Τίτλος:
Does route of full feeding affect outcome among ventilated critically ill covid-19 patients: A prospective observational study
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
The outbreak of the new coronavirus strain SARS-CoV-2 (COVID-19) highlighted the need for appropriate feeding practices among critically ill patients admitted to the intensive care unit (ICU). This study aimed to describe feeding practices of intubated COVID-19 patients during their second week of hospitalization in the First Department of Critical Care Medicine, Evaggelismos General Hospital, and evaluate potential associations with all cause 30-day mortality, length of hospital stay, and duration of mechanical ventilation. We enrolled adult intubated COVID-19 patients admitted to the ICU between September 2020 and July 2021 and prospectively monitored until their hospital discharge. Of the 162 patients analyzed (52.8% men, 51.6% overweight/obese, mean age 63.2 ± 1.9 years), 27.2% of patients used parenteral nutrition, while the rest were fed enterally. By 30 days, 34.2% of the patients in the parenteral group had died compared to 32.7% of the patients in the enteral group (relative risk (RR) for the group receiving enteral nutrition = 0.97, 95% confidence interval = 0.88–1.06, p = 0.120). Those in the enteral group demonstrated a lower duration of hospital stay (RR = 0.91, 95% CI = 0.85-0.97, p = 0.036) as well as mechanical ventilation support (RR = 0.94, 95% CI = 0.89–0.99, p = 0.043). Enteral feeding during second week of ICU hospitalization may be associated with a shorter duration of hospitalization and stay in mechanical ventilation support among critically ill intubated patients with COVID-19. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Συγγραφείς:
Karayiannis, D.
Kakavas, S.
Sarri, A.
Giannopoulou, V.
Liakopoulou, C.
Jahaj, E.
Kanavou, A.
Pitsolis, T.
Malachias, S.
Adamos, G.
Mantelou, A.
Almperti, A.
Morogianni, K.
Kampouropoulou, O.
Kotanidou, A.
Mastora, Z.
Περιοδικό:
Nutrient Cycling in Agroecosystems
Λέξεις-κλειδιά:
artificial ventilation; critical illness; enteric feeding; epidemiology; female; Greece; human; intensive care; length of stay; male; middle aged; mortality; parenteral nutrition; procedures; prospective study; therapy; time factor; treatment outcome, COVID-19; Critical Care; Critical Illness; Enteral Nutrition; Female; Greece; Humans; Length of Stay; Male; Middle Aged; Parenteral Nutrition; Prospective Studies; Respiration, Artificial; SARS-CoV-2; Time Factors; Treatment Outcome
