在倾斜的位置实现营养目标:一项针对冠状病毒疾病重症患者的队列研究
Rafaela Fernandes Mundstock1, Caroline Marques de Lima Cunha2, Kellen Dos Santos de Lima2
1Nutrition and Dietetics Division, Hospital de Clínicas de Porto Alegre, Brazil.
Clinical nutrition ESPEN
|March 10, 2025
概括
患有COVID-19的重症患者在易受影响的位置上经历了更长的住院时间和更高的死亡率. 虽然他们需要更多的肠道营养,但实现营养目标与非pronated患者相似.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 传染病流行病学 传染病流行病学
背景情况:
- 研究冠状病毒病 (COVID-19) 严重病患者的营养治疗和临床结果.
- 将需要入住重症监护室 (ICU) 的患者之间的结果进行比较,有或没有倾斜定位.
研究的目的:
- 描述重症COVID-19患者的营养治疗和临床结果.
- 为了比较患者与没有倾斜位置治疗的结果.
主要方法:
- 成人COVID-19患者入院ICU的回顾性队列研究 (2020年6月至12月).
- 收集的数据包括社会人口统计,临床,营养和人类学变量.
- 至少经过一次倾斜定位的患者被分类为倾斜组.
主要成果:
- 包括677名患者;35.4%的患者接受了倾向性定位.
- 预患者的肥胖,压力的患病率较高,需要机械通风和置换疗法.
- 孕期患者住院时间较长,死亡率较高,需要更频繁,更长时间的肠道营养,尽管热量/蛋白质目标相似.
结论:
- 临床位置的重症COVID-19患者面临更长时间的住院和死亡率的增加.
- 预的患者更有可能开始并维持更长时间的肠道营养.
- 在坐姿和卧姿患者之间,没有观察到实现蛋白质和热量目标的显著差异.
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