COVID-19
Conditions
Brief summary
Describe the main clinical features impacting the food intake, and therefore the nutritional status of a population infected by a coronavirus.
Detailed description
The recent Covid-19 outbreak has brought USA, European, British and French nutrition learned societies to publish recommendations for the nutritional management of patients infected with the SARS-CoV-2. They reminded that there is a risk of malnutrition for that population. The emergency and rapid evolution in the situation have led to severe cases of anosmia, ageusia, diarrhea, odynophagia, anorexia etc.. Some of the first patients cured from Covid-19 have lost up to 10 kgs. To this day, there is no available information regarding either nutritional characteristics or nutritional interventions (enteral or parenteral nutrition, oral nutritional supplements, dietary supplementations) for Covid-19 patients. The objective of this study is to describe nutritional consequences of the Covid-19 infection for adults, 30 days after their discharge from hospital, as well as the nutritional care they received. Type and proportion of chronic diseases will be assessed in this trial.
Interventions
A survey was created, aiming to collect information about prior history of chronic disease, the Self-Evaluation of Food Intake, dysregulations (anosmia, ageusia...), anthropometric data, food data during and after hospitalisation, healthcare consumption since the discharge from hospital
Sponsors
Study design
Eligibility
Inclusion criteria
* 30 days or more after discharge from hospital for Covid-19 * Patient received information about the trial and gave his/her consent * Patient capable of answering the phone (alone or with some help)
Exclusion criteria
* Patient diseased * impossibility to collect information from the patient or one of his/her relatives * Patient protected by the French Public Health Code (art. L1121-5 à L1121-8)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of food intake at 1 month after discharge from hospital for COVID | one month after hospital discharge | Self assessment on the SEFI (Self-Evaluation of Food Intake) scale at one month after hospital discharge: 0 corresponds to the worsen score (no ingesta) and 10 corresponds to the best (same ingesta than before the disease) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical signs limiting food intake | one month after hospital discharge | Effect of these factors (anorexia, dysgeusia, Ear Nose and Throat pain, swallowing disorders, intestinal transit disorders...) on SEFI and weight |
| Factors limiting food intake | one month after hospital discharge | Effect of these factors (supply difficulties, disease-related food disgust, limiting food habits or prior diet, hydration difficulties, need for help) on SEFI and weight |
| Weight variation during the infection | one month after hospital discharge | Self-reported weight in kilograms, or in the absence of self-reported variations before the disease, during hospitalisation, at hospital discharge, one month after hospital discharge |
| Pre-existing chronic disorders | one month after hospital discharge | Effect of pre-existing chronic disorders (pulmonary, chronic inflammatory bowel disease, cardio-vascular disease, diabetes, obesity, cognitive disorders, immunodepression, cancer, inflammatory joint disorder) on SEFI and weight |
| Covid-19 repercussions | one month after hospital discharge | Quantifying unscheduled consultations or hospitalisations in the month following discharge from hospital |
| Implemented nutritional strategy | one month after hospital discharge | Effect of nutritional strategy and interventions that were implemented (nutritional advice, adapted meals, oral nutritional supplementation, enteral and parenteral nutrition during hospitalisation and one month after hospital discharge) on SEFI and weight |
Countries
France