How to Manage the Pediatric Nutritional Support Team: Updates

Yang, Hye Ran

doi:10.5223/kjpgn.2012.15.2.79

Cited by 1 publication

(1 citation statement)

References 19 publications

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“…In last two decades, increased attention has been paid to delivery of enteral nutrition in critically ill or injured adults and children (2). Enteral nutrition is the most preferred route for provision of adequate nutrition in critically ill children (5,7) There is very strong evidence from well-resourced PICUs that implementation of early enteral nutrition protocol (EENP) through ''nutrition support team (NST)'' successfully increased the delivery of adequate energy and protein in the first week of illness which ultimately improved clinical outcome (8)(9)(10)(11)(12).…”

Section: What Is Newmentioning

confidence: 99%

Impact of Nutrition Support Team in Achieving Target Calories in Children Admitted in Pediatric Intensive Care Unit

Zeeshan¹,

Naim²,

Jawwad³

et al. 2022

J. pediatr. gastroenterol. nutr.

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Objective:To determine the impact of nutrition support team (NST) on achieving an early target caloric goal in mechanically ventilated children admitted in pediatric intensive care unit (PICU).Methods:An early enteral nutrition protocol (EENP) was implemented by NST to ensure early and adequate nutrition provision to PICU patients. All children (1 month– 18 years) that were admitted in PICU for >2days and received mechanical ventilation, with no contraindications to enteral feed, were included and data was compared with those of pre-intervention. The adequacy of energy intake was defined as 70% achievement of target energy intake on the third day of admission. Chi-square/t-test was used to determine the difference between different variables pre and post intervention.Results:Total 180 patients (99 and 81 in pre- and post-intervention group, respectively) were included. Overall, 115 (63.9%) received adequate calories (70%) on third day of admission. Of which 69 (85.2%) were from post intervention (P < 0.001; odds ratio [OR] 6.6, 95% confidence interval [CI] 3.195–13.73). Moreover, NST intervention also promoted adequate protein intake in 62 (76.5%) children compared to 37 (37.4%) in pre-intervention group (P < 0.001, OR 5.468, 95% CI 2.838– 10.534). The median (interquartile range) length of PiCU stay in pre-NST group was 6 (4–9) days and in NST supported group was 4 (3–4) days (OR 0.580, CI 0.473–0.712, P < 0.001). Age, severity of illness, multiorgan dysfunction syndrome, sepsis, need of organ support had no effect in achievement of caloric target in both the groups (P > 0.05).Conclusion:Introduction of EENP with NST helped in the achievement of better and quicker target caloric intake.

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