2021
DOI: 10.1136/bmjnph-2021-000271
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Critical care nutrition and COVID-19: a cause of malnutrition not to be underestimated

Abstract: Malnutrition in critical care is highly prevalent and well documented to have adverse implications on morbidity and mortality. During the current COVID-19 pandemic, the evolving literature has been able to identify high risk groups in whom unfavourable outcomes are more common, for example, obesity, premorbid status, male sex, members from the Black, Asian and Minority Ethnic (BAME) community and others. Nutritional status and provision precritical and pericritical phase of COVID-19 illness is gaining traction… Show more

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Cited by 9 publications
(9 citation statements)
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“…Firstly, there was increased use of prone positioning, which can present unique feeding challenges due to large gastric residual volumes, vomiting, and aspiration of gastric contents [ 16 ]. Secondly, increased use of opioid-based sedation due to propofol shortages observed in this study may have contributed to the cycles of constipation and laxative-induced diarrhea observed [ 3 , 17 ].…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…Firstly, there was increased use of prone positioning, which can present unique feeding challenges due to large gastric residual volumes, vomiting, and aspiration of gastric contents [ 16 ]. Secondly, increased use of opioid-based sedation due to propofol shortages observed in this study may have contributed to the cycles of constipation and laxative-induced diarrhea observed [ 3 , 17 ].…”
Section: Discussionmentioning
confidence: 99%
“…Disease severity and prolonged ICU stay were likely contributing factors. Weight loss and malnutrition contribute to worse functional ability following ICU discharge in patients with COVID-19 [ 2 , 3 ]. A substantial proportion of patients surviving to hospital discharge requiring further dietetic-led nutrition interventions in the community was also found.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…It was not until 2 weeks later that we observed improved catabolic phase. The catabolic phase in ICU patients has already been reported in many prior studies [24][25][26][27][28] . The most reliable test for determining at this catabolic phase may be the NB test 24,[29][30][31][32][33][34][35] .…”
Section: Discussionmentioning
confidence: 53%
“…Nutritional advice, laboratory testing such as albumin levels, appetite stimulants such as megestrol acetate and glucocorticoids, or a combination of pharmaceutical therapies aimed at underlying pathophysiology may be appropriate in some cases [99,100]. During viral infections, low levels of micronutrients such as vitamins A, D, E, B6, B12, zinc, and selenium have been linked to poor clinical outcomes that should be evaluated during the SARS-CoV-2 therapy [101][102][103]. Natural substances with anti-inflammatory and anti-tumorigenic properties, in addition to micronutrients, have also been discovered to play a significant impact in cancer or COVID-19 -related cachexia [104].…”
Section: Sars-cov-2 (Covid-19) Induced Cytokine Storm In Muscle Wasti...mentioning
confidence: 99%