A UK survey of nutritional care pathways for patients with COVID-19 prior to and post-hospital stay

Authors: Lawrence, V., Hickson, M., Weekes, C.E., Julian, A., Frost, G. and Murphy, J.

Journal: Journal of Human Nutrition and Dietetics

Volume: 34

Issue: 4

Pages: 660-669

eISSN: 1365-277X

ISSN: 0952-3871

DOI: 10.1111/jhn.12896

Abstract:

Background: During the global COVID-19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. The present study examined the development and evaluation of care pathways to manage nutritional care of patients following COVID-19 infection prior to and after discharge. Methods: Registered UK dietitians completed an online questionnaire comprising 26 questions about the development of a pathway, its use, evaluation and training needs. Results: Of 57 responses from organisations, 37 (65%) were involved in the planning/management of nutritional care. Only 19 responses had a new or adapted COVID-19 pathway. Of these, 74% reported involvement of dietetic services, 47% reported > 1 eligibility criteria for pathway inclusion and 53% accepted all positive or suspected cases. All respondents used nutritional screening, first-line dietary advice (food first) and referral for further advice and monitoring. Weight and food intake were the most used outcome measure. All pathways addressed symptoms related to nutrition, with the most common being weight loss with poor appetite, not being hungry and skipping meals in 84% of pathways. Over half of respondents (54%) planned to evaluate their pathway and 83% reported that they were ‘very or reasonably confident’ in their team's nutritional management of COVID-19. Less than half (42%) reported on training needs. Conclusions: Despite challenges encountered, pathways were developed and implemented. Dietitians had adapted to new ways of working to manage nutritional care in patients prior to and after discharge from hospital following COVID-19 infection. Further work is needed to develop strategies for evaluation of their impact.

https://eprints.bournemouth.ac.uk/35304/

Source: Scopus

A UK survey of nutritional care pathways for patients with COVID-19 prior to and post-hospital stay.

Authors: Lawrence, V., Hickson, M., Weekes, C.E., Julian, A., Frost, G. and Murphy, J.

Journal: J Hum Nutr Diet

Volume: 34

Issue: 4

Pages: 660-669

eISSN: 1365-277X

DOI: 10.1111/jhn.12896

Abstract:

BACKGROUND: During the global COVID-19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. The present study examined the development and evaluation of care pathways to manage nutritional care of patients following COVID-19 infection prior to and after discharge. METHODS: Registered UK dietitians completed an online questionnaire comprising 26 questions about the development of a pathway, its use, evaluation and training needs. RESULTS: Of 57 responses from organisations, 37 (65%) were involved in the planning/management of nutritional care. Only 19 responses had a new or adapted COVID-19 pathway. Of these, 74% reported involvement of dietetic services, 47% reported > 1 eligibility criteria for pathway inclusion and 53% accepted all positive or suspected cases. All respondents used nutritional screening, first-line dietary advice (food first) and referral for further advice and monitoring. Weight and food intake were the most used outcome measure. All pathways addressed symptoms related to nutrition, with the most common being weight loss with poor appetite, not being hungry and skipping meals in 84% of pathways. Over half of respondents (54%) planned to evaluate their pathway and 83% reported that they were 'very or reasonably confident' in their team's nutritional management of COVID-19. Less than half (42%) reported on training needs. CONCLUSIONS: Despite challenges encountered, pathways were developed and implemented. Dietitians had adapted to new ways of working to manage nutritional care in patients prior to and after discharge from hospital following COVID-19 infection. Further work is needed to develop strategies for evaluation of their impact.

https://eprints.bournemouth.ac.uk/35304/

Source: PubMed

Preferred by: Jane Murphy

A UK survey of nutritional care pathways for patients with COVID-19 prior to and post-hospital stay

Authors: Lawrence, V., Hickson, M., Weekes, C.E., Julian, A., Frost, G. and Murphy, J.

Journal: JOURNAL OF HUMAN NUTRITION AND DIETETICS

Volume: 34

Issue: 4

Pages: 660-669

eISSN: 1365-277X

ISSN: 0952-3871

DOI: 10.1111/jhn.12896

https://eprints.bournemouth.ac.uk/35304/

Source: Web of Science (Lite)

A UK survey of nutritional care pathways for patients with Covid‐19 prior to and post hospital stay

Authors: Murphy, J. and Lawrence, V.

Journal: Journal of Human Nutrition and Dietetics

Publisher: Wiley-Blackwell

ISSN: 0952-3871

DOI: 10.1111/jhn.12896

Abstract:

Background: During the global Covid-19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. This study examined the development and evaluation of care pathways to manage nutritional care of patients following Covid-19 infection prior to and after discharge. Methods: Registered UK dietitians completed an online questionnaire comprising 26 questions about the development of a pathway, its use, evaluation and training needs.

