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- W3216194245 abstract "Rationale: The nutritional decline associated with the COVID19 disease can influence the mean stay and complications in the patient in Intensive Care Units (ICU). The aims were to describe the evolution of specialized nutritional support in the patient COVID19 at discharge of ICU. To assess the degree of development of dysphagia and the nutritional treatment at discharge. Methods: Longitudinal retrospective study in 71 patients admitted to the ICU with COVID infection between March and May 2020. Clinical variables: age, sex, Charlson index, length of stay, dysphagia were collected; it was estimated anthropometric variables: weight, height; and we collect data about oral nutritional supplementatio during admission and at discharge. The study was approved by the Ethics Committee(PI20-1952). Results: The mean age was 61.84(13.68) years. Charlson index was 3(2-5). 33 (46.5%) patients died. The median stay in the ICU was 20(15.75-32) days and the mean stay was 37(26.75-63) days. At discharge, 8(21%) patients had dysphagia. 21(55.2%) patients were prescribed oral nutritional supplements(ONS) during the stay in the hospital ward. ONS was maintained at discharge in 6(15.7%) patients. Among the patients who were prescribed ONS during admission, they were older (61.81(13.39) vs55.05(15.86)years;p=0.04); they had been longer stay in ICU (40.47(29.10)vs24.57(17.58)days;p=0.01); although there were no differences in the Charlson index. Patients who were prescribed oral supplementation at discharge had a longer mean stay (83.50(49.85)vs(41.06(22.51)days;p<0.01). It was observed that those who suffered dysphagia at discharge had spent more time in the ICU (32(20-66)vs23(16-35)days;p=0.01). When performing the univariate analysis, a relationship was observed between the mean ICU stay and the probability of developing dysphagia (OR:1.035(1.004-1.07);p=0.02). Conclusion: The presence of dysphagia at discharge in the patient admitted for COVID19 is related to the length of stay in the ICU. The prescription of oral nutritional supplementation was related to the mean length of stay and the age of the patients. Disclosure of Interest: None declared." @default.
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- W3216194245 date "2021-12-01" @default.
- W3216194245 modified "2023-09-25" @default.
- W3216194245 title "Evolution of the covid19 patient with complete enteral nutrition in intensive care unit at the hospital discharge" @default.
- W3216194245 doi "https://doi.org/10.1016/j.clnesp.2021.09.304" @default.
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