Early nutritional supplementation in non-critically ill patients hospitalized for the 2019 novel coronavirus disease (COVID-19): Rationale and feasibility of a shared pragmatic protocol.
Administration, Oral
COVID-19
Clinical Protocols
Coronavirus Infections
/ epidemiology
Dietary Supplements
Feasibility Studies
Hospitalization
Humans
Malnutrition
/ prevention & control
Pandemics
Pneumonia, Viral
/ epidemiology
Vitamin D
/ administration & dosage
Whey Proteins
/ administration & dosage
Coronavirus disease (COVID-19)
Malnutrition
Nutritional support
Oral nutritional supplements
Pragmatic protocol
Vitamin D
Whey proteins
Journal
Nutrition (Burbank, Los Angeles County, Calif.)
ISSN: 1873-1244
Titre abrégé: Nutrition
Pays: United States
ID NLM: 8802712
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
25
03
2020
accepted:
26
03
2020
pubmed:
14
4
2020
medline:
20
5
2020
entrez:
14
4
2020
Statut:
ppublish
Résumé
Beginning in December 2019, the 2019 novel coronavirus disease (COVID-19) has caused a pneumonia epidemic that began in Wuhan, China, and is rapidly spreading throughout the whole world. Italy is the hardest hit country after China. Considering the deleterious consequences of malnutrition, which certainly can affect patients with COVID-19, the aim of this article is to present a pragmatic protocol for early nutritional supplementation of non-critically ill patients hospitalized for COVID-19 disease. It is based on the observation that most patients present at admission with severe inflammation and anorexia leading to a drastic reduction of food intake, and that a substantial percentage develops respiratory failure requiring non-invasive ventilation or even continuous positive airway pressure. High-calorie dense diets in a variety of different consistencies with highly digestible foods and snacks are available for all patients. Oral supplementation of whey proteins as well as intravenous infusion of multivitamin, multimineral trace elements solutions are implemented at admission. In the presence of 25-hydroxyvitamin D deficit, cholecalciferol is promptly supplied. If nutritional risk is detected, two to three bottles of protein-calorie oral nutritional supplements (ONS) are provided. If <2 bottles/d of ONS are consumed for 2 consecutive days and/or respiratory conditions are worsening, supplemental/total parenteral nutrition is prescribed. We are aware that our straight approach may be debatable. However, to cope with the current emergency crisis, its aim is to promptly and pragmatically implement nutritional care in patients with COVID-19, which might be overlooked despite being potentially beneficial to clinical outcomes and effective in preventing the consequences of malnutrition in this patient population.
Identifiants
pubmed: 32280058
pii: S0899-9007(20)30118-0
doi: 10.1016/j.nut.2020.110835
pmc: PMC7194616
pii:
doi:
Substances chimiques
Whey Proteins
0
Vitamin D
1406-16-2
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
110835Commentaires et corrections
Type : CommentIn
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of interest The authors have no conflicts of interest to declare.
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