Nutrition delivery across hospitalisation in critically ill patients with COVID-19: An observational study of the Australian experience.

COVID-19 Critical illness Intensive care Nutrition

Journal

Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
ISSN: 1036-7314
Titre abrégé: Aust Crit Care
Pays: Australia
ID NLM: 9207852

Informations de publication

Date de publication:
12 May 2023
Historique:
received: 21 08 2022
revised: 28 02 2023
accepted: 06 05 2023
medline: 15 6 2023
pubmed: 15 6 2023
entrez: 14 6 2023
Statut: aheadofprint

Résumé

Data on nutrition delivery over the whole hospital admission in critically ill patients with COVID-19 are scarce, particularly in the Australian setting. The objective of this study was to describe nutrition delivery in critically ill patients admitted to Australian intensive care units (ICUs) with coronavirus disease 2019 (COVID-19), with a focus on post-ICU nutrition practices. A multicentre observational study conducted at nine sites included adult patients with a positive COVID-19 diagnosis admitted to the ICU for >24 h and discharged to an acute ward over a 12-month recruitment period from 1 March 2020. Data were extracted on baseline characteristics and clinical outcomes. Nutrition practice data from the ICU and weekly in the post-ICU ward (up to week four) included route of feeding, presence of nutrition-impacting symptoms, and nutrition support received. A total of 103 patients were included (71% male, age: 58 ± 14 years, body mass index: 30±7 kg/m Critically ill patients during the COVID-19 pandemic in Australia were more likely to receive oral nutrition than artificial nutrition support at any time point both in the ICU and in the post-ICU ward, whereas EN was provided for a greater duration when it was prescribed. Nutrition-impacting symptoms were common.

Sections du résumé

BACKGROUND BACKGROUND
Data on nutrition delivery over the whole hospital admission in critically ill patients with COVID-19 are scarce, particularly in the Australian setting.
OBJECTIVES OBJECTIVE
The objective of this study was to describe nutrition delivery in critically ill patients admitted to Australian intensive care units (ICUs) with coronavirus disease 2019 (COVID-19), with a focus on post-ICU nutrition practices.
METHODS METHODS
A multicentre observational study conducted at nine sites included adult patients with a positive COVID-19 diagnosis admitted to the ICU for >24 h and discharged to an acute ward over a 12-month recruitment period from 1 March 2020. Data were extracted on baseline characteristics and clinical outcomes. Nutrition practice data from the ICU and weekly in the post-ICU ward (up to week four) included route of feeding, presence of nutrition-impacting symptoms, and nutrition support received.
RESULTS RESULTS
A total of 103 patients were included (71% male, age: 58 ± 14 years, body mass index: 30±7 kg/m
CONCLUSION CONCLUSIONS
Critically ill patients during the COVID-19 pandemic in Australia were more likely to receive oral nutrition than artificial nutrition support at any time point both in the ICU and in the post-ICU ward, whereas EN was provided for a greater duration when it was prescribed. Nutrition-impacting symptoms were common.

Identifiants

DOI: 10.1016/j.aucc.2023.05.001 PMID: 37316370 PMC: PMC10176103
pubmed: 37316370
pii: S1036-7314(23)00065-6
doi: 10.1016/j.aucc.2023.05.001
pmc: PMC10176103
pii:
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

Copyright © 2023 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of interest Four authors (Chapple, Ridley, Marshall, and Udy) hold leadership positions with Australian Critical Care. Chapple and Ridley are Editors, Marshall is the Editor-in-Chief, and Udy is a member of the Editorial Board. Consistent with ACC policies, the authors are excluded from any decision-making processes in relation to this submission. The manuscript was managed from submission through to final decision by Assoc Prof Tom Buckley, Editor.

