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The 2019 novel coronavirus disease ( COVID-19 ) pandemic has severely impacted healthcare systems around the world and caused large numbers of deaths
.
Most patients have mild clinical symptoms and are likely to recover
The 2019 novel coronavirus disease ( COVID-19 ) pandemic has severely impacted healthcare systems around the world and caused large numbers of deaths
This is a prospective study conducted in the intensive care units (ICUs) of two referral university hospitals in the Italian region of Lombardy during the first pandemic of Covid-19
.
During their ICU stay, researchers evaluated 222 continuously mechanically ventilated patients with COVID-19
statistics
Results of the study showed that among patients who remained in the ICU and survived on day 4 (N = 198), 129 (65.
2%) and 72 (36.
4%), respectively, achieved satisfactory caloric and protein intake ( mainly via the enteral route)
.
In multivariate analysis, satisfactory caloric intake on day 4 was associated with lower mortality (HR = 0.
2 2
Figure: Relationship between invasive ventilation and caloric supplementation in ICU
This study confirms the negative prognostic and clinical role of obesity in mechanically ventilated COVID-19 patients and suggests that early caloric deficit may independently contribute to worse survival in this patient population
.
Therefore, every effort should be made to implement adequate and timely nutritional support for all COVID-19 patients during their ICU stay
This study confirms the negative prognostic and clinical role of obesity in mechanically ventilated COVID-19 patients and suggests that early caloric deficit may independently contribute to worse survival in this patient population
Original source:
EmanueleCereda.
Early caloric deficit is associated with a higher risk of death in invasive ventilated COVID-19 patients.
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