Lessons learned in Nutrition Therapy in patients with severe COVID‐19

Ochoa, Juan B.; Cárdenas, Diana; Goiburu, María E.; Bermúdez, Charles; Carrasco, Fernando; Correia, M. Isabel T. D.

The COVID‐19 pandemic has reached worldwide and until a vaccine is found it will continue to cause significant morbidity and mortality. The clinical presentation of COVID‐19 ranges from that of being asymptomatic to developing a fatal illness characterized by multiple organ involvement. Approximately 20% of the patients will require hospitalization; one quarter of hospitalized patients will develop severe COVID‐19 requiring admission to the intensive care unit, most frequently, with acute respiratory failure.An ongoing effort is being made at identifying the patients that will develop severe COVID‐19. Grossly, patients present with three different nutritional risk phenotypes: 1) the frail older patient, 2) the patient with severe ongoing chronic illness, and 3) the patient with severe and morbid obesity. These three phenotypes represent different nutritional risks, and diverse nutrition interventions. This article explores the different potential approaches to nutrition intervention in patients with COVID‐19 evaluating, in this process, the challenges faced for the implementation of guidelines written by different societies. This article is protected by copyright. All rights reserved