Evidence map›Paper›PMID 38741446›Full record

Observational studyAnaesthesiology intensive therapy2024

Nutritional management in critically ill patients with COVID-19: a retrospective multicentre study.

Justyna Karolina Danel, Maria Taborek, Agnieszka Nowotarska, Katarzyna Winiarska, Anna Dylczyk-Sommer, Wojciech Szczeklik, Szymon Białka, Tomasz Czarnik, Joanna Katarzyna Sołek-Pastuszka, Łukasz Jerzy Krzych

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Anaesthesiology intensive therapy, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  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

10 authors.

Justyna Karolina DanelStudent Scientific Association at the Department of Anaesthesiology and Intensive Care, Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences, Medical University of Silesia in Katowice, Poland.
Maria TaborekStudent Scientific Association at the Department of Anaesthesiology and Intensive Care, Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences, Medical University of Silesia in Katowice, Poland.
Agnieszka NowotarskaStudent Scientific Association at the Department of Anaesthesiology and Intensive Care, Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences, Medical University of Silesia in Katowice, Poland.
Katarzyna WiniarskaStudent Scientific Association at the Department of Anaesthesiology and Intensive Care, Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences, Medical University of Silesia in Katowice, Poland.
Anna Dylczyk-SommerDepartment of Anaesthesiology and Intensive Care, Medical University of Gdansk, Poland.
Wojciech SzczeklikCentre for Intensive Care and Perioperative Medicine, Jagiellonian University Collegium Medicum in Krakow, Poland.
Szymon BiałkaDepartment of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland.
Tomasz CzarnikDepartment of Anaesthesiology and Intensive Care, Institute of Medical Sciences, University of Opole, Poland.
Joanna Katarzyna Sołek-PastuszkaDepartment of Anaesthesiology and Intensive Care, Pomeranian Medical University in Szczecin, Poland.
Łukasz Jerzy KrzychDepartament of Acute Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough nutritional treatment is an established pillar of multidisciplinary care provided in critical illness, there are many concerns regarding this issue in severe COVID-19. This observational, retrospective, multicentre study aimed to analyse the approach to nutritional treatment among selected intensive care units (ICUs) in Poland. MATERIAL AND

methodsThe medical records of 129 patients hospitalized in five units due to respiratory failure following COVID-19 were analysed in terms of nutritional management on the eighth day of the ICU stay. The Harris-Benedict equation (HB), Mifflin St. Jeor equation (MsJ) and ESPEN formula (20 kcal kg -1 body weight) were used to estimate the energy target for each patient, and two ESPEN formulas determined the protein target (1 g kg -1 body weight and 1.3 g kg -1 body weight).

resultsEvaluation of nutritional therapy was performed in 129 subjects. The fulfilment of caloric requirement considering the HB, MsJ and ESPEN formula was 66%, 66.7% and 62.5%, respectively. Two clinical centres managed to provide 70% or more of daily caloric requirements. According to the ESPEN formula, the implementation of the protein target was 70%; however, one of the investigated units provided a median of 157% of the protein demand. The nutritional management varied in the preferred route of nutrition administration. Neither method nor grade of nutrition supply influenced biochemical parameters on the 8th day of ICU stay.

conclusionsSignificant differences in nutritional treatment of critically ill COVID-19 patients in Polish ICUs were noted, which underlines the importance of setting up clear guidelines regarding this issue.

Indexed as

COVID-19Critical IllnessAgedCritical CareEnergy IntakeFemaleHumansIntensive Care UnitsMaleMiddle AgedNutritional RequirementsNutritional SupportPolandRetrospective StudiesCOVID-19intensive caremechanical ventilationnutritionprone positionSARS-CoV-2

Identifiers

PMID38741446
PMCPMC11022636

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.