Nutritional parameters of individuals with COVID-19 hospitalized in ICU

Detalhes bibliográficos
Autor(a) principal: Rêgo, Gabriella Ribeiro Ernesto do
Data de Publicação: 2021
Outros Autores: Moura, Lucas de Almeida
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/20253
Resumo: As it is a disease that mainly affects the respiratory system, COVID-19 can evolve into a more critical situation, even leading to multiple organ failure, even fatal. Conditions in which acute respiratory complications require prolonged stay in Intensive Care Units (ICUs) are the main causes of morbidity and mortality in patients with COVID-19. The stay in the ICU, especially for a long time, is, by itself, a cause of changes in nutritional parameters. In view of this, this study aims to analyze the behavior of the nutritional status and parameters of patients with COVID-19 admitted to the ICU during the course of the pandemic. An integrative literature review was carried out, in which a systematic method was used for the synthesis and analysis of available scientific papers. It was found that, in cases of aggravated COVID-19 patients undergoing treatment in the ICU, there was a significant presence of comorbidities such as diabetes, hypertension and their association among hospitalized individuals, as well as changes in the profile of caloric and protein intake and in the nitrogen balance. It was also found that malnutrition and moderate to high nutritional risk were considered risk factors for longer hospital stays. The possibility of investigating more detailed parameters is crossed by the pandemic context itself, in which the urgency of patient management and the need for isolation and adoption of sanitary protocols often make it impossible to carry out scientific research with critically ill patients due to COVID-19.
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spelling Nutritional parameters of individuals with COVID-19 hospitalized in ICUParámetros nutricionales de personas con COVID-19 hospitalizadas en UCIParâmetros nutricionais de indivíduos com COVID-19 hospitalizados em UTIInfección por coronavirusUCIEstados nutricionalesCOVID-19Pandemia.Infecção por coronavírusUTIEstado nutricionalCOVID-19Pandemia.Coronavirus infectionICUNutritional statusCOVID-19Pandemic.As it is a disease that mainly affects the respiratory system, COVID-19 can evolve into a more critical situation, even leading to multiple organ failure, even fatal. Conditions in which acute respiratory complications require prolonged stay in Intensive Care Units (ICUs) are the main causes of morbidity and mortality in patients with COVID-19. The stay in the ICU, especially for a long time, is, by itself, a cause of changes in nutritional parameters. In view of this, this study aims to analyze the behavior of the nutritional status and parameters of patients with COVID-19 admitted to the ICU during the course of the pandemic. An integrative literature review was carried out, in which a systematic method was used for the synthesis and analysis of available scientific papers. It was found that, in cases of aggravated COVID-19 patients undergoing treatment in the ICU, there was a significant presence of comorbidities such as diabetes, hypertension and their association among hospitalized individuals, as well as changes in the profile of caloric and protein intake and in the nitrogen balance. It was also found that malnutrition and moderate to high nutritional risk were considered risk factors for longer hospital stays. The possibility of investigating more detailed parameters is crossed by the pandemic context itself, in which the urgency of patient management and the need for isolation and adoption of sanitary protocols often make it impossible to carry out scientific research with critically ill patients due to COVID-19.Al tratarse de una enfermedad que afecta principalmente al sistema respiratorio, el COVID-19 puede evolucionar hacia una situación más crítica, llegando incluso a producir fallos multiorgánicos, incluso mortales. Las condiciones en las que las complicaciones respiratorias agudas requieren estancia prolongada en Unidades de Cuidados Intensivos (UCI) son las principales causas de morbimortalidad en pacientes con COVID-19. La estancia en la UCI, especialmente durante un tiempo prolongado, es, por sí misma, una causa de cambios en los parámetros nutricionales. Ante esto, este estudio tiene como objetivo analizar el comportamiento del estado y parámetros nutricionales de los pacientes con COVID-19 ingresados en la UCI durante el transcurso de la pandemia. Se realizó una revisión integradora de la literatura, en la que se utilizó un método sistemático para la síntesis y análisis de los artículos científicos disponibles. Se encontró que, en los casos de pacientes con agravamiento del COVID-19 en tratamiento en la UCI, existía una presencia significativa de comorbilidades como diabetes, hipertensión y su asociación entre los individuos hospitalizados, así como cambios en el perfil de ingesta calórica y proteica. y en el balance de nitrógeno. También se encontró que la desnutrición y el riesgo nutricional moderado a alto se consideraron factores de riesgo para estadías hospitalarias más prolongadas. La posibilidad de investigar parámetros más detallados es atravesada por el propio contexto pandémico, en el que la urgencia del manejo del paciente y la necesidad de aislamiento y adopción de protocolos sanitarios muchas veces imposibilitan la realización de investigación científica con pacientes críticos por COVID-19.Por se tratar de uma doença que afeta principalmente o sistema respiratório, a COVID-19 pode evoluir para uma situação mais crítica, levando até mesmo à falência de múltiplos órgãos, chegando a ser fatal. Quadros nos quais complicações respiratórias agudas passam a requerer permanência prolongada em Unidades de Terapia Intensiva (UTIs) são as principais causas de morbidade e mortalidade em pacientes com COVID-19. A permanência em UTI, sobretudo em tempo prolongado, é, por si só, uma causa