Références

Crit Care. 2021 Nov 8;25(1):382
pubmed: 34749756
JAMA. 2020 Mar 17;323(11):1061-1069
pubmed: 32031570
N Engl J Med. 2020 Apr 30;382(18):1708-1720
pubmed: 32109013
Lancet. 2020 Mar 28;395(10229):1054-1062
pubmed: 32171076
Med J Aust. 2021 Jan;214(1):23-30
pubmed: 33325070
Crit Care. 2020 Sep 28;24(1):581
pubmed: 32988390
Crit Care. 2017 Nov 29;21(1):293
pubmed: 29187261
JPEN J Parenter Enteral Nutr. 2009 May-Jun;33(3):277-316
pubmed: 19398613
Nutr Clin Pract. 2017 Apr;32(1_suppl):142S-151S
pubmed: 28388374
Clin Nutr ESPEN. 2021 Feb;41:423-428
pubmed: 33487301
Rev Bras Ter Intensiva. 2020 Mar;32(1):133-142
pubmed: 32401992
J Crit Care. 2019 Aug;52:242-250
pubmed: 30665795
Clin Infect Dis. 2020 Jul 28;71(15):889-890
pubmed: 32215618
Clin Nutr. 2019 Feb;38(1):48-79
pubmed: 30348463
JPEN J Parenter Enteral Nutr. 2022 May;46(4):805-816
pubmed: 34486137
Crit Care Med. 2004 Jan;32(1):94-9
pubmed: 14707565
Aust Crit Care. 2020 May;33(3):300-308
pubmed: 32456984
JPEN J Parenter Enteral Nutr. 2018 Nov;42(8):1349-1357
pubmed: 29701877
Eur Arch Otorhinolaryngol. 2020 Aug;277(8):2251-2261
pubmed: 32253535
Clin Nutr. 2021 Apr;40(4):2420-2426
pubmed: 33160700
Clin Nutr. 2016 Dec;35(6):1315-1322
pubmed: 26949198
Crit Care. 2006 Feb;10(1):R10
pubmed: 16420657
Nutrients. 2022 Mar 03;14(5):
pubmed: 35268037
J Am Diet Assoc. 2010 Mar;110(3):427-33
pubmed: 20184993
Clin Nutr ESPEN. 2021 Aug;44:69-77
pubmed: 34330515
Eur J Clin Nutr. 2018 Jul;72(7):986-992
pubmed: 29773846
JPEN J Parenter Enteral Nutr. 2019 Jan;43(1):88-95
pubmed: 29924393
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
Chest. 2010 Mar;137(3):665-73
pubmed: 20202948
Clin Nutr. 2017 Aug;36(4):1122-1129
pubmed: 27637833
Asian Pac J Allergy Immunol. 2020 Mar;38(1):1-9
pubmed: 32105090

Auteurs

Lee-Anne S Chapple (LS)

Intensive Care Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia; Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia; Centre of Research Excellence in Translating Nutritional Science to Good Health, The University of Adelaide, Adelaide, Australia. Electronic address: lee-anne.chapple@adelaide.edu.au.

Emma J Ridley (EJ)

The Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Nutrition Department, The Alfred Hospital, Melbourne, Victoria, Australia.

Kate Ainscough (K)

University College Dublin Clinical Research Centre at St Vincents University Hospital, Dublin, Ireland.

Lauren Ballantyne (L)

Nutrition and Dietetic Department, Bendigo Health, Bendigo, Victoria, Australia.

Aidan Burrell (A)

The Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia.

Lewis Campbell (L)

Intensive Care Unit, Royal Darwin Hospital, Darwin, Northern Territory, Australia; Menzies School of Health Research, Darwin, Northern Territory, Australia.

Claire Dux (C)

Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Herston, Australia; School of Human Movements and Nutrition Science, University of Queensland, Brisbane, Australia.

Suzie Ferrie (S)

Department of Nutrition & Dietetics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia; School of Medicine and Health, University of Sydney, New South Wales, Australia.

Kate Fetterplace (K)

Department of Allied Health (Clinical Nutrition), The Royal Melbourne Hospital, Melbourne, Victoria, Australia; The University of Melbourne, Department of Critical Care, Melbourne Medical School, Melbourne, Victoria, Australia.

Virginia Fox (V)

Nutrition and Dietetic Department, Bendigo Health, Bendigo, Victoria, Australia.

Matin Jamei (M)

Intensive Care Unit, Nepean Hospital, Sydney, New South Wales, Australia.

Victoria King (V)

The Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Ary Serpa Neto (A)

The Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Alistair Nichol (A)

The Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; University College Dublin Clinical Research Centre at St Vincents University Hospital, Dublin, Ireland; Nutrition and Dietetic Department, Bendigo Health, Bendigo, Victoria, Australia; Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia.

Emma Osland (E)

Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia; School of Human Movements and Nutrition Science, University of Queensland, Brisbane, Australia.

Eldho Paul (E)

The Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Matthew J Summers (MJ)

Intensive Care Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia; Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.

Andrea P Marshall (AP)

Intensive Care Unit, Gold Coast University Hospital, Southport, Queensland, Australia; Menzies Health Institute, Griffith University, Southport, Queensland, Australia.

Andrew Udy (A)

The Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia.

Classifications MeSH