Estado nutricional de pacientes en una sala de rehabilitación posterapia intensiva por COVID-19

Julieta Adaglio; Luisina del Rio; Mirta Antonini; Romina Sayar

doi:10.35454/rncm.v7n2.576

Authors

Julieta Adaglio Hospital General de Agudos Juan A. Fernández. Cerviño 3356, CABA, Argentina.
Luisina del Rio Hospital General de Agudos Juan A. Fernández. Cerviño 3356, CABA, Argentina.
Mirta Antonini Hospital General de Agudos Juan A. Fernández. Cerviño 3356, CABA, Argentina.
Romina Sayar Hospital General de Agudos Juan A. Fernández. Cerviño 3356, CABA, Argentina.

DOI:

https://doi.org/10.35454/rncm.v7n2.576

Keywords:

malnutrition, rehabilitation, COVID-19, nutrition assessment, handgrip strength

Abstract

Background: A prolonged stay in the Intensive Care Unit (ICU) is a risk factor for malnutrition. An early nutritional in- tervention with intensive hospital reha- bilitation allows the recovery of muscle strength and nutritional status.

Objective: To determine the evolution of the nutritional status of post-ICU pa- tients with COVID-19 in a rehabilitation ward (SaRIP).

Methods: Descriptive, prospective lon- gitudinal study of patients admitted to SaRIP after a prolonged stay in the ICU for COVID-19. Weight and Body Mass Index (BMI) were assessed at three points in time, nutritional status according to the Subjective Global Assessment (SGA), and muscle strength with handgrip strength at two points in time. Mean and standard deviation were calculated, and the asso- ciation between variables was evaluated using the chi-square or Fisher’s test or Wilcoxon test. A significance level of p <0.05 was considered.

Results: 42 patients were included, 69.00 % men, with a mean age of 57.20 ± 13 years. Mean BMI at admission to SaRIP was 26.82 ± 5.32 kg/m2 and at discharge 26.99 ± 5.5 kg/m2 (p = 0.736). According to SGA, 88.10 % presented malnutrition at admission and 42.86 % at discharge (p = 0,002). 50.00 % presented weight gain with a mean of 2.73 ± 2.07 kg and 100 % increase in handgrip strength with a mean of 3.97 ± 3.64 kg.

Conclusions: Most of the patients were admitted to SaRIP with malnutrition, and, upon discharge, an improvement in nutri- tional status was observed, although most of them continued with some alteration and needed oral supplementation and nutritional follow-up.

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