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?:abstract
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Rationale: Nutrition is often underestimated in the usual medical care in our hospitals and the impact of a suboptimal nutritional approach in this setting has been reported widely, especially in the elderly Recently our hospital wards have been briskly and temporary overloaded by patients with COVID-19, most of them at older ages We do not have much information about the nutritional approach during this unexpected situation Aim: To describe basic aspects of nutritional care in inpatients of a tertiary hospital in Spain: diet prescription and use of nutritional support in patients admitted to internal medicine and pneumology inpatient units, specially focused in older population Methods: A retrospective, cross sectional, descriptive study was performed Medical records were analyzed to review nutritional care related aspects in all the SARS-CoV-2 PCR positive patients located at internal medicine and pneumology wards of a single hospital the last day of April 2020 Type of prescribed diet and nutritional support (oral supplements/tube feeding) were analyzed Results: 27 patients were included (70 4% female) (median age 84;IQR 68-87), but data of patients over 75 (n=18;66,6%) were finally analyzed Among them, patients described as partially or totally dependent individuals regarding instrumental activities of daily living were 72 2% Texture-modified (pureed) food was administered in 16 patients (88 9%) Oral nutritional supplements were prescribed in 4 patients (22 2%) and tube feeding formula in 1 (5 6%) Conclusion: Most inpatients with COVID-19 in general wards are over 75, with a high prevalence of disability Most of them were nourished using texture-modified food, considered as a risk factor for undernutrition if not supplemented with oral/enteral nutritional support Nutritional care in COVID-19 elderly patients is specially challenging moreover if they are isolated without caregivers in their rooms most of the time in order to avoid SARS-CoV-2 infection dissemination A wider and/or more structured use of oral or enteral nutritional support could help to improve and ease the nutritional approach in this challenging health care situation Disclosure of Interest: M I Álvarez Schettini: None declared, L A Vázquez Speakers Bureau of: Fresenius, F Cruz: None declared, M C García Gómez Speakers Bureau of: Fresenius, Nestlé, L Ramos: None declared, A González Speakers Bureau of: Nestlé, Abbott, Nutavant, C H Ortega: None declared, T Gordo: None declared, A Alonso: None declared, C Montalban Speakers Bureau of: Nestlé
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