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Colegio de Medicina Interna de México.

2020, Number 4

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Med Int Mex 2020; 36 (4)

Nutritional considerations in hospitalized patients with COVID-19 infection: what the clinician should know

Cervantes-Guevara G, Cervantes-Pérez E, Cervantes-Pérez LA, Cervantes-Pérez G, Cervantes-Cardona GA, Ramírez-Ochoa S, Martínez-Soto HMC, Ruiz-Gallardo JI, Silva-González G, Rivas-Rivera F, Robledo-Valdez M

Language: Spanish
References: 42
Page: 562-569
PDF size: 227.17 Kb.


ABSTRACT

The SARS-CoV-2 pandemic represents a potential threat to patients and healthcare systems worldwide. Patients with the worst outcomes and higher mortality are reported to include older adults, polymorbid individuals and malnourished people in general. These populations are all commonly associated with a high risk for malnutrition, representing a relevant risk factor for higher morbidity and mortality in patients with chronic and acute disease. In addition, prolonged hospital stays are reported to be required for COVID- 19 patient stabilization, and longer acute setting stays may directly worsen or cause malnutrition, with severe loss of skeletal muscle mass and function, which may lead to poor quality of life and additional morbidity. The prevention, diagnosis and treatment of malnutrition should therefore be routinely included in the management of COVID-19 patients. The purpose of this review is to provide concise guidance for the nutritional management of COVID-19 patients based on the current literature. This review is focused on those in the non-ICU setting or with an older age and polymorbidity, which are independently associated with malnutrition and its negative impact on mortality.


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