A UK survey of nutritional care pathways for patients with COVID-19 prior to and post-hospital stay.
COVID-19 infection
care pathway
dietitians
nutrition
nutritional care
Journal
Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
ISSN: 1365-277X
Titre abrégé: J Hum Nutr Diet
Pays: England
ID NLM: 8904840
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
revised:
11
03
2021
received:
14
12
2020
accepted:
14
03
2021
pubmed:
19
3
2021
medline:
17
8
2021
entrez:
18
3
2021
Statut:
ppublish
Résumé
During the global COVID-19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. The present study examined the development and evaluation of care pathways to manage nutritional care of patients following COVID-19 infection prior to and after discharge. Registered UK dietitians completed an online questionnaire comprising 26 questions about the development of a pathway, its use, evaluation and training needs. Of 57 responses from organisations, 37 (65%) were involved in the planning/management of nutritional care. Only 19 responses had a new or adapted COVID-19 pathway. Of these, 74% reported involvement of dietetic services, 47% reported > 1 eligibility criteria for pathway inclusion and 53% accepted all positive or suspected cases. All respondents used nutritional screening, first-line dietary advice (food first) and referral for further advice and monitoring. Weight and food intake were the most used outcome measure. All pathways addressed symptoms related to nutrition, with the most common being weight loss with poor appetite, not being hungry and skipping meals in 84% of pathways. Over half of respondents (54%) planned to evaluate their pathway and 83% reported that they were 'very or reasonably confident' in their team's nutritional management of COVID-19. Less than half (42%) reported on training needs. Despite challenges encountered, pathways were developed and implemented. Dietitians had adapted to new ways of working to manage nutritional care in patients prior to and after discharge from hospital following COVID-19 infection. Further work is needed to develop strategies for evaluation of their impact.
Sections du résumé
BACKGROUND
During the global COVID-19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. The present study examined the development and evaluation of care pathways to manage nutritional care of patients following COVID-19 infection prior to and after discharge.
METHODS
Registered UK dietitians completed an online questionnaire comprising 26 questions about the development of a pathway, its use, evaluation and training needs.
RESULTS
Of 57 responses from organisations, 37 (65%) were involved in the planning/management of nutritional care. Only 19 responses had a new or adapted COVID-19 pathway. Of these, 74% reported involvement of dietetic services, 47% reported > 1 eligibility criteria for pathway inclusion and 53% accepted all positive or suspected cases. All respondents used nutritional screening, first-line dietary advice (food first) and referral for further advice and monitoring. Weight and food intake were the most used outcome measure. All pathways addressed symptoms related to nutrition, with the most common being weight loss with poor appetite, not being hungry and skipping meals in 84% of pathways. Over half of respondents (54%) planned to evaluate their pathway and 83% reported that they were 'very or reasonably confident' in their team's nutritional management of COVID-19. Less than half (42%) reported on training needs.
CONCLUSIONS
Despite challenges encountered, pathways were developed and implemented. Dietitians had adapted to new ways of working to manage nutritional care in patients prior to and after discharge from hospital following COVID-19 infection. Further work is needed to develop strategies for evaluation of their impact.
Identifiants
pubmed: 33735530
doi: 10.1111/jhn.12896
pmc: PMC8250968
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
660-669Subventions
Organisme : Danone
Organisme : Bournemouth University
Informations de copyright
© 2021 The Authors. Journal of Human Nutrition and Dietetics published by John Wiley & Sons Ltd on behalf of British Dietetic Association.
Références
Clin Nutr. 2008 Feb;27(1):48-56
pubmed: 17964008
Age Ageing. 2014 Nov;43(6):748-59
pubmed: 25241753
BMJ. 2020 Jul 14;370:m2815
pubmed: 32665317
Am J Med. 2006 Aug;119(8):693-9
pubmed: 16887416
J Hum Nutr Diet. 2009 Aug;22(4):324-35
pubmed: 19624401
Ageing Res Rev. 2012 Apr;11(2):278-96
pubmed: 22212388
J Am Diet Assoc. 2001 Jun;101(6):648-54
pubmed: 11424543
J Cachexia Sarcopenia Muscle. 2020 Aug;11(4):863-865
pubmed: 32519505
Clin Nutr. 2020 Jun;39(6):1631-1638
pubmed: 32305181
J Health Organ Manag. 2003;17(3):164-80
pubmed: 14763100
Nat Med. 2020 Jul;26(7):1037-1040
pubmed: 32393804
J Adv Nurs. 2000 Aug;32(2):485-96
pubmed: 10964199
Obesity (Silver Spring). 2020 Jul;28(7):1182-1183
pubmed: 32339394
Sociol Health Illn. 2005 Sep;27(6):759-79
pubmed: 16283898
Cochrane Database Syst Rev. 2009 Jul 08;(3):CD002759
pubmed: 19588334
BMJ Nutr Prev Health. 2020 Jul 28;3(2):126-128
pubmed: 33521520
J Acad Nutr Diet. 2017 Dec;117(12):2003-2014
pubmed: 28988837
Nurs Health Sci. 2013 Sep;15(3):398-405
pubmed: 23480423
Clin Nutr. 2012 Jun;31(3):293-312
pubmed: 22257636