Commentary - Journal of Public Health and Nutrition (2021) Volume 4, Issue 7

A Brief Note on Health Care Community and Sick Patients with COVID-19

Kumar Singh P^*

Department of Medicine, Kakatiya University, India

*Corresponding Author:

Kumar Singh P
Department of Medicine
Kakatiya University, India
E-mail:singh@med.edu.com

Accepted date: July 30, 2021

Abstract

Nutritional standing is Associate in Nursing often-overlooked element in communicable disease severity. Hospitalized or critically sick patients are at higher risk of deficiency disease, and fast assessment and treatment of poor organic process standing will impact clinical outcomes. because it relates to the COVID-19 pandemic, Associate in Nursing calculable five-hitter of those patients need admission to Associate in Nursing intensive care unit. Per clinical apply pointers, nutrition medical care ought to be a core element of treatment regimens. On account of the imperative would like for data about the organic process support of those patients, clinical apply steering was revealed supported current essential care pointers. However, a growing body of literature is currently offered which will give more direction for the organic process standing and support in COVID-19 patients. This review, meant for the health care community, provides a until now lacking in-depth discussion and outline of the present information on nutrition risk and assessment and clinical apply pointers for medical nutrition medical care for hospitalized and critically sick patients with COVID-19

Keywords

Covid-19, Nutrition support, medical nutrition medical care, deficiency disease Critically Enteral nutrition.

Commenatry

As of 14th Feb, 2021, the coronavirus sickness two019 (COVID-19) pandemic caused by the severe acute metabolism syndrome coronavirus 2 (SARS-CoV-2) resulted in 108 million cases and a pair of.4 million deaths worldwide, with new cases and deaths still being rumoured. Clinical presentation of COVID-19 at unhealthiest onset and over the course of the sickness vary from well to severe respiratory disorder with acute metabolism distress syndrome (ARDS), with the foremost common symptoms being fever, cough, and fatigue. the' a personal of any age will contract COVID-19, increasing age and co-morbidities are robust risk factors for severe unhealthiest with most patients aged 30?79 years with a minimum of one comorbidity. the foremost normally rumoured comorbidities are cardiovascular disease, diabetes, and upset (CVD). each age and comorbidities ar completely related to sickness severity and mortality risk. Overall, just {about|some|roughly|more or less|around|or so} 14 July of all COVID-19 cases are thought-about severe Associate in Nursing about five-hitter of all cases and 2 hundredth of the hospitalized population need admission to an medical care unit (ICU).

Multiple chronic diseases or co-morbidities, together with polygenic disorder and upset, have an effect on over seventieth of hospitalized adult patients and usually related to exaggerated risk and prevalence of deficiency disease and poorer outcomes. The presence of co-morbidities adds complexness to meeting organic process wants thanks to the interactions of the diseases, sickness state, and nutrition standing. In hospitalized patients with co-morbidities, the attention team usually struggles with prioritizing organic process management of the first sickness whereas juggling the underlying organic process demands of synchronic diseases. Recognizing organic process risk in these patients is crucial in intervening early to deal with organic process wants which will impact outcomes. Similarly, recognizing and treating organic process risk might play a task in sickness severity and outcomes in hospitalized patients with COVID-19 UN agency have multiple co-morbidities. In fact, is that the leading reason behind immunological disorder and is related to exaggerated virus infection disease severity, like within the case of the 1918 flu pandemic. Critically sick hospitalized patients are at higher risk of deficiency disease, with 38?78% of patients within the intensive care unit being malnourished; and deficiency disease is related to worse clinical outcomes within the intensive care unit. Despite the clearly vital relationship between organic process standing and clinical outcomes in severely or critically sick COVID-19 patients, the prevalence, severity, and treatment of deficiency disease during this population remains to be absolutely elucidated.

As ended during a recent scoping review, several gaps exist within the clinical proof for organic process management of hospitalized COVID-19 patients. In response to the restricted proof throughout the apace dynamic circumstances associated with COVID-10, several editorials, review articles, and steering were revealed victimization illation to different sickness states to guide health care professionals. However, this may be troublesome to extrapolate. The makeup exhibited by acute COVID-19 is exclusive as characterised by severe symptom, severe kidney failure, exaggerated rate of thrombotic events, and infrastructural issues like shortage of pumps and lack of protocols. Because the scientific literature is apace increasing during this population, new information is accessible that may more guide and improve the nutrition care method and clinical outcomes. The aim of this review is to summarize recently revealed proof and steering on standing and medical nutrition medical care (MNT) and its relationship to outcomes in hospitalized and critically sick COVID-19 patients following every stage of the nutrition care process.

In order to summarize the present literature, a comprehensive literature search was conducted utilizing offered analysis databases. the subsequent descriptors were utilized in varied combinations: "covid-19", "sars-cov-2", "2019-ncov", "coronavirus", "covid", "nutrition", "nutrition support", "nutritional care", "nutritional management", "nutrition intervention", "enteral nutrition", "medical nutrition therapy", "nutrition assessment", "diet", "diagnosis", "evaluation", "nutrition screening", "nutrition monitoring", "feeding", "feeds", "intestinal", "malnutrition", "ICU", and "critical". This review enclosed pre-prints or publications in English. Relevant articles were then compiled up till the date of manuscript submission to be used during this review and duplicates were removed. Thanks to the evolving nature of COVID-19 and also the fast pace of revealed literature during this population, articles weren't elite on a scientific basis; so, the reviewed proof might not be thorough.