Search

Introduction: In 2020 the pandemic caused by SARS-COV-2 demanded an enormous number of healthcare resources in order to guarantee adequate treatment and support for those patients. This study aims to assess caloric and protein intake and evaluate its associations with relevant clinical outcomes in critically ill with coronavirus disease (COVID-19) patients., Methods: A nationwide, multicentre prospective observational study including twelve Argentinian intensive care units (ICUs,) was conducted between March and October 2020., Inclusion Criteria: Adult ICU patients>18 years admitted to the ICU with COVID-19 diagnosis and mechanical ventilation for at least 48h. Statistical analysis was carried out using IBM-SPSS© 24 programme., Results: One hundred and eighty-five patients were included in the study. Those who died had lower protein intake (0.73g/kg/day (95% confidence interval (CI) 0.70-0.75 vs 0.97g/kg/day (CI 0.95-0.99), P<0.001), and lower caloric intake than those who survived (12.94kcal/kg/day (CI 12.48-13.39) vs 16.47kcal/kg/day (CI 16.09-16.8), P<0.001). A model was built, and logistic regression showed that factors associated with the probability of achieving caloric and protein intake, were the early start of nutritional support, modified NUTRIC score higher than five points, and undernutrition (Subjective Global Assessment B or C). The patients that underwent mechanical ventilation in a prone position present less caloric and protein intake, similar to those with APACHE II>18., Conclusions: Critically ill patients with COVID-19 associated respiratory failure requiring mechanical ventilation who died in ICU had less caloric and protein intake than those who survived. Early start on nutritional support and undernutrition increased the opportunity to achieve protein and caloric goals, whereas the severity of disease and mechanical ventilation in the prone position decreased the chance to reach caloric and protein targets., (Copyright © 2023 SEEN and SED. Published by Elsevier España, S.L.U. All rights reserved.)

The use of wildlife by residents of Maripa, Aripao, Puerto Cabello of Caura, Trinchera and Jabillal, located in the lower Caura River drainage, Orinoco River basin (Venezuela) was evaluated to help shape the basic guidelines applicable to regional management plans for these natural resources. 72 unstructured interviews and 668 surveys (June 2000 to May 2001) were made and helped to establish that these communities are mainly agricultural, with fishing occupying fourth place and hunting eighth in the economic activities of the sector. Hunting and fishing are two very important activities in the area, but they can´t be separated and hunting can be recognized as a sideline activity. The annual total biomass of bushmeat consumption was estimated at 76 tons and over 126 tons for fish. Weekly consumption of bushmeat per person was estimated at 468 g representing a protein intake of 93.6 g/week/person. When we consider all the protein sources evaluated, the average consumption estimated was 1.49 Kg/week/person, net intake of animal protein is 298 g/week/person. Of these 31,4% was contributed by the bushmeat, 51,1% from fish and 16,3% from farm animals. This suggests that pressure on wildlife fauna can increase, and that it is necessary to initiate management measures, such as environmental education, monitoring and control, and sustainable use plans for the most affected or critical species.

The use of wildlife by residents of Maripa, Aripao, Puerto Cabello of Caura, Trinchera and Jabillal, located in the lower Caura River drainage, Orinoco River basin (Venezuela) was evaluated to help shape the basic guidelines applicable to regional management plans for these natural resources. 72 unstructured interviews and 668 surveys (June 2000 to May 2001) were made and helped to establish that these communities are mainly agricultural, with fishing occupying fourth place and hunting eighth in the economic activities of the sector. Hunting and fishing are two very important activities in the area, but they can't be separated and hunting can be recognized as a sideline activity. The annual total biomass of bushmeat consumption was estimated at 76 tons and over 126 tons for fish. Weekly consumption of bushmeat per person was estimated at 468 g representing a protein intake of 93.6 g/week/person. When we consider all the protein sources evaluated, the average consumption estimated was 1.49 Kg/week/person, net intake of animal protein is 298 g/week/person. Of these 31,4% was contributed by the bushmeat, 51,1% from fish and 16,3% from farm animals. This suggests that pressure on wildlife fauna can increase, and that it is necessary to initiate management measures, such as environmental education, monitoring and control, and sustainable use plans for the most affected or critical species. [ABSTRACT FROM AUTHOR]