Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI survey
Abstract Background Critically ill, COVID-19 patients are characterized by a hypermetabolic state and a reduced food intake and are at high risk of malnutrition and lean body mass loss. An appropriate metabolic-nutritional intervention aims to reduce complications and improve the clinical outcomes....
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | Journal of Anesthesia, Analgesia and Critical Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s44158-022-00063-6 |
| _version_ | 1811336450028863488 |
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| author | Romano Tetamo Ciro Fittipaldi Salvatore Buono Michele Umbrello |
| author_facet | Romano Tetamo Ciro Fittipaldi Salvatore Buono Michele Umbrello |
| author_sort | Romano Tetamo |
| collection | DOAJ |
| description | Abstract Background Critically ill, COVID-19 patients are characterized by a hypermetabolic state and a reduced food intake and are at high risk of malnutrition and lean body mass loss. An appropriate metabolic-nutritional intervention aims to reduce complications and improve the clinical outcomes. We conducted a cross-sectional, multicenter, observational, nationwide online survey involving Italian Intensivists to assess the nutritional practices in critically ill patients with COVID-19. Results A group of experts in nutrition of the Italian Society of Anaesthesia Analgesia Resuscitation and Intensive Care (SIAARTI) developed a 24-item questionnaire; the 9000 members of the Society were invited to participate through emails and social networks. Data was collected from June 1 to August 1, 2021. A total of 545 responses were collected: 56% in northern, 25% in central, and 20% in southern Italy. Artificial nutrition support is directly handled by intensivists in > 90 of the cases; the nutritional status is assessed as suggested by the guidelines in more than 70% of the cases, and a form of nutrition support is started within the first 48 h from ICU admission by > 90% of the respondents. Nutritional targets are reached in 4–7 days in > 75% of the cases, mainly by the enteral route. Indirect calorimetry, muscle ultrasound, and bioimpedance analysis are used by a limited part of the interviewees. Only about a half of the respondents reported the nutritional issues in the ICU discharge summary. Conclusions This survey among Italian Intensivists during the COVID-19 epidemic showed how the beginning, progression, and route of nutritional support adhere to international recommendations, while recommendations on the tools to set the target and monitor the efficacy of the metabolic support are less followed. |
| first_indexed | 2024-04-13T17:39:39Z |
| format | Article |
| id | doaj.art-5e165aeaa93f4fe7a19c94ad721a7997 |
| institution | Directory Open Access Journal |
| issn | 2731-3786 |
| language | English |
| last_indexed | 2024-04-13T17:39:39Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Anesthesia, Analgesia and Critical Care |
| spelling | doaj.art-5e165aeaa93f4fe7a19c94ad721a79972022-12-22T02:37:13ZengBMCJournal of Anesthesia, Analgesia and Critical Care2731-37862022-08-012111110.1186/s44158-022-00063-6Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI surveyRomano Tetamo0Ciro Fittipaldi1Salvatore Buono2Michele Umbrello3Già Direttore UOC Anestesia E Rianimazione E Dipartimento Emergenza Urgenza, ARNAS Civico PalermoUOC Anesthesia and Intensive Care, Hospital PellegriniDirettore UOC Anestesia, Rianimazione E Terapia Intensiva, AORN Ospedali Dei Colli Presidio Ospedaliero CTOSC Anestesia e Rianimazione II, ASST Santi Paolo e Carlo – Polo Universitario, Ospedale San Carlo BorromeoAbstract Background Critically ill, COVID-19 patients are characterized by a hypermetabolic state and a reduced food intake and are at high risk of malnutrition and lean body mass loss. An appropriate metabolic-nutritional intervention aims to reduce complications and improve the clinical outcomes. We conducted a cross-sectional, multicenter, observational, nationwide online survey involving Italian Intensivists to assess the nutritional practices in critically ill patients with COVID-19. Results A group of experts in nutrition of the Italian Society of Anaesthesia Analgesia Resuscitation and Intensive Care (SIAARTI) developed a 24-item questionnaire; the 9000 members of the Society were invited to participate through emails and social networks. Data was collected from June 1 to August 1, 2021. A total of 545 responses were collected: 56% in northern, 25% in central, and 20% in southern Italy. Artificial nutrition support is directly handled by intensivists in > 90 of the cases; the nutritional status is assessed as suggested by the guidelines in more than 70% of the cases, and a form of nutrition support is started within the first 48 h from ICU admission by > 90% of the respondents. Nutritional targets are reached in 4–7 days in > 75% of the cases, mainly by the enteral route. Indirect calorimetry, muscle ultrasound, and bioimpedance analysis are used by a limited part of the interviewees. Only about a half of the respondents reported the nutritional issues in the ICU discharge summary. Conclusions This survey among Italian Intensivists during the COVID-19 epidemic showed how the beginning, progression, and route of nutritional support adhere to international recommendations, while recommendations on the tools to set the target and monitor the efficacy of the metabolic support are less followed.https://doi.org/10.1186/s44158-022-00063-6COVID-19Critical careNutritional supportMetabolismSurveys and questionnaires |
| spellingShingle | Romano Tetamo Ciro Fittipaldi Salvatore Buono Michele Umbrello Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI survey Journal of Anesthesia, Analgesia and Critical Care COVID-19 Critical care Nutritional support Metabolism Surveys and questionnaires |
| title | Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI survey |
| title_full | Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI survey |
| title_fullStr | Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI survey |
| title_full_unstemmed | Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI survey |
| title_short | Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI survey |
| title_sort | nutrition support for critically ill patients during the covid 19 pandemic the italian siaarti survey |
| topic | COVID-19 Critical care Nutritional support Metabolism Surveys and questionnaires |
| url | https://doi.org/10.1186/s44158-022-00063-6 |
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