Results: Of 57 responses, 37 (65%) were involved in management of nutritional care for Covid-19. Only 19 responses had a new or adapted Covid-19 pathway. Of these, 74% reported involvement of dietetic services, 47% reported >1 eligibility criteria for pathway inclusion and 53% accepted all positive or suspected cases. All respondents used nutritional screening, first line dietary advice (food first) and referral for further advice and monitoring. Weight and food intake were the most used outcome measure. All pathways addressed symptoms related to nutrition, the most common being weight loss with poor appetite, not being hungry and skipping meals in 84% of pathways. Over half of respondents (54%) planned to evaluate their pathway and 83% reported they were ‘very or reasonably confident’ in their team’s nutritional management of Covid-19. Less than half (42%) reported on training needs.

Conclusions: Despite the challenges encountered, pathways were developed and implemented. Dietitians had adapted to new ways of working to manage nutritional care in patients prior to and after discharge from hospital following Covid-19 infection. Further work is needed to develop strategies for evaluation of their impact.

https://eprints.bournemouth.ac.uk/35304/

Source: Manual

A UK survey of nutritional care pathways for patients with COVID-19 prior to and post-hospital stay.

Authors: Lawrence, V., Hickson, M., Weekes, C.E., Julian, A., Frost, G. and Murphy, J.

Journal: Journal of human nutrition and dietetics : the official journal of the British Dietetic Association

Volume: 34

Issue: 4

Pages: 660-669

eISSN: 1365-277X

ISSN: 0952-3871

DOI: 10.1111/jhn.12896

Abstract:

Background

During the global COVID-19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. The present study examined the development and evaluation of care pathways to manage nutritional care of patients following COVID-19 infection prior to and after discharge.

Methods

Registered UK dietitians completed an online questionnaire comprising 26 questions about the development of a pathway, its use, evaluation and training needs.

Results

Of 57 responses from organisations, 37 (65%) were involved in the planning/management of nutritional care. Only 19 responses had a new or adapted COVID-19 pathway. Of these, 74% reported involvement of dietetic services, 47% reported > 1 eligibility criteria for pathway inclusion and 53% accepted all positive or suspected cases. All respondents used nutritional screening, first-line dietary advice (food first) and referral for further advice and monitoring. Weight and food intake were the most used outcome measure. All pathways addressed symptoms related to nutrition, with the most common being weight loss with poor appetite, not being hungry and skipping meals in 84% of pathways. Over half of respondents (54%) planned to evaluate their pathway and 83% reported that they were 'very or reasonably confident' in their team's nutritional management of COVID-19. Less than half (42%) reported on training needs.

Conclusions

Despite challenges encountered, pathways were developed and implemented. Dietitians had adapted to new ways of working to manage nutritional care in patients prior to and after discharge from hospital following COVID-19 infection. Further work is needed to develop strategies for evaluation of their impact.

https://eprints.bournemouth.ac.uk/35304/

Source: Europe PubMed Central

A UK survey of nutritional care pathways for patients with Covid‐19 prior to and post hospital stay

Authors: Lawrence, V., Hickson, M., Weekes, C.E., Julian, A., Frost, G. and Murphy, J.

Journal: Journal of Human Nutrition and Dietetics

Volume: 34

Issue: 4

Pages: 660-669

ISSN: 0952-3871

Abstract:

Background: During the global Covid-19 pandemic, UK dietitians have delivered the best care to help patients recover from the infection. This study examined the development and evaluation of care pathways to manage nutritional care of patients following Covid-19 infection prior to and after discharge. Methods: Registered UK dietitians completed an online questionnaire comprising 26 questions about the development of a pathway, its use, evaluation and training needs. Results: Of 57 responses, 37 (65%) were involved in management of nutritional care for Covid-19. Only 19 responses had a new or adapted Covid-19 pathway. Of these, 74% reported involvement of dietetic services, 47% reported >1 eligibility criteria for pathway inclusion and 53% accepted all positive or suspected cases. All respondents used nutritional screening, first line dietary advice (food first) and referral for further advice and monitoring. Weight and food intake were the most used outcome measure. All pathways addressed symptoms related to nutrition, the most common being weight loss with poor appetite, not being hungry and skipping meals in 84% of pathways. Over half of respondents (54%) planned to evaluate their pathway and 83% reported they were ‘very or reasonably confident’ in their team’s nutritional management of Covid-19. Less than half (42%) reported on training needs. Conclusions: Despite the challenges encountered, pathways were developed and implemented. Dietitians had adapted to new ways of working to manage nutritional care in patients prior to and after discharge from hospital following Covid-19 infection. Further work is needed to develop strategies for evaluation of their impact.

https://eprints.bournemouth.ac.uk/35304/

Source: BURO EPrints