Differences in quality standards when prescribing nutritional support: Differences between specialist and non-specialist physicians

López, Jesús Manuel Morán; León, María Piedra; Izquierdo, Fidel Jesús Enciso; Pérez, Luis Miguel Luengo; Señarís, José Antonio Amado

doi:10.1016/j.endoen.2015.08.009

Cited by 2 publications

(1 citation statement)

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“… 13 The causes associated with health care include poor awareness or lack of knowledge on the part of the care teams about the importance of identifying malnutrition and aggravating factors, thus depriving patients of the beneficial effects of nutritional support. 14 , 15 , 16 …”

Section: Discussionmentioning

confidence: 99%

Malnutrition and nutrition support in COVID-19: The results of a nutrition support protocol

Morán-López

2021

Endocrinología, Diabetes y Nutrición (English ed.)

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Introduction COVID-19 is characterized by various clinical manifestations, mainly respiratory involvement. Disease-related malnutrition is associated with impaired respiratory function and increased all-cause morbidity and mortality. Patients with COVID-19 infection carry a high nutritional risk. After designing a specific nutritional support protocol for this disease, we carried out a retrospective study on malnutrition and on the use of nutritional support in patients with COVID-19. Methods We performed a retrospective study to determine whether nutritional support positively affected hospital stay, clinical complications, and mortality in patients with COVID-19. We compared the results with those of standard nutritional management. Our secondary objectives were to determine the prevalence of malnutrition in patients with COVID-19 and the value of nutritional support in the hospital where the study was performed. Results At least 60% of patients with COVID-19 experience malnutrition (up to 78.66% presented at least 1 of the parameters studied). The specialized nutritional support protocol was indicated in only 21 patients (28%) and was started early in only 12 patients (16%). Hospital stay was significantly shorter in patients managed with the early protocol (5.09 days, 95% CI, 1.338–8.853, p < 0.01). Similarly, in this group, respiratory distress was less severe and less frequent (41% vs 82.5%, p < 0.007), and statistically significantly fewer complications were recorded (9/12 vs 91/63; p < 0.001). Conclusions COVID-19 is associated with high rates of disease-related malnutrition. Early implementation of a specialized nutritional support plan can improve the prognosis of these patients by reducing hospital stay, the possibility of more severe respiratory distress, and complications in general.

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