Evidence map›Paper›PMID 32305181›Full record

GuidelineClinical nutrition (Edinburgh, Scotland)2020

ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection.

Rocco Barazzoni, Stephan C Bischoff, Joao Breda, Kremlin Wickramasinghe, Zeljko Krznaric, Dorit Nitzan, Matthias Pirlich, Pierre Singer, endorsed by the ESPEN Council

Open access · bronzeAbstract readPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Clinical nutrition (Edinburgh, Scotland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 397 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
397citing papers in PubMed, 9 pooled it
86.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

397 citing papers in PubMed, 9 syntheses or guidelines pooled it, 833 citations in OpenAlex.

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337 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 6 countries.

Rocco BarazzoniDepartment of Medical, Surgical and Health Sciences, University of Trieste, Italy. Electronic address: barazzon@units.it.
Stephan C BischoffInstitute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany.
Joao BredaWHO European Office for Prevention and Control of Noncommunicable Diseases, WHO Regional Office for Europe, Moscow, Russian Federation.
Kremlin WickramasingheWHO European Office for Prevention and Control of Noncommunicable Diseases, WHO Regional Office for Europe, Moscow, Russian Federation.
Zeljko KrznaricDepartment of Gastroenterology, Hepatology and Nutrition, University Hospital Centre Zagreb, University of Zagreb, Croatia.
Dorit NitzanHealth Emergencies and Operation Management, World Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark.
Matthias PirlichImperial Oak Outpatient Clinic, Endocrinology, Gastroenterology & Clinical Nutrition, Berlin, Germany.
Pierre SingerDepartment of General Intensive Care and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
endorsed by the ESPEN Council
WHO European Office for the Prevention and Control of NCD · RUBerlin Heart (Germany) · DETel Aviv University · ILUniversity of Hohenheim · DEUniversity of Trieste · ITUniversity of Zagreb · HRWorld Health Organization Regional Office for Europe · DK

Funding

World Health Organization 001
6 · The paper itself

Abstract

The COVID-19 pandemics is posing unprecedented challenges and threats to patients and healthcare systems worldwide. Acute respiratory complications that require intensive care unit (ICU) management are a major cause of morbidity and mortality in COVID-19 patients. Patients with worst outcomes and higher mortality are reported to include immunocompromised subjects, namely older adults and polymorbid individuals and malnourished people in general. ICU stay, polymorbidity and older age are all commonly associated with high risk for malnutrition, representing per se a relevant risk factor for higher morbidity and mortality in chronic and acute disease. Also importantly, prolonged ICU stays are reported to be required for COVID-19 patients stabilization, and longer ICU stay may per se directly worsen or cause malnutrition, with severe loss of skeletal muscle mass and function which may lead to disability, poor quality of life and additional morbidity. Prevention, diagnosis and treatment of malnutrition should therefore be routinely included in the management of COVID-19 patients. In the current document, the European Society for Clinical Nutrition and Metabolism (ESPEN) aims at providing concise guidance for nutritional management of COVID-19 patients by proposing 10 practical recommendations. The practical guidance is focused to those in the ICU setting or in the presence of older age and polymorbidity, which are independently associated with malnutrition and its negative impact on patient survival.

Indexed as

BetacoronavirusAgedAge FactorsComorbidityCoronavirus InfectionsCOVID-19HumansIntensive Care UnitsMalnutritionNutritional RequirementsNutrition TherapyPandemicsPneumonia, ViralPrognosisRespiration, ArtificialRisk Factors

Identifiers

PMID32305181
PMCPMC7138149
OpenAlexW3014486165

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.