Martínez Rodríguez Jéssica, Roca Fontbona Maria
Hospital de Mataró.
Nutr Hosp. 2021 Dec 9;38(6):1269-1276. doi: 10.20960/nh.03759.
Introduction: the COVID-19 pandemic has had direct implications for clinical nutrition teams (NT), both at an organizational and healthcare level. Since March 2020, expert recommendations on nutritional intervention for patients with COVID-19 have been available. Objectives: to describe the nutritional intervention that has been carried out in patients with COVID-19, to estimate the presence of clinical dietitians-nutritionists (DN) in hospitals in Catalonia, and to know the organization of NTs. Methods: a cross-sectional study through an online survey directed to clinical DNs at hospitals in Catalonia (March 2021) was made. Results: the surveys of 36 NTs, made up of 104 DNs, have been analysed. A total of 44.44 % of NTs had to interrupt or reduce some of their usual activities during the pandemic. When nutritional screening was used, it was carried out early (24-48 h) in 56.25 % of cases, and the most common tool was the NRS-2002 (66.67 %). In 41.67 % of NTs a specific hospital diet was established, this being generally hyperproteic (89.66 %). Oral nutritional supplementation was systematically prescribed by 41.67 % of NTs, prioritizing hyperproteic (97.14 %) and hypercaloric (74.29 %) formulas. It is estimated that clinical DNs are present in approximately 61.54 % of public acute hospitals in Catalonia. Conclusions: the results reflect the adaptive capacity of NTs, reorganizing and redistributing their usual tasks and establishing infrequent measures to ensure nutritional support.
2019年冠状病毒病(COVID-19)大流行对临床营养团队(NT)在组织和医疗层面都产生了直接影响。自2020年3月以来,已有关于COVID-19患者营养干预的专家建议。目的:描述对COVID-19患者实施的营养干预,估计加泰罗尼亚医院临床营养师-营养学家(DN)的配备情况,并了解营养团队的组织情况。方法:于2021年3月针对加泰罗尼亚医院的临床DN开展了一项在线横断面调查。结果:对由104名DN组成的36个营养团队的调查进行了分析。在大流行期间,共有44.44%的营养团队不得不中断或减少一些日常活动。在使用营养筛查时,56.25%的病例在早期(24 - 48小时)进行,最常用的工具是营养风险筛查2002(NRS-2002)(66.67%)。41.67%的营养团队制定了特定的医院饮食,通常为高蛋白饮食(89.66%)。41.67%的营养团队系统地开出了口服营养补充剂,优先选择高蛋白(97.14%)和高热量(74.29%)配方。据估计,加泰罗尼亚约61.54%的公立急症医院配备了临床DN。结论:结果反映了营养团队的适应能力,他们重新组织和重新分配日常任务,并采取了一些不常见的措施来确保营养支持。