Evidence map›Paper›PMID 34857240›Full record

ArticleClinical nutrition ESPEN2021

Adherence to COVID-19 nutritional guidelines and their impact on the clinical outcomes of hospitalized COVID-19 patients.

Dang Khanh Ngan Ho, Hung Song Nguyen, Dicky Faizal Irnandi, Amelia Faradina, Tri Do Dang, Bayu Satria Wiratama, Esti Nurwanti, Hamam Hadi, Yung-Kun Chuang, Alexey A Tinkov and 2 more

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

Article in Clinical nutrition ESPEN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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

12 authors at 7 institutions in 4 countries.

Dang Khanh Ngan HoSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei, Taiwan.
Hung Song NguyenInternational PhD Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Dicky Faizal IrnandiLaboratory of Biochemistry and Biomolecules, Faculty of Medicine, Brawijaya University, Malang, Indonesia.
Amelia FaradinaSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei, Taiwan.
Tri Do DangDepartment of Pediatrics, Division of Nephrology, University of Medicine and Pharmacy, Ho Chi Minh City, Viet Nam; Nephrology Department, Children's Hospital 1, Ho Chi Minh City, Viet Nam.
Bayu Satria WiratamaDepartment of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia.
Esti NurwantiDepartment of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta, Indonesia; Department of Public Health, Faculty of Health Sciences, Alma Ata University, Yogyakarta, Indonesia; Alma Ata Center for Healthy Life and Foods (ACHEAF), Alma Ata University, Yogyakarta, Indonesia.
Hamam HadiDepartment of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta, Indonesia.
Yung-Kun ChuangMaster Program in Food Safety, College of Nutrition, Taipei Medical University, Taipei, Taiwan.
Alexey A TinkovDepartment of Medical Elementology, Peoples' Friendship University of Russia (RUDN University), Moscow 117198, Russia; Laboratory of Biotechnology and Applied Bioelementology, Yaroslavl State University, Yaroslavl 150003, Russia; Laboratory of Molecular Dietology, IM Sechenov First Moscow State Medical University, Moscow 119146, Russia.
Anatoly V SkalnyDepartment of Medical Elementology, Peoples' Friendship University of Russia (RUDN University), Moscow 117198, Russia; Laboratory of Biotechnology and Applied Bioelementology, Yaroslavl State University, Yaroslavl 150003, Russia; Laboratory of Molecular Dietology, IM Sechenov First Moscow State Medical University, Moscow 119146, Russia.
Jung-Su ChangSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei, Taiwan; Graduate Institute of Metabolism and Obesity Sciences, College of Nutrition, Taipei Medical University, Taipei, Taiwan; Nutrition Research Center, Taipei Medical University Hospital, Taipei, Taiwan; Chinese Taipei Society for the Study of Obesity (CTSSO), Taipei, Taiwan. Electronic address: susanchang@tmu.edu.tw.
Taipei Medical University · TWPeoples' Friendship University of Russia · RUMuhammadiyah University of Yogyakarta · IDTaipei Medical University Hospital · TWUniversitas Gadjah Mada · IDUniversity of Brawijaya · IDUniversity of Medicine and Pharmacy at Ho Chi Minh City · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsCoronavirus disease 2019 (COVID-19) patients are at high risk of malnutrition, and their doctors are part of a multidisciplinary team, including nutritionists. However, adherence to nutritional guidelines may be difficult in the context of capacity constraints during the COVID-19 pandemic. The aim of this study was to investigate barriers to doctors' adherence to nutritional guidelines and the impacts of guideline adherence on the outcomes of hospitalized COVID-19 patients.

methodsA multinational electronic survey involving 51 doctors was conducted between November 2020 and January 2021 from 17 COVID-19-designated hospitals in countries with high (Indonesia) and low (Vietnam) numbers of confirmed COVID-19 cases.

resultsIn general, doctors reported concerns related to nutritional practices in patients with Covid-19 which included feeling stress when performing medical nutritional therapy (65%), lacking self-efficacy or confidence in performing nutritional care (49%), lacking clear nutritional guidelines (45%), and experiencing budget limitations (33%). A regression analysis adjusted for age, country, and the number of hospitalized COVID-19 cases revealed that guideline knowledge (β: -1.01 (-1.78, -0.23); p = 0.012) and awareness of guidelines (β: -1.37 (-2.66, -0.09); p = 0.037) were negatively correlated with the length of stay of critically ill COVID-19 patients, but non-significant after adjusting for specialization of the doctor. When stratified according to country, a significant relationship between guideline adherence and length of stay of critically ill patients was only found in Vietnam [guideline adherence: β: -0.55 (-1.08, -0.03); p = 0.038; guideline knowledge: β: -1.01 (-1.9, -0.13); p = 0.027] after adjusting for age, specialty, and number of hospitalized COVID-19 cases. In Indonesia, the significant relationship between guideline adherence and mortality of COVID-19 patients remained strong (β: -14 (-27, -1); p = 0.033) after adjusting for age, specialty, and number of hospitalized COVID-19 cases

conclusionsInadequate nutritional knowledge is a key barrier to guideline adherence, and this was international and may be related to doctors' specialties and the COVID-19 pandemic. Adherence to nutritional guidelines may represent a prognostic factor for survival in COVID-19 patients.

Indexed as

COVID-19HospitalizationHumansNutritional SupportPandemicsSARS-CoV-2COVID-19DoctorIndonesiaNutritional guideline adherenceVietnam

Identifiers

PMID34857240
PMCPMC8450053
OpenAlexW3199784617

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.