The risk of refeeding syndrome in icu Covid-19 patients and some associated factors in the Covid-19 patients treatment Hospital (HMUH) in 2021-2022

Hoàng Trường Giang

Nguyễn Thùy Linh. PhD

COVID-19, ICU, malnutrition, the refeeding syndrome

Objective: Many COVID-19 patients in ICU suffered from acute respiratory distress syndrome (ARDS), which requires urgent respiratory and hemodynamic support. There are several nutrition-specific issues in ICU COVID-19 patients that need to be taken into consideration, such as malnutrition and the refeeding syndrome. Refeeding syndrome must be prevented when we feed patients to avoid overfeeding and its complications. In this study, we aimed to assess the risk of refeeding syndrome and related factors in COVID-19 patients in ICU at COVID-19 Patients Treatment Hospital (COVID-19 hospital) in 2021-2022. Subject: 359 COVID-19 patients in ICU at COVID-19 hospital Method: A cross-sectional study was conducted among COVID-19 patients admitted to the COVID-19 hospital from September 2021 to December 2022. The nutritional status of patients was assessed by GLIM 2019 criteria. The risk of refeeding syndrome was evaluated by ASPEN 2020 criteria. Results: The risk of refeeding syndrome in COVID-19 patients in ICU was 54.04%, of which moderate risk was 37.33%, compared with 16.7% for severe risk. The associated factors to the risk of refeeding syndrome included overweight, using non-invasive positive-pressure ventilation, invasive mechanical ventilation, feeding through enteral nutrition and feeding through total parenteral nutrition. Conclusion: The refeeding syndrome is a severe complication of nutritional intervention; therefore, early diagnosis and preventive treatment of refeeding syndrome will help prevent feeding complications in ICU patients

2023

114p

eng

Master

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