Nutrition Support among Critically Ill Pediatric Patients: The Current Practice

IF 0.3 Q4 PEDIATRICS Journal of Pediatrics Review Pub Date : 2022-04-01 DOI:10.32598/jpr.10.2.919.3
F. Roudi, M. Sezavar, M. Naseri, Fahimeh Azadeh, G. Khademi
{"title":"Nutrition Support among Critically Ill Pediatric Patients: The Current Practice","authors":"F. Roudi, M. Sezavar, M. Naseri, Fahimeh Azadeh, G. Khademi","doi":"10.32598/jpr.10.2.919.3","DOIUrl":null,"url":null,"abstract":"Background: Pediatric Intensive Care Unit (PICU) admitted patients are considered as a nutritionally high-risk population, for whom optimum energy and nutrient delivery is an important treatment strategy preventing organ dysfunction and subsequently poor clinical outcomes. Objectives: The present study aimed to investigate the nutritional adequacy indices and their probable relations to clinical outcomes in critically ill children. Methods: This project was a retrospective cross-sectional study carried out at the Akbar Children’s Hospital, Mashhad, Iran. All critically ill children with PICU stay >48 hours during May-June 2019 were enrolled. Age, gender, medical diagnosis, nutritional status, energy and protein requirements and deliveries, and clinical outcomes of patients were extracted. Results: Seventy-one patients were included, among whom 39 subjects (54.9%) were male. The prevalence of malnutrition was 45.3% and 52.4% in PICU patients with surgical and non-surgical underlying diseases, respectively. There were significant associations between the nutritional status of the patients (upon the PICU admission time), infection, and mortality rate. Mean±SEM values of the estimated energy requirement and delivered energy were 85.7±1.6 and 68.3±2.1 kcal/kg/d, respectively. In addition, the estimated protein requirement and protein delivery were 2.5±0.08 and 1.8±0.03 gr/kg/d, respectively. Energy intake had a negative association with infection rate and lower protein delivery was negatively associated with prolonged duration of mechanical ventilation. Conclusions: Significant associations were found between energy/protein delivery and some clinical outcomes. The findings indicated the necessity of immediate further studies on the efficacy of different nutritional interventions as well as monitoring of optimal nutrition support barriers in critically ill children.","PeriodicalId":43059,"journal":{"name":"Journal of Pediatrics Review","volume":" ","pages":""},"PeriodicalIF":0.3000,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatrics Review","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32598/jpr.10.2.919.3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Pediatric Intensive Care Unit (PICU) admitted patients are considered as a nutritionally high-risk population, for whom optimum energy and nutrient delivery is an important treatment strategy preventing organ dysfunction and subsequently poor clinical outcomes. Objectives: The present study aimed to investigate the nutritional adequacy indices and their probable relations to clinical outcomes in critically ill children. Methods: This project was a retrospective cross-sectional study carried out at the Akbar Children’s Hospital, Mashhad, Iran. All critically ill children with PICU stay >48 hours during May-June 2019 were enrolled. Age, gender, medical diagnosis, nutritional status, energy and protein requirements and deliveries, and clinical outcomes of patients were extracted. Results: Seventy-one patients were included, among whom 39 subjects (54.9%) were male. The prevalence of malnutrition was 45.3% and 52.4% in PICU patients with surgical and non-surgical underlying diseases, respectively. There were significant associations between the nutritional status of the patients (upon the PICU admission time), infection, and mortality rate. Mean±SEM values of the estimated energy requirement and delivered energy were 85.7±1.6 and 68.3±2.1 kcal/kg/d, respectively. In addition, the estimated protein requirement and protein delivery were 2.5±0.08 and 1.8±0.03 gr/kg/d, respectively. Energy intake had a negative association with infection rate and lower protein delivery was negatively associated with prolonged duration of mechanical ventilation. Conclusions: Significant associations were found between energy/protein delivery and some clinical outcomes. The findings indicated the necessity of immediate further studies on the efficacy of different nutritional interventions as well as monitoring of optimal nutrition support barriers in critically ill children.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
危重儿科患者的营养支持:当前的实践
背景:儿科重症监护室(PICU)收治的患者被认为是营养高危人群,对他们来说,最佳的能量和营养输送是预防器官功能障碍和随后不良临床结果的重要治疗策略。目的:本研究旨在调查危重儿童的营养充足指数及其与临床结果的可能关系。方法:该项目是在伊朗马什哈德阿克巴儿童医院进行的一项回顾性横断面研究。2019年5月至6月期间,所有PICU停留时间>48小时的危重症儿童均被纳入研究。提取患者的年龄、性别、医学诊断、营养状况、能量和蛋白质需求、分娩情况以及临床结果。结果:纳入71例患者,其中39例(54.9%)为男性。在有手术和非手术基础疾病的PICU患者中,营养不良的患病率分别为45.3%和52.4%。患者的营养状况(在PICU入院时间)、感染和死亡率之间存在显著相关性。估计能量需求和输送能量的平均±SEM值分别为85.7±1.6和68.3±2.1 kcal/kg/d。此外,估计的蛋白质需求量和蛋白质输送量分别为2.5±0.08和1.8±0.03 gr/kg/d。能量摄入与感染率呈负相关,较低的蛋白质输送与机械通气时间延长呈负相关。结论:能量/蛋白质输送与一些临床结果之间存在显著相关性。研究结果表明,有必要立即对不同营养干预措施的疗效进行进一步研究,并监测危重儿童的最佳营养支持障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
20
审稿时长
8 weeks
期刊最新文献
The Effect of Sleep Disorders on Blood Sugar in Children With Type 1 Diabetes Mellitus The Effect of Chicory on Bilirubin Level in Newborns Suffering From Jaundice: A Systematic Review Case Series of Prolonged Febrile Illness in Pediatric Age Group: A Diagnostic Challenge Aplasia Cutis Congenita in a Newborn of Diabetic Mother: A Case Report and Review of Literature Solid Pseudopapillary Tumor of Pancreas in a 14-year-old Adolescent Presenting With Melena: A Case Report
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1