{"id":1843,"date":"2022-10-20T10:33:36","date_gmt":"2022-10-20T13:33:36","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1843"},"modified":"2022-10-20T10:33:36","modified_gmt":"2022-10-20T13:33:36","slug":"desnutricao-hospitalar-covid","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/","title":{"rendered":"Desnutri\u00e7\u00e3o hospitalar p\u00f3s-pandemia: onde estamos?"},"content":{"rendered":"<p>Com o avan\u00e7o da vacina\u00e7\u00e3o, aliada \u00e0s demais medidas de conten\u00e7\u00e3o da dissemina\u00e7\u00e3o do sars-cov-2, o volume de casos de covid-19, incluindo aqueles que demandam hospitaliza\u00e7\u00e3o, caiu consideravelmente. <strong>C<\/strong><strong>ontudo, a desnutri\u00e7\u00e3o hospitalar p\u00f3s-pandemia ainda precisa ser levada em conta nos quadros que exigem suporte intensivo.<\/strong><\/p>\n<p>Por isso, \u00e9 essencial acompanhar os avan\u00e7os indicados nas diretrizes a respeito das condutas a serem adotadas nesse contexto. <strong>\u00c9 <\/strong><strong>poss\u00edvel manejar os riscos de complica\u00e7\u00f5es nutricionais e garantir melhores desfechos cl\u00ednicos.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2>As principais diretrizes de manejo nutricional para pacientes com covid-19<\/h2>\n<p>A <a href=\"https:\/\/www.braspen.org\/\">BRASPEN<\/a> (Sociedade Brasileira de Nutri\u00e7\u00e3o Parenteral e Enteral)<a class=\"bibliography-sup\" title=\"CAMPOS, L. F. et al. Revis\u00e3o do parecer BRASPEN de terapia nutricional em pacientes hospitalizados com COVID-19. BRASPEN J, v. 36, n. 1, p. 122-6, 2021.\" href=\"#\" data-bibliography-link=\"\">1<\/a> <strong>recomenda que todo paciente com covid-19 admitido numa unidade hospitalar passe por triagem nutricional em at\u00e9 48 horas ap\u00f3s a interna\u00e7\u00e3o.<\/strong><\/p>\n<p>Reavalia\u00e7\u00f5es devem ser feitas sempre a cada 3 ou 4 dias, de acordo com a evolu\u00e7\u00e3o do quadro. No mais, pacientes com perman\u00eancia superior a 48 horas em unidades de terapia intensiva devem ser considerados sob risco de desnutri\u00e7\u00e3o.<a class=\"bibliography-sup\" title=\"CAMPOS, L. F. et al. Revis\u00e3o do parecer BRASPEN de terapia nutricional em pacientes hospitalizados com COVID-19. BRASPEN J, v. 36, n. 1, p. 122-6, 2021.\" href=\"#\" data-bibliography-link=\"\">1<\/a><\/p>\n<p>Em quadros n\u00e3o graves de COVID-19, a via oral deve ser a priorit\u00e1ria para a terapia nutricional, sempre. Caso a ingest\u00e3o se mantenha em patamar inferior a 60% das necessidades nutricionais, mesmo com suplementa\u00e7\u00e3o alimentar, a nutri\u00e7\u00e3o enteral deve ser considerada. Isso, claro, vale tamb\u00e9m para pacientes graves.<\/p>\n<p>Por fim, se houver contraindica\u00e7\u00e3o da via oral e\/ou enteral, a nutri\u00e7\u00e3o parenteral (NP) deve ser iniciada o mais cedo poss\u00edvel se o paciente est\u00e1 em um quadro grave. A Sociedade Brasileira de Nutri\u00e7\u00e3o Parenteral e Enteral (BRASPEN)<a class=\"bibliography-sup\" title=\"CAMPOS, L. F. et al. Revis\u00e3o do parecer BRASPEN de terapia nutricional em pacientes hospitalizados com COVID-19. BRASPEN J, v. 36, n. 1, p. 122-6, 2021.\" href=\"#\" data-bibliography-link=\"\">1<\/a> recomenda ainda considerar o uso de NP suplementar ap\u00f3s per\u00edodos de 5 a 7 dias, em pacientes que n\u00e3o conseguirem atingir aporte cal\u00f3rico proteico superior a 60% por via digestiva.<\/p>\n<p>O aporte cal\u00f3rico deve come\u00e7ar em patamar mais baixo (15 a 20 kcal\/kg\/dia) e progredir ap\u00f3s a fase aguda inicial, se poss\u00edvel realizando calorimetria indireta. Em rela\u00e7\u00e3o \u00e0s prote\u00ednas, esses pacientes devem receber entre 1,5 e 2,0 g\/kg\/dia de prote\u00edna, mesmo em caso de disfun\u00e7\u00e3o renal aguda. \u00c9 preciso observar as calorias n\u00e3o-nutricionais (principalmente em pacientes sedados com propofol e observar o risco do desenvolvimento de hiperalimenta\u00e7\u00e3o).