ESTADO NUTRICIONAL DE PACIENTES CON COVID- 19 Y SU RELACIÓN CON MORTALIDAD, ESTANCIA EN UCI Y ALCANCE DE META CALÓRICA Y PROTEICA

Abstract

Introduction: it is essential to know the nutritional status at admission and to monitor compliance with the times of reaching nutritional goals, however, discrepancies are usually observed between the requirement and the actual supply of nutrients. The objective was to describe the nutritional status at admission to the Intensive Care Unit (ICU), to determine the time to reach caloric and protein goals of enteral nutrition and to compare them according to the presence of malnutrition due to excess. To determine if there are differences in ICU stay and mortality in relation to nutritional status. Materials and methods: descriptive, observational, cross-sectional and retrospective study. Results: the sample was made up of 40 patients. 40% (95% CI 25.28-56.60) were overweight. 97.5% (95% CI 86.4-99.93) were at risk of malnutrition. The median time to reach the caloric goal was 4 days and 7 days protein. There was no significant difference between the time of reaching the goals and malnutrition due to excess. There was also no evidence of a difference in relation to ICU stay or mortality. The main reasons for nutritional inadequacy were: digestive causes, interruptions in the supply of high-protein enteral products, and unknown causes. Conclusion: most critically ill patients with COVID-19 have excess malnutrition. There is an early reach of the caloric and late goal in reference to the protein without differences in relation to malnutrition due to excess. Key words: covid-19; overweight; energy goal; protein goal, ICU stay.