Nutritional status assessment in patients with Covid-19 after discharge from the intensive care unit

Haraj, Nassim Essabah; El Aziz, Siham; Chadli, Asma; Dafir, Asma; Mjabber, Amal; Barrou, Lhoucine; El Kettani El Hamidi, Chafik; Nsiri, Afak; Harrar, Rachid AL.; Ezzouine, Hanane; Charra, Boubaker; Abdallaoui, Maha Soussi; El Kebbaj, Nisrine; Kamal, Nabiha; Bennouna, Ghali Mohamed; El Filal, Kamal Marhoum; Ramdani, Benyounes; El Mdaghri, Naima; Gharbi, Mohamed Benghanem; Afif, Moulay Hicham

INTRODUCTION: The nutritional diagnosis and early nutritional management of COVID-19 patients must be integrated into the overall therapeutic strategy. The aim of our study is to assess the nutritional status of patients with COVID-19 after a stay in intensive care, to describe the prevalence of undernutrition, to determine the factors influencing undernutrition and to describe the nutritional management. TOOLS AND METHODS: This is a descriptive observational study of adult patients admitted to the endocrinology service for additional care after a stay in intensive care during the period from April 17, 2020 to May 26, 2020. The assessment tool used was the Mini Nutritional Assessment (MNA). RESULTS: Our study included 41 patients; the average age of the patients was 55 years, 51.2% had a severe or critical form of COVID-19, 75.6% stayed in intensive care, 12.2% had a loss of autonomy. The average BMI was 25.2 kg/m(2) (17–42 kg/m(2)), 42.5% were overweight, 61% had weight loss, 26.2% had weight loss greater than 10%, 14.6% of our patients were undernourished, 65.9% were at risk of undernutrition, 19.5% had hypoalbuminemia, 17.1% had hypoprotidemia, 19.5% hypocalcemia, 34.1% anemia, 12.2% hypomagnesemia and 51.2% had a deficiency in vitamin D. A positive correlation was found between poor nutritional status and a longer stay in intensive care (>5 days) (p = 0.011) and lymphopenia (p = 0,02). CONCLUSION: Despite a personalized diet, 14.6% of patients presented undernutrition. Particular attention should be paid to patients with a long stay in intensive care.