<\/p>\n<p>Pacientes em posi\u00e7\u00e3o de prona n\u00e3o devem ter a terapia nutricional suspensa. Todavia, a posi\u00e7\u00e3o do cateter deve ser reavaliada sempre. Al\u00e9m disso, as pausas na dieta, antes e depois da movimenta\u00e7\u00e3o do paciente, devem seguir o protocolo da institui\u00e7\u00e3o.<\/p>\n<p>&nbsp;<\/p>\n<p>Saiba mais:<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/necessidades-nutricionais-pacientes-com-covid-19\/\"> Quais as necessidades nutricionais de pacientes com covid-19?<\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>O risco de complica\u00e7\u00f5es nutricionais relacionadas a covid-19<\/h2>\n<p>Mesmo com as diretrizes da BRASPEN e de diversas sociedades mundo afora, <strong>a incid\u00eancia de complica\u00e7\u00f5es nutricionais relacionadas a covid-19 durante e ap\u00f3s a hospitaliza\u00e7\u00e3o ainda n\u00e3o s\u00e3o bem determinadas.<\/strong><\/p>\n<p>Desse modo, com o intuito de avan\u00e7ar nessa quest\u00e3o, um estudo conduzido em universidades italianas e publicado na<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2405457721002758?casa_token=flfEoDuS8_EAAAAA:M4SMn8fm0fM47jv9-nMhj_Wdd-ky0pJVO07IgYRdCLmvlSe9vuNsi0L83Bp2gf5lDrxgNYTfpvXw\"> Clinical Nutrition ESPEN<\/a><a class=\"bibliography-sup\" title=\"FIORINDI, C. et al. Prevalence of nutritional risk and malnutrition during and after hospitalization for COVID-19 infection: Preliminary results of a single-centre experience. Clinical Nutrition ESPEN, v. 45, p. 351-355, 2021.\" href=\"#\" data-bibliography-link=\"\">2<\/a> procurou estimar a preval\u00eancia do<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/o-que-e-desnutricao-relacionada-doenca\/\"> risco de desnutri\u00e7\u00e3o<\/a> em pacientes internados com covid-19 e acompanh\u00e1-los ap\u00f3s a sa\u00edda do hospital.<\/p>\n<p>Foram inclu\u00eddos no estudo 142 pacientes admitidos em um hospital italiano na cidade de Floren\u00e7a entre os meses de mar\u00e7o e abril de 2020, quando a It\u00e1lia era o epicentro da pandemia.<\/p>\n<p>A partir disso, os par\u00e2metros nutricionais foram medidos em tr\u00eas est\u00e1gios: na admiss\u00e3o para interna\u00e7\u00e3o, no momento da alta do hospital e 3 meses ap\u00f3s a alta.<\/p>\n<p>De acordo com o estudo, a <strong>m\u00e9dia de perda de peso n\u00e3o intencional durante a interna\u00e7\u00e3o foi de 7,6%<\/strong>, correspondendo a uma m\u00e9dia de redu\u00e7\u00e3o de 6,5 kg aproximadamente. Quanto maior a idade dos pacientes (acima de 61 anos), maior foi a perda de peso observada.<\/p>\n<p>Al\u00e9m disso, pacientes admitidos em unidade de terapia intensiva ou semi-intensiva registraram perdas de peso significativamente maiores do que aqueles internados nas enfermarias(m\u00e9dias de 5,46% versus 1,19%).<\/p>\n<p>No momento da alta, <strong>12 pacientes estavam desnutridos, de acordo com par\u00e2metros da ESPEN<a class=\"bibliography-sup\" title=\"CEDERHOLM, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr 2017;36(1):49-64\" href=\"#\" data-bibliography-link=\"\">4<\/a><\/strong><strong>. Ap\u00f3s 3 meses da alta os pacientes ganharam, em m\u00e9dia 4,36 kg.<\/strong><\/p>\n<p>Contudo, no geral, foi observado uma redu\u00e7\u00e3o no peso de, em m\u00e9dia, 2,2% em rela\u00e7\u00e3o ao peso habitual medido no momento da interna\u00e7\u00e3o. Apenas 7 pacientes reportaram um ou mais sintomas que pudesse impactar no estado nutricional no per\u00edodo de acompanhamento. Disgeusia e xerostomia foram os sintomas mais frequentes, seguidos por falta de apetite, disfagia a s\u00f3lidos, disosmia e disfagia a l\u00edquidos.