1.北京大学第三医院, a. 药剂科, b. 危重医学科, 北京 100191; 2.北京大学药学院药事管理与临床药学系, 北京 100191; 3.北京大学医学部药物评价中心, 北京 100191; 4.北京协和医院, a.药剂科, b.临床营养科, 北京 100730
Guidelines on Nutrition Support Therapy for Acute Respiratory Disease:A Systematic Review
LI Xiao-xiao1a,2,3, LIU Fang1a,3, GE Qing-gang1b, ZHAO Bin4a, YU Kang4b, ZHANG Xin-yi2, LI Chao1b, SHI Lu-wen2*, ZHAO Rong-sheng1a,2,3*
1a. Department of Pharmacy, 1b. Critical Care Medicine Department, Peking University Third Hospital, Beijing 100191, China; 2. Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China; 3. Institute for Drug Evaluation, Peking University Health Science Center, Beijing 100191, China; 4a. Department of Pharmacy, 4b. Department of Clinical nutrition, Peking Union Medical College Hospital, Beijing 100730, China
Abstract：OBJECTIVE To systematically review the related guidelines of nutrition support therapy (hereinafter referred to as nutrition support) in acute respiratory disease, and to provide evidence-based evidences for clinical nutrition in coronavirus disease 2019 (COVID-19). METHODS Retrieved from PubMed, EMBase, CNKI, etc., websites of association in nutrition and global guideline databases. The guidelines in nutrition support for related diseases were collected. Recommendations were summarized after data extraction and quality evaluation. RESULTS A total of 10 guidelines were enrolled, with development time ranging from 2006 to 2019. There were 6 guidelines with quality of level A, 3 with level B, and 1 with level C. “scope and purpose”, “clarity” and “independence” showed the higher scores in AGREE Ⅱ, and “applicability” showed generally low scores. There were differences among emphases of guidelines, however, supplements for each other, and the recommendations for the same questions showed substantial agreement. CONCLUSION The recommendations, in high quality guidelines of critical illness, acute respiratory distress syndrome, pneumonia, etc., could be applied to nutrition support in COVID-19.
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