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- Title
Nutritional and Morphofunctional Assessment of Post-ICU Patients with COVID-19 at Hospital Discharge: NutriEcoMuscle Study.
- Authors
Joaquín, Clara; Bretón, Irene; Ocón Bretón, María Julia; Burgos, Rosa; Bellido, Diego; Matía-Martín, Pilar; Martínez Olmos, Miguel Ángel; Zugasti, Ana; Riestra, María; Botella, Francisco; García Almeida, José M.
- Abstract
This paper presents baseline results from the NutriEcoMuscle study, a multicenter observational study conducted in Spain which focused on changes in nutritional status, body composition, and functionality in post-intensive care unit (ICU) COVID-19 patients following a nutritional intervention. Assessments at hospital discharge included Subjective Global Assessment (SGA), Global Leadership Initiative on Malnutrition (GLIM) criteria, the Barthel index, handgrip strength (HGS) and the Timed Up-and-Go test, bioelectrical impedance analysis (BIA), and nutritional ultrasound (US). The study involved 96 patients (71.9% male, mean age 58.8 years, mean BMI 28.8 kg/m2, 36.5% obese). All patients were malnourished at discharge according to GLIM and SGA. Functional status declined from admission up to hospital discharge. A total of 33.3% of patients had a low fat-free mass index (FFMI) and 29.5% had a low phase angle (PhA). Myosteatosis was observed in 83.7% of the population. There was a positive correlation between rectus femoris cross-sectional area, PhA, FFMI, and HGS. In conclusion, post-critically ill COVID-19 patients commonly suffer from malnutrition and reduced muscle mass, causing a loss of independence at hospital discharge. BIA and US could be valuable tools for assessing body composition in these patients. The NutriEcoMuscle study highlights the need for a thorough nutritional and morphofunctional status assessment of post-ICU patients.
- Subjects
SPAIN; RESEARCH funding; MALNUTRITION; NUTRITIONAL assessment; BODY composition; SCIENTIFIC observation; DISCHARGE planning; FUNCTIONAL status; ULTRASONIC imaging; BIOELECTRIC impedance; INTENSIVE care units; RESEARCH; LEAN body mass; BARTHEL Index; COVID-19; GRIP strength
- Publication
Nutrients, 2024, Vol 16, Issue 6, p886
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu16060886