Electronic Resource
ESPEN-ovo stručno mišljenje i praktične smjernice za nutritivnu potporu bolesnika s infekcijom SARS-CoV-2*
| العنوان: | ESPEN-ovo stručno mišljenje i praktične smjernice za nutritivnu potporu bolesnika s infekcijom SARS-CoV-2* |
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| Additional Titles: | ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection |
| المؤلفون: | Rocco Barazzoni, Stephan C. Bischoff, Joao Breda, Kremlin Wickramasinghe, Željko Krznarić, Dorit Nitzan, Matthias Pirlich, Pierre Singer |
| المصدر: | Liječnički vjesnik; ISSN 0024-3477 (Print); ISSN 1849-2177 (Online); Volume 142; Issue 3-4 |
| بيانات النشر: | Croatian medical association 2020 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Pandemija infekcije COVID-19 predstavlja neviđene izazove i prijetnje za pacijente i zdravstvene sustave u cijelome svijetu. Akutne respiratorne komplikacije koje zahtijevaju liječenje u jedinicama intenzivnog liječenja (JIL) glavni su uzrok pobola i smrtnosti kod pacijenata sa infekcijom COVID-19. Pacijenti s najlošijim ishodima i većom smrtnošću su imunokompromitirani bolesnici, posebice starije dobi te polimorbidni, kao i pothranjeni bolesnici. Trajanje boravka u JIL-u, polimorbiditet i starija dob obično su povezani s visokim rizikom pothranjenosti, što je samo po sebi relevantan čimbenik rizika za veći pobol i smrtnost u bolesnika s kroničnim i akutnim bolestima. Za bolesnike s infekcijom COVID-19 često je potreban produljeni boravak u JIL-u u svrhu stabilizacije, a to može izravno uzrokovati ili pogoršati malnutriciju, uz pridruženi gubitak skeletne mišićne mase i funkcije koji vode ka invaliditetu, smanjenoj kvaliteti života i dodatnom morbiditetu. Prevenciju, dijagnozu i liječenje malnutricije stoga treba rutinski uključiti u liječenje bolesnika s infekcijom COVID-19. U ovome dokumentu Europsko društvo za kliničku prehranu i metabolizam (ESPEN) ima za cilj pružiti sažete smjernice za nutritivnu potporu bolesnika s COVID-19 te predlaže 10 praktičnih preporuka. Praktične smjernice usmjerene su na bolesnike u JIL-u ili u slučaju starije dobi i polimorbiditeta, koji su neovisno povezani s malnutricijom i njezinim negativnim utjecajem na preživljavanje bolesnika. 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. |
| مصطلحات الفهرس: | BETAKORONAVIRUS; INFEKCIJE KORONAVIRUSOM – komplikacije, liječenje; RESPIRACIJSKA INSUFICIJENCIJA – etiologija, liječenje; MALNUTRICIJA – dijagnoza, liječenje, prevencija; PROCJENA NUTRITIVNOG STATUSA; PREHRAMBENI DODACI; NUTRITIVNA POTPORA – metode; INTENZIVNO LIJEČENJE – metode; JEDINICE INTENZIVNE SKRBI; NEINVAZIVNA VENTILACIJA; MEHANIČKA VENTILACIJA; EKSTUBACIJA – neželjeni učinci; SMETNJE GUTANJA – etiologija; TJELESNA AKTIVNOST; MIŠIĆNA SLABOST; KARANTENA; MEDICINSKA DRUŠTVA; EUROPA; SMJERNICE, BETACORONAVIRUS; CORONAVIRUS INFECTIONS – complications, therapy; RESPIRATORY INSUFFICIENCY – etiology, therapy; MALNUTRITION – diagnosis, prevetion and control, therapy; NUTRITION ASSESSMENT; DIETARY SUPPLEMETNS; NUTRITIONAL SUPPORT – methods; CRITICAL CARE –methods; INTENSIVE CARE UNITS; NONINVASIVE VENTILATION; RESPIRATION, ARTIFICIAL; AIRWAY EXTUBATION – adverse effects; DEGLUTITION DISORDERS – etology; EXERCISE; MUSCLE WEAKNESS; QUARANTINE; SOCIETIES, MEDICAL; EUROPE; PRACTICE GUIDELINES AS TOPIC, text, info:eu-repo/semantics/article, info:eu-repo/semantics/publishedVersion |
| URL: | info:eu-repo/semantics/altIdentifier/doi/10.26800/LV-142-3-4-13 |
| الاتاحة: | Open access content. Open access content info:eu-repo/semantics/openAccess The Medical Journal is an open access journal. The content of the magazine is available in its entirety free of charge. The contents of the Medical Journal may be reproduced with the quotation "taken from the Medical Journal". Users may not use the materials for commercial purposes, may not modify, redesign or rework the material. |
| ملاحظة: | application/pdf Croatian |
| Other Numbers: | HRCAK oai:hrcak.srce.hr:238508 1202137610 |
| المصدر المساهم: | HRCAK PORTAL ZNANSTVENIH CASOPISA REPUB From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1202137610 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |