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Article Dans Une Revue Clinical Nutrition ESPEN Année : 2023

COVID-19 infection in patients on long-term home parenteral nutrition for chronic intestinal failure

1 UNIBO - Alma Mater Studiorum Università di Bologna = University of Bologna
2 Cleveland Clinic
3 Centre of Postgraduate Medical Education
4 University of Manchester [Manchester]
5 KU Leuven - Catholic University of Leuven = Katholieke Universiteit Leuven
6 TAU - Tel Aviv University
7 HCL - Hospices Civils de Lyon
8 PULS - Poznan University of Life Sciences (Uniwersytet Przyrodniczy w Poznaniu)
9 A.O.U - Città della Salute e della Scienza di Torino
10 AAU - Aalborg University [Denmark]
11 UHW - University Hospital of Wales
12 University of Lódź = Uniwersytet Łódzki
13 CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille]
14 INFINITE (Ex-Liric) - Institute for Translational Research in Inflammation - U 1286
15 CHU Nice - Centre Hospitalier Universitaire de Nice
16 NUH - Nottingham University Hospitals NHS Trust
17 CHU Bordeaux
18 Mayo Clinic and Mayo College of Medicine
19 Medical University of Lublin
20 Medical University of Gdańsk
21 Hospital Universitario Fundacion Favaloro
22 University Hospital Coventry
23 Sahlgrenska Academy at University of Gothenburg [Göteborg]
24 University of Naples Federico II = Università degli studi di Napoli Federico II
25 Hôpital Erasme [Bruxelles]
26 Clinique Saint-Yves [Rennes]
27 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
28 NuMeCan - Nutrition, Métabolismes et Cancer
29 Universidad de Málaga [Málaga] = University of Málaga [Málaga]
30 Mahidol University [Bangkok]
31 University of Sakarya
32 Hôpital Beaujon [AP-HP]
Denise Jezerski
  • Fonction : Auteur
Florian Poullenot
  • Fonction : Auteur
Manpreet Mundi
Marcin Folwarski
Marianna Arvanitakis
Corrado Spaggiari
  • Fonction : Auteur
Georg Lamprecht
  • Fonction : Auteur
Francesco Guglielmi
  • Fonction : Auteur
Antonella Lezo
  • Fonction : Auteur
Esther Ramos Boluda
Anat Guz-Mark
Paolo Gandullia
  • Fonction : Auteur
Cristina Cuerda
  • Fonction : Auteur
Emma Osland
Maria Spagnuolo
Zeljko Krznaric
  • Fonction : Auteur
Luisa Masconale
  • Fonction : Auteur
Brooke Chapman
María Maíz-Jiménez
  • Fonction : Auteur
Paolo Orlandoni
  • Fonction : Auteur
Mariana Hollanda Martins da Rocha
M. Nuria Virgili-Casas
Maryana Doitchinova-Simeonova
  • Fonction : Auteur
Laszlo Czako
  • Fonction : Auteur
Andrè van Gossum
  • Fonction : Auteur
Lorenzo d'Antiga
  • Fonction : Auteur
Looi Ee
  • Fonction : Auteur
Daruneewan Warodomwichit
  • Fonction : Auteur
Marina Taus
  • Fonction : Auteur
Sanja Kolaček
  • Fonction : Auteur
Giovanna Verlato
  • Fonction : Auteur
Aurora Serralde-Zúñiga
José Botella-Carretero
Pilar Serrano Aguayo
  • Fonction : Auteur
Sirinuch Chomtho
Veeradej Pisprasert
Georgijs Moisejevs
Ana Zugasti Murillo
  • Fonction : Auteur
Ma Estrella Petrina Jáuregui
  • Fonction : Auteur
Marta Bueno Díez
  • Fonction : Auteur
Mohammad Shukri Jahit
Narumon Densupsoontorn
Ali Tamer

Résumé

Background and aims - To investigate the incidence and the severity of COVID-19 infection in patients enrolled in the database for home parenteral nutrition (HPN) for chronic intestinal failure (CIF) of the European Society for Clinical Nutrition and Metabolism (ESPEN). Methods - Period of observation: March 1st, 2020 March 1st, 2021. Inclusion criteria - patients included in the database since 2015 and still receiving HPN on March 1st, 2020 as well as new patients included in the database during the period of observation. Data related to the previous 12 months and recorded on March 1st 2021: 1) occurrence of COVID-19 infection since the beginning of the pandemic (yes, no, unknown); 2) infection severity (asymptomatic; mild, no-hospitalization; moderate, hospitalization no-ICU; severe, hospitalization in ICU); 3) vaccinated against COVID-19 (yes, no, unknown); 4) patient outcome on March 1st 2021: still on HPN, weaned off HPN, deceased, lost to follow up. Results - Sixty-eight centres from 23 countries included 4680 patients. Data on COVID-19 were available for 55.1% of patients. The cumulative incidence of infection was 9.6% in the total group and ranged from 0% to 21.9% in the cohorts of individual countries. Infection severity was reported as: asymptomatic 26.7%, mild 32.0%, moderate 36.0%, severe 5.3%. Vaccination status was unknown in 62.0% of patients, non-vaccinated 25.2%, vaccinated 12.8%. Patient outcome was reported as: still on HPN 78.6%, weaned off HPN 10.6%, deceased 9.7%, lost to follow up 1.1%. A higher incidence of infection (p = 0.04), greater severity of infection (p < 0.001) and a lower vaccination percentage (p = 0.01) were observed in deceased patients. In COVID-19 infected patients, deaths due to infection accounted for 42.8% of total deaths. Conclusions - In patients on HPN for CIF, the incidence of COVID-19 infection differed greatly among countries. Although the majority of cases were reported to be asymptomatic or have mild symptoms only, COVID-19 was reported to be fatal in a significant proportion of infected patients. Lack of vaccination was associated with a higher risk of death.
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Dates et versions

hal-04089872 , version 1 (16-05-2023)

Licence

Paternité - Pas d'utilisation commerciale

Identifiants

Citer

Loris Pironi, Denise Jezerski, Jacek Sobocki, Simon Lal, Tim Vanuytsel, et al.. COVID-19 infection in patients on long-term home parenteral nutrition for chronic intestinal failure. Clinical Nutrition ESPEN, 2023, 55, pp.212-220. ⟨10.1016/j.clnesp.2023.03.008⟩. ⟨hal-04089872⟩
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