Evidence map›Paper›PMID 32939042›Full record

ReviewEuropean journal of clinical nutrition2021

How the Covid-19 epidemic is challenging our practice in clinical nutrition-feedback from the field.

Ronan Thibault, Moïse Coëffier, Francisca Joly, Julien Bohé, Stéphane M Schneider, Pierre Déchelotte

Open access · bronzeAbstract readReview
In one paragraph

Review in European journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Feeding intolerance in critically ill patients with COVID-19.Clinical nutrition (Edinburgh, Scotland) · 2022
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. N-Acetylcysteine and Other Sulfur-Donors as a Preventative and Adjunct Therapy for COVID-19.Advances in pharmacological and pharmaceutical sciences · 2022
    Review
  15. Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Ronan ThibaultUnité de Nutrition, INRAE, INSERM, Nutrition Métabolismes et Cancer, NuMeCan, CHU Rennes, Univ Rennes, Rennes, France. ronan.thibault@chu-rennes.fr.ORCID http://orcid.org/0000-0002-6038-5649
Moïse CoëffierDépartement de Nutrition-CIC1404, CHU Rouen, UNIROUEN, Inserm UMR, Normandie Univ, 1073, Rouen, France.
Francisca JolyGastroentérologie, MICI, et Assistance Nutritive, AP-HP, Université de Paris, Inserm UMR 1149, F-92110, Clichy, France.
Julien BohéService d'anesthésie-Réanimation-Médecine intensive, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre Bénite, France.
Stéphane M SchneiderGastroentérologie et Nutrition, CHU Nice, Université Côte d'Azur, Nice, France.ORCID http://orcid.org/0000-0001-6256-8169
Pierre DéchelotteDépartement de Nutrition-CIC1404, CHU Rouen, UNIROUEN, Inserm UMR, Normandie Univ, 1073, Rouen, France.ORCID http://orcid.org/0000-0001-5224-6166
Inserm · FRCentre Hospitalier Universitaire de Nice · FRHospices Civils de Lyon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The viral epidemic caused by the new Coronavirus SARS-CoV-2 is responsible for the new Coronavirus disease-2019 (Covid-19). Fifteen percent of the Covid-19 patients will require hospital stay, and 10% of them will need urgent respiratory and hemodynamic support in the intensive care unit (ICU). Covid-19 is an infectious disease characterized by inflammatory syndrome, itself leading to reduced food intake and increased muscle catabolism. Therefore Covid-19 patients are at high risk of being malnourished, making the prevention of malnutrition and the nutritional management key aspects of care. Urgent, brutal and massive arrivals of patients needing urgent respiratory care and artificial ventilation lead to the necessity to reorganize hospital care, wards and staff. In that context, nutritional screening and care may not be considered a priority. Moreover, at the start of the epidemic, due to mask and other protecting material shortage, the risk of healthcare givers contamination have led to not using enteral nutrition, although indicated, because nasogastric tube insertion is an aerosol-generating procedure. Clinical nutrition practice based on the international guidelines should therefore adapt and the use of degraded procedures could unfortunately be the only way. Based on the experience from the first weeks of the epidemic in France, we emphasize ten challenges for clinical nutrition practice. The objective is to bring objective answers to the most frequently met issues to help the clinical nutrition caregivers to promote nutritional care in the hospitalized Covid-19 patient. We propose a flow chart for optimizing the nutrition management of the Covid-19 patients in the non-ICU wards.

Indexed as

COVID-19Critical CareFranceHumansMalnutritionNutritional SupportNutrition AssessmentSARS-CoV-2

Identifiers

PMID32939042
PMCPMC7492685
OpenAlexW3085674628

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.