id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-287732-abzpfdcu	Martindale, Robert	Nutrition Therapy in Critically Ill Patients with Coronavirus Disease (COVID‐19)	2020-05-27		.txt	text/plain	6232	371	42	These variables have implications for nutritional interventions: [1] older patients are at-risk for pre-existing disease and sarcopenia which increases their risk for pre-existing malnutrition and increased risk of refeeding syndrome, [2] severe acute respiratory distress syndrome (ARDS) with refractory hypoxemia may require prone-positioning and/or extracorporeal membrane oxygenation (ECMO), [3] circulatory failure and concomitant feeding may increase the risk of gut ischemia and feeding intolerance, [4] multiple organ failure (MOF) and the need for early enteral nutrition (EN) to attenuate or mitigate gut derived inflammation, and [5] cytokine release syndrome which alters nutrient utilization (especially lipids). Recommendation 1: We recommend all healthcare providers, including dietitians, nurses, and physicians follow PPE standards set forth by the CDC and/or the WHO and adhere to their institutional guidelines when conducting bedside nutritional assessments for all patients with confirmed or suspected COVID-19 disease.	./cache/cord-287732-abzpfdcu.txt	./txt/cord-287732-abzpfdcu.txt