Energy target achievement and its determinants in critically ill COVID-19 patients in Indonesia

  • Niken Puruhita Medical Faculty Diponegoro University, Semarang dr. Kariadi Central Hospital, Semarang
  • dr. Febe Christianto, SpGK dr Kariadi Central Hospital, semarang
  • Dr. dr. Luciana Sutanto, SpGK(K) Krida Wacana Christian University, Jakarta
  • Prof. Dr. dr. Banundari Rachmawati, SpPK(K) Medical Faculty Diponegoro University, Semarang dr. Kariadi Central Hospital, Semarang
  • dr. Sofyan Harahap, SpAn-KNA dr.Kariadi Central Hospital, Semarang
  • Dr. dr. Muchlis Achsan Udji Sofro, SpPD-KPTi dr.Kariadi Central Hospital, Semarang
  • Dr. dr. Retnaningsih SpS(K)-KIC dr.Kariadi Central Hospital, Semarang
  • Prof. Dr. dr. I Riwanto, SpB-KBD Medical Faculty, Diponegoro University, Semarang
  • Prof. Dr. dr. Hertanto Wahyu Subagio, SpGK(K) Medical Faculty Diponegoro University, Semarang dr. Kariadi Central Hospital, Semarang
Keywords: energy target in ICU, mNutric score, early nutrition in ICU, COVID-19

Abstract

Introduction. Achievement of energy target in critically ill Covid-19 patients in Intensive Care Unit (ICU) is challenging. This study was aimed to depict the possibility of achieving energy target and its determinants in critically ill Covid-19 patients. Methods. A cross sectional study was conducted in ICU of dr. Kariadi Hospital Semarang, Indonesia. Secondary data were obtained from Covid-19 patients who were in ICU for minimum 3 days, from March to December 2020. Data collected included age, sex, Body Mass Index (BMI), comorbidities, Modified Nutrition Risk in Critically Ill (mNUTRIC) score, energy intake, route of nutrition delivery (enteral or combination of enteral and parenteral nutrition), lactate status, ICU length of stay (LOS), duration of mechanical ventilator and mortality. Risk Prevalence calculations were conducted to measure risks. Variables with significant associations and p< 0.25 were included in multiple logistic regression. Results. A total of 188 subjects were included in the analysis. Most patients were male (62.8%) and obese (61.8%). As much as 56.9% patients were able to achieve energy target of 20 kcal/kgBW on day 3 of ICU stay. Those with low risk mNUTRIC score and nutrition delivery was through enteral and parenteral route were more likely to achieve target energy of 20 kcal/kgBW in the first 3 days in the ICU. Conclusions. Achieving energy target of 20 kcal on day 3 of ICU stay for critically ill Covid-19 patients is feasible. Low mNutric score and nutrition delivery through enteral and parenteral route were two determinants for the achievement.

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Author Biographies

dr. Febe Christianto, SpGK, dr Kariadi Central Hospital, semarang
Nutrition Department
Prof. Dr. dr. Banundari Rachmawati, SpPK(K), Medical Faculty Diponegoro University, Semarang dr. Kariadi Central Hospital, Semarang
Department of Clinical Pathology

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Submitted

2021-06-28
Accepted
2021-08-18
Published
2021-08-27