Nutritional and metabolic management of COVID-19 intensive care patients.
Nutritional and metabolic management of COVID-19 intensive care patients.
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DOI：
10.1016/j.jointm.2021.01.004
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Singer P
中科院分区：
文献类型：
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作者：
Singer P
在冠状病毒病 19 (COVID-19) 危重患者中观察到营养和代谢紊乱。本综述的目的是描述疾病进展过程中的这些干扰，从插管前阶段到通气状态再到拔管后阶段。对描述营养不良患病率、能量消耗和身体成分变化的新数据的分析正在指导医学营养治疗，以防止患者出现严重的能量不足和肌肉损失。康复时间可能会非常长，因此必须补充营养以缩短恢复期。本综述还对欧洲肠外和肠内营养学会 (ESPEN) 的营养声明进行了评论。
Nutritional and metabolic disturbances are observed in patients critically ill with Coronavirus disease 19 (COVID-19) patients. The aim of this review is to describe these disturbances during the progression of the disease, from the pre-intubation phase through the ventilated condition to the post extubation phase. The analysis of new data describing the prevalence of malnutrition, the modifications in energy expenditure and body composition are guiding medical nutritional therapy to prevent patients from experiencing severe energy deficit and muscle loss. Rehabilitation may be extremely prolonged and therefore, nutrition is mandatory to decrease this recondition period. This review also comments on the European Society of Parenteral and Enteral Nutrition (ESPEN) nutritional statements.