<\/p>\n<p>&nbsp;<\/p>\n<h2>A import\u00e2ncia da nutri\u00e7\u00e3o cl\u00ednica em pacientes com covid-19<\/h2>\n<p><strong>Os autores do estudo italiano refor\u00e7am que os riscos de desnutri\u00e7\u00e3o relacionados a covid-19 est\u00e3o associados a uma s\u00e9rie de fatores, como tempo de perman\u00eancia no hospital, gravidade do quadro e idade do paciente. <\/strong><\/p>\n<p>Desse modo, a identifica\u00e7\u00e3o precoce dos pacientes sob maior risco de desenvolver tal condi\u00e7\u00e3o pode ajudar na ado\u00e7\u00e3o de medidas de preven\u00e7\u00e3o. O acompanhamento posterior entre aqueles que desenvolvem quadros de desnutri\u00e7\u00e3o durante a interna\u00e7\u00e3o tamb\u00e9m deve ser considerado.<\/p>\n<p><strong>A pr\u00f3pria ESPEN (<em>European Society for Clinical Nutrition and Metabolism<\/em>)<a class=\"bibliography-sup\" title=\"BARAZZONI, R. et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection. Clinical nutrition, v. 39, n. 6, p. 1631-1638, 2020.\" href=\"#\" data-bibliography-link=\"\">3<\/a>\u00a0refor\u00e7a que a terapia nutricional precisa ser inclu\u00edda como parte essencial do cuidado dos pacientes com covid-19<\/strong>, principalmente naqueles com comorbidades ou que sejam parte de grupo de risco, como pacientes idosos e fr\u00e1geis. Essa abordagem integral certamente conduz a melhores desfechos, inclusive nos per\u00edodos de recupera\u00e7\u00e3o ap\u00f3s a perman\u00eancia em UTIs.<\/p>\n<p>A expectativa de que a covid-19 se torne uma doen\u00e7a end\u00eamica n\u00e3o significa que os impactos nutricionais da doen\u00e7a devam ser ignorados. Pelo contr\u00e1rio: ser\u00e1 poss\u00edvel dedicar um melhor cuidado para aqueles que precisam de hospitaliza\u00e7\u00e3o. Dessa forma, entender a evolu\u00e7\u00e3o da desnutri\u00e7\u00e3o hospitalar p\u00f3s-pandemia faz parte do progresso no entendimento do quadro desta enfermidade e da evolu\u00e7\u00e3o no suporte oferecido em todas as dimens\u00f5es.<\/p>\n<p>&nbsp;<\/p>\n<p>Agora, aproveite para<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/relevancia-da-alta-proteina-no-paciente-critico\/\"> entender melhor sobre a import\u00e2ncia das prote\u00ednas em pacientes cr\u00edticos.<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Com o avan\u00e7o da vacina\u00e7\u00e3o, aliada \u00e0s demais medidas de conten\u00e7\u00e3o da dissemina\u00e7\u00e3o do sars-cov-2, o volume de casos de covid-19, incluindo aqueles que demandam hospitaliza\u00e7\u00e3o, caiu consideravelmente. Contudo, a desnutri\u00e7\u00e3o hospitalar p\u00f3s-pandemia ainda precisa ser levada em conta nos quadros que exigem suporte intensivo. Por isso, \u00e9 essencial acompanhar os avan\u00e7os indicados nas diretrizes [&hellip;]<\/p>\n","protected":false},"author":67,"featured_media":1844,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[41,5],"tags":[119,65,148,81,195],"class_list":["post-1843","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo","category-desnutricao-relacionada-a-doenca","tag-braspen","tag-covid-19","tag-espen","tag-nutricao-clinica","tag-terapia-intensiva"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Veja a incid\u00eancia da desnutri\u00e7\u00e3o hospitalar em pacientes com covid-19<\/title>\n<meta name=\"description\" content=\"Entenda por que a nutri\u00e7\u00e3o cl\u00ednica deve ser parte do cuidado de todos os pacientes internados com covid-19.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Veja a incid\u00eancia da desnutri\u00e7\u00e3o hospitalar em pacientes com covid-19\" \/>\n<meta property=\"og:description\" content=\"Entenda por que a nutri\u00e7\u00e3o cl\u00ednica deve ser parte do cuidado de todos os pacientes internados com covid-19.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/\" \/>\n<meta property=\"og:site_name\" content=\"Unidos pela Nutri\u00e7\u00e3o Cl\u00ednica | Brasil\" \/>\n<meta property=\"article:published_time\" content=\"2022-10-20T13:33:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1709\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"danielle.rolim_130\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"danielle.rolim_130\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/\"},\"author\":{\"name\":\"danielle.rolim_130\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/c45dfa32ad9e468917e46a308562e8f0\"},\"headline\":\"Desnutri\u00e7\u00e3o hospitalar p\u00f3s-pandemia: onde estamos?\",\"datePublished\":\"2022-10-20T13:33:36+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/\"},\"wordCount\":1030,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization\"},\"image\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg\",\"keywords\":[\"braspen\",\"covid-19\",\"ESPEN\",\"nutri\u00e7\u00e3o cl\u00ednica\",\"terapia intensiva\"],\"articleSection\":[\"Artigos\",\"Desnutri\u00e7\u00e3o Relacionada a Doen\u00e7a\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/\",\"name\":\"Veja a incid\u00eancia da desnutri\u00e7\u00e3o hospitalar em pacientes com covid-19\",\"isPartOf\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg\",\"datePublished\":\"2022-10-20T13:33:36+00:00\",\"description\":\"Entenda por que a nutri\u00e7\u00e3o cl\u00ednica deve ser parte do cuidado de todos os pacientes internados com covid-19.\",\"breadcrumb\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#primaryimage\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg\",\"contentUrl\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg\",\"width\":2560,\"height\":1709},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Desnutri\u00e7\u00e3o hospitalar p\u00f3s-pandemia: onde estamos?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#website\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\",\"name\":\"Unidos pela Nutri\u00e7\u00e3o Cl\u00ednica | Brasil\",\"description\":\"\u00c9 uma iniciativa criada pela Fresenius Kabi para ajudar aos profissionais de sa\u00fade.\",\"publisher\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization\",\"name\":\"Fresenius Kabi AG\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2018\/06\/Downloads_en_0001_Logo_edit_portugues.jpg\",\"contentUrl\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2018\/06\/Downloads_en_0001_Logo_edit_portugues.jpg\",\"width\":600,\"height\":400,\"caption\":\"Fresenius Kabi AG\"},\"image\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/c45dfa32ad9e468917e46a308562e8f0\",\"name\":\"danielle.rolim_130\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/021e060d86e58c643e333ac2260c7969?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/021e060d86e58c643e333ac2260c7969?s=96&d=mm&r=g\",\"caption\":\"danielle.rolim_130\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Veja a incid\u00eancia da desnutri\u00e7\u00e3o hospitalar em pacientes com covid-19","description":"Entenda por que a nutri\u00e7\u00e3o cl\u00ednica deve ser parte do cuidado de todos os pacientes internados com covid-19.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/","og_locale":"pt_BR","og_type":"article","og_title":"Veja a incid\u00eancia da desnutri\u00e7\u00e3o hospitalar em pacientes com covid-19","og_description":"Entenda por que a nutri\u00e7\u00e3o cl\u00ednica deve ser parte do cuidado de todos os pacientes internados com covid-19.","og_url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/","og_site_name":"Unidos pela Nutri\u00e7\u00e3o Cl\u00ednica | Brasil","article_published_time":"2022-10-20T13:33:36+00:00","og_image":[{"width":2560,"height":1709,"url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg","type":"image\/jpeg"}],"author":"danielle.rolim_130","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"danielle.rolim_130","Est. tempo de leitura":"5 