using measures of central tendency, and absolute and relative frequencies. Results: Fifty onepatients were evaluated, with mean age of 68 (±18) years old, 72% (n=37) being male subjects, 45% (n=23) presenting nutritional risk, and, of those, 34% (n=8) were classified as malnourished. Regarding nutritional therapy, 53% (n=27) were in ENT, 39% (n=20) orally, 4% (n=2) in PNT, and 4% (n=2) in mixed therapy. The mean time for beginning was of 1.6 (±1.3) day, and most of these patients (n=18) reached nutritional needs within 7 days. The main reasons for the low supply were: 90.9% (n=10) risk of refeeding syndrome, 90.9% (n=10) use of vasoactive drugs, 54.5% (n=6) use of neuromuscular blocker, 18.2% (n=2) prone position, 18.2% (n=2) procedures, and 18.2% (n=2) intolerance. Conclusion: Most of the patients presented an early beginning on the first 48 hours and met the nutritional goals, reinforcing the importance of nutritional interventions on patientswith SARS-Cov-2, given the severity of the disease and complications in its treatment. Disclosure of Interest: None declared