ArticleAnnals of medicine2025
Implementation of the nutrition care process on mortality risk in critically ill COVID-19 patients - a registry longitudinal cohort study.
Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
backgroundCOVID-19 impacts the nutritional status of patients. There is limited longitudinal research on the impact of nutrition care provided to COVID-19 patients in the intensive care unit (ICU).
objectiveWe assessed the real-world effectiveness of the nutrition care process (NCP) used by registered dietitian nutritionists (RDNs) on mortality in COVID-19 ICU patients.
methodsRDNs in 8 ICUs throughout the United States utilized the Academy of Nutrition and Dietetics Health Informatics Infrastructure (ANDHII) registry to document standard care practices, per the NCP, used with COVID-19 patients admitted from April 2021 to April 2022. Mortality, the primary outcome, was reported at the last visit. A multivariable logistic regression model, adjusted for sex, age, body mass index (BMI), and number of visits, estimated mortality risk as a function of the NCP problem status (improving/resolved).
resultsParticipants (
conclusionWe show for the first time in a real-word setting that implementing the NCP to identify and address nutritional problems during ICU admission is associated with lower mortality risk in critical COVID-19 patients. Due to limitations in longitudinal registries and use of logistic models, future larger-scale cohorts and clinical trials are needed.
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