da alteração de parâmetros nutricionais. Diante disto, o presente trabalho tem como objetivo analisar o comportamento do estado e parâmetros nutricionais de pacientes com COVID-19 admitidos em UTI durante o curso da pandemia. Foi realizada uma revisão integrativa da literatura, na qual foi utilizado método sistematizado para síntese e análise dos trabalhos científicos disponíveis. Verificou-se que, nos casos de pacientes COVID-19 agravados, em tratamento em UTI, constatou-se significativa presença de comorbidades como diabetes, hipertensão e associação destas entre os indivíduos hospitalizados, bem como mudanças no perfil de ingestão calórica e proteica e no balanço nitrogenado. Também foi constatado que desnutrição e moderado a alto risco nutricional foram considerados fatores de risco para maiores períodos de internação hospitalar. A possibilidade de investigação de parâmetros mais minuciosos é travessada pelo próprio contexto pandêmico, no qual a urgência no manejo dos pacientes e a necessidade de isolamento e adoção de protocolos sanitários muitas vezes impossibilita a realização das pesquisas científicas com pacientes críticos em decorrência da COVID-19.Research, Society and Development2021-09-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2025310.33448/rsd-v10i12.20253Research, Society and Development; Vol. 10 No. 12; e196101220253Research, Society and Development; Vol. 10 Núm. 12; e196101220253Research, Society and Development; v. 10 n. 12; e1961012202532525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/20253/18132Copyright (c) 2021 Gabriella Ribeiro Ernesto do Rêgo; Lucas de Almeida Mourahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRêgo, Gabriella Ribeiro Ernesto doMoura, Lucas de Almeida2021-11-14T20:26:51Zoai:ojs.pkp.sfu.ca:article/20253Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:57.421305Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Nutritional parameters of individuals with COVID-19 hospitalized in ICU
Parámetros nutricionales de personas con COVID-19 hospitalizadas en UCI
Parâmetros nutricionais de indivíduos com COVID-19 hospitalizados em UTI
title Nutritional parameters of individuals with COVID-19 hospitalized in ICU
spellingShingle Nutritional parameters of individuals with COVID-19 hospitalized in ICU
Rêgo, Gabriella Ribeiro Ernesto do
Infección por coronavirus
UCI
Estados nutricionales
COVID-19
Pandemia.
Infecção por coronavírus
UTI
Estado nutricional
COVID-19
Pandemia.
Coronavirus infection
ICU
Nutritional status
COVID-19
Pandemic.
title_short Nutritional parameters of individuals with COVID-19 hospitalized in ICU
title_full Nutritional parameters of individuals with COVID-19 hospitalized in ICU
title_fullStr Nutritional parameters of individuals with COVID-19 hospitalized in ICU
title_full_unstemmed Nutritional parameters of individuals with COVID-19 hospitalized in ICU
title_sort Nutritional parameters of individuals with COVID-19 hospitalized in ICU
author Rêgo, Gabriella Ribeiro Ernesto do
author_facet Rêgo, Gabriella Ribeiro Ernesto do
Moura, Lucas de Almeida
author_role author
author2 Moura, Lucas de Almeida
author2_role author
dc.contributor.author.fl_str_mv Rêgo, Gabriella Ribeiro Ernesto do
Moura, Lucas de Almeida
dc.subject.por.fl_str_mv Infección por coronavirus
UCI
Estados nutricionales
COVID-19
Pandemia.
Infecção por coronavírus
UTI
Estado nutricional
COVID-19
Pandemia.
Coronavirus infection
ICU
Nutritional status
COVID-19
Pandemic.
topic Infección por coronavirus
UCI
Estados nutricionales
COVID-19
Pandemia.
Infecção por coronavírus
UTI
Estado nutricional
COVID-19
Pandemia.
Coronavirus infection
ICU
Nutritional status
COVID-19
Pandemic.
description As it is a disease that mainly affects the respiratory system, COVID-19 can evolve into a more critical situation, even leading to multiple organ failure, even fatal. Conditions in which acute respiratory complications require prolonged stay in Intensive Care Units (ICUs) are the main causes of morbidity and mortality in patients with COVID-19. The stay in the ICU, especially for a long time, is, by itself, a cause of changes in nutritional parameters. In view of this, this study aims to analyze the behavior of the nutritional status and parameters of patients with COVID-19 admitted to the ICU during the course of the pandemic. An integrative literature review was carried out, in which a systematic method was used for the synthesis and analysis of available scientific papers. It was found that, in cases of aggravated COVID-19 patients undergoing treatment in the ICU, there was a significant presence of comorbidities such as diabetes, hypertension and their association among hospitalized individuals, as well as changes in the profile of caloric and protein intake and in the nitrogen balance. It was also found that malnutrition and moderate to high nutritional risk were considered risk factors for longer hospital stays. The possibility of investigating more detailed parameters is crossed by the pandemic context itself, in which the urgency of patient management and the need for isolation and adoption of sanitary protocols often make it impossible to carry out scientific research with critically ill patients due to COVID-19.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-18
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/20253
10.33448/rsd-v10i12.20253
url https://rsdjournal.org/index.php/rsd/article/view/20253
identifier_str_mv 10.33448/rsd-v10i12.20253
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/20253/18132
dc.rights.driver.fl_str_mv Copyright (c) 2021 Gabriella Ribeiro Ernesto do Rêgo; Lucas de Almeida Moura
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Gabriella Ribeiro Ernesto do Rêgo; Lucas de Almeida Moura
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 12; e196101220253
Research, Society and Development; Vol. 10 Núm. 12; e196101220253
Research, Society and Development; v. 10 n. 12; e196101220253
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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