ESPEN 2021 Late Breaking Abstracts
Topic: Critical care
Abstract Submission Identifier: ESPEN21-LB-2018
RECOVERY PROGRAM FOR CRITICALLY ILL COVID-19 PATIENTS AFTER 6 WEEKS OF FOLLOW-UP FROM DISCHARGE
Á. P. Morales Cerchiaro*, 1, 2, 3, M. L. Carrascal 1, 3, L. Arhip 1, 2, 3, C. Velasco 1, 3, I. Bretón 3, 4, M. Motilla 1, 2, 3, C. Serrano 1, 3, C. Calvo 3, L. González 3, D. Muñoz 3, M. Camblor 1, 3, L. Frias 3, C. Cuerda 1, 2, 3
1Instituto de Investigación Sanitaria Gregorio Marañón , Instituto de Investigación Sanitaria Gregorio Marañón , 2Facultad de Medicina , Univesidad Complutense de Madrid , 3UNIDAD DE NUTRICIÓN CLÍNICA Y DIETÉTICA, HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN, 4Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
Rationale: To assess the evolution of patients with severe pneumonia due to COVID19 who have required intensive care(ICU).
Methods: Prospective observational study.212 ICU patients were included from March 16-2020, to June 25-2021.Clinical evaluation(including nutritional, functional, strength, dependency and quality of life assessment) was carried out during hospitalization and by telephone 6 weeks after discharge. Age, sex, hospital stay, ICU stay, weight, height, weight loss, BMI, dietaryintake estimation, Barthelscale, SARC-Ftest and the EQ-5D-5Lquestionnaire, nutritional treatment and therapeutic compliance were collected. The results are expressed as mean±SD and percentages(IBM-SPSS21.0).
Results: 212 patients aged 58.4±12.4 years were included, 63.7%male, weight at discharge 76.6±16.1kg, BMI 26.1 ± 7.4kg / m2. Total stay 55.1 ± 38.1 days, ICU stay 30.2±28.0 days and 61.9% needed intubation. Mean percentage of weight loss at hospital discharge was 12.2±7.3%, 9.3%had dysphagia and 74.7%had an oral nutritional supplement prescribed at discharge.
Table 1 |
Discharge from ICU |
6 weeks after hospital discharge |
|
Weight (kg)* |
76.6±16.1 |
79.3±15.2 |
|
BMI (kg/m2) * |
26.9±5.3 |
28.2±4.7 |
|
SARC-F* |
5.7±2.5 |
1.7±2.1 |
|
EQ-5D-5L (points)* |
55.5±19.4 |
72.2±18.6 |
|
Barthel Scale* |
72.7±22.2 |
87.5±18.7 |
|
Therapeutic compliance |
84.5 |
51.5 |
|
Dietary Intake>75%* |
47.5 |
87.1 |
Conclusion: Patients gained weight, improved intake, reduced the risk of sarcopenia, and perceived a significantly better quality of life after 6 weeks of hospital discharge. There was a good compliance with the specific nutritional therapy that can be important in the recovery of these patients.
References: Thibault R, Seguin P, Tamion F, Pichard C, Singer P. Nutrition of the COVID-19 patient in the intensive care unit (ICU): a practical guidance. Crit Care. 2020 Jul 19;24(1):447.
Disclosure of Interest: Á. Morales Cerchiaro Grant / Research Support from: Nestlé Health Science, M. L. Carrascal : None Declared, L. Arhip: None Declared, C. Velasco : None Declared, I. Bretón : None Declared, M. Motilla : None Declared, C. Serrano : None Declared, C. Calvo : None Declared, L. González : None Declared, D. Muñoz : None Declared, M. Camblor : None Declared, L. Frias : None Declared, C. Cuerda: None Declared
Keywords: COVID-19, ICU patients, recovery program