González-Salazar Luis Eduardo, Guevara-Cruz Martha, Hernández-Gómez Karla Guadalupe, Serralde Zúñiga Aurora Elizabeth
Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán.
Nutr Hosp. 2020 Jul 13;34(3):622-630. doi: 10.20960/nh.03180.
The current COVID-19 pandemic mainly affects older people, those with obesity or other coexisting chronic diseases such as type-2 diabetes and high blood pressure. It has been observed that about 20 % of patients will require hospitalization, and some of them will need the support of invasive mechanical ventilation in intensive care units. Nutritional status appears to be a relevant factor influencing the clinical outcome of critically ill patients with COVID-19. Several international guidelines have provided recommendations to ensure energy and protein intake in people with COVID-19, with safety measures to reduce the risk of infection in healthcare personnel. The purpose of this review is to analyze the main recommendations related to adequate nutritional management for critically ill patients with COVID-19 in order to improve their prognosis and clinical outcomes.
当前的新冠疫情主要影响老年人、肥胖者或患有其他并存慢性病(如2型糖尿病和高血压)的人群。据观察,约20%的患者需要住院治疗,其中一些人在重症监护病房需要有创机械通气的支持。营养状况似乎是影响新冠危重症患者临床结局的一个相关因素。一些国际指南已提供建议,以确保新冠患者的能量和蛋白质摄入,并采取安全措施降低医护人员的感染风险。本综述的目的是分析与新冠危重症患者适当营养管理相关的主要建议,以改善其预后和临床结局。