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#article","isPartOf":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/"},"author":{"name":"danielle.rolim_130","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/c45dfa32ad9e468917e46a308562e8f0"},"headline":"Desnutri\u00e7\u00e3o hospitalar p\u00f3s-pandemia: onde estamos?","datePublished":"2022-10-20T13:33:36+00:00","mainEntityOfPage":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/"},"wordCount":1030,"commentCount":0,"publisher":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization"},"image":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#primaryimage"},"thumbnailUrl":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg","keywords":["braspen","covid-19","ESPEN","nutri\u00e7\u00e3o cl\u00ednica","terapia intensiva"],"articleSection":["Artigos","Desnutri\u00e7\u00e3o Relacionada a Doen\u00e7a"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/","name":"Veja a incid\u00eancia da desnutri\u00e7\u00e3o hospitalar em pacientes com covid-19","isPartOf":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#website"},"primaryImageOfPage":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#primaryimage"},"image":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#primaryimage"},"thumbnailUrl":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg","datePublished":"2022-10-20T13:33:36+00:00","description":"Entenda por que a nutri\u00e7\u00e3o cl\u00ednica deve ser parte do cuidado de todos os pacientes internados com covid-19.","breadcrumb":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#primaryimage","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg","contentUrl":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/517-5949-5120x3417-1-scaled.jpg","width":2560,"height":1709},{"@type":"BreadcrumbList","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/desnutricao-hospitalar-covid\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/"},{"@type":"ListItem","position":2,"name":"Desnutri\u00e7\u00e3o hospitalar p\u00f3s-pandemia: onde estamos?"}]},{"@type":"WebSite","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#website","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/","name":"Unidos pela Nutri\u00e7\u00e3o Cl\u00ednica | Brasil","description":"\u00c9 uma iniciativa criada pela Fresenius Kabi para ajudar aos profissionais de sa\u00fade.","publisher":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization","name":"Fresenius Kabi AG","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/logo\/image\/","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2018\/06\/Downloads_en_0001_Logo_edit_portugues.jpg","contentUrl":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2018\/06\/Downloads_en_0001_Logo_edit_portugues.jpg","width":600,"height":400,"caption":"Fresenius Kabi AG"},"image":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/c45dfa32ad9e468917e46a308562e8f0","name":"danielle.rolim_130","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/021e060d86e58c643e333ac2260c7969?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/021e060d86e58c643e333ac2260c7969?s=96&d=mm&r=g","caption":"danielle.rolim_130"}}]}},"_links":{"self":[{"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/posts\/1843","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/users\/67"}],"replies":[{"embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/comments?post=1843"}],"version-history":[{"count":0,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/posts\/1843\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/media\/1844"}],"wp:attachment":[{"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/media?parent=1843"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/categories?post=1843"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/tags?post=1843"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}