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• W3215733145 abstract "Rationale: The aim of this analysis was to compare route and adequacy of nutrition support in patients with COVID19 admitted to an intensive care unit (ICU) between March-June 2020 (T1) compared to January-April 2021 (T2). Methods: Parameters related to nutrition support were collected from the records of all patients admitted to ICU with COVID19 with length of stay of ≥7days on mechanical ventilation requiring artificial nutrition support. Data was collected during the late acute phase which was defined as day 4-7 post intubation. Energy and protein intake was compared to calculated estimated nutritional requirements. Results: 35 patients met the inclusion criteria in T1, 94% were on enteral nutrition (EN), 3% parenteral nutrition (PN) and 3% EN+PN. In T2, there were 54 patients (92% EN, 2% PN and 6% EN+PN). Tabled 1March – June 2020 (N=35)January – April 2021 (N=54)P valueEnergy (% requirements met)85 (24)96 (23.0)0.022Protein (% requirements met)68 (28)79 (26.1)0.076 Open table in a new tab Of patients who achieved <70% of energy and protein requirements in T1 (n=17) 35% had constipation or ileus and 47% had GI intolerance (high gastric residual volumes or vomiting). In T2 (n=19), 84% experienced constipation or ileus and 63% had GI intolerance. 35% of patients in T1 had hypernatraemia vs. 47% in T2 and 41% in T1 had hyperglycaemia vs. 100% in T2 despite only 12% and 32% of patients respectively having a history of diabetes. Conclusion: Despite a higher incidence of GI intolerance in T2, a statistically significant improvement in energy targets was noted. There was a clinically significant trend in protein intake which may be attributed to prompt initiation of modular protein supplements or perhaps an earlier transition from fat-based sedation. Meeting protein requirements while preventing overfeeding remains a challenge in the ICU. Disclosure of Interest: None declared." @default.
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• W3215733145 date "2021-12-01" @default.
• W3215733145 modified "2023-10-16" @default.
• W3215733145 title "Applying learning from 1st to the 3rd wave of the covid19 pandemic: nutritional provision in critical care" @default.
• W3215733145 doi "https://doi.org/10.1016/j.clnesp.2021.09.294" @default.
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