6. Nutritional status and characteristics of tube feeding in icu patients at the COVID-19 Hospital
Main Article Content
Abstract
Hypercatabolism and systemic inflammation in COVID-19 patients triggers an increase in energy and protein expenditure, particularly in ICU patients who suffer from severe increased protein catabolism and are malnourished. This retrospective study evaluated the nutritional status and tube feeding characteristics of 60 ICU COVID-19 patients at the COVID-19 Hospital (of Hanoi Medical University Hospital) from December 2021 to January 2022. The results showed that the percentage of malnourished patients according to GLIM criteria was 65%, of which 13.3% were severely malnourished and 51.7% were moderately malnourished. A mild-moderate and severe reduction of skeletal muscle mass and subcutaneous fat mass was present in 31.7% and 13.3% of patients, respectively. 81.7% were fed intermittently, 5.0% were fed via continuous drip feeding, and 13.3% were fed using the bolus method. The average number of tube feeding meals was 4.5 meals a day, with the energy intake reaching 90.5% to 100% of daily energy requirements and the protein intake reaching 74.5% to 81.6% of the recommendations. Additionally, 50 - 100% of the vitamins and minerals recommended dietary allowance were achieved. The percentage of patients with symptoms of malabsorption was 11.7%, mainly in patients receiving bolus feeding. The figure for malnutrition is high and some of the nutrient intakes remain below recommendations, therefore nutritional assessment along with nutritional intervention should be performed actively on COVID-19 patients in the ICU from admission throughout the duration of treatment
Article Details
Keywords
Nutritional status, GLIM, Tube Feeding, ICU, COVID-19 hospital
References
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