Nutritional status and nutrition support in critically ill children in Spain: Results of a multicentric study

Solana, María José; Manrique, Gema; Fernández, Reyes; Slöcker, M.; García, Miriam; Redondo, Silvia; Yun, Cristina; Gil, Raquel; Balaguer, Mònica; Rodríguez, Eva María Herrera; González-Posada, Aranzazu; Santiago, Carmen; Martin, C.; Miñambres, María; Sánchez, María Cristina Polo; Goñi, Concepción; López, Jorge; López‐Herce, Jesús

doi:10.1016/j.nut.2020.110993

Cited by 13 publications

(18 citation statements)

References 41 publications

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“…The results revealed that complications occurred in 35(45.5%) patients receiving EN and 29(30.5%) patients treated with PN, the rate of which was lower than in other researches [32,33]. And gastrointestinal complication (97.1%) was most common in EN while catheter-related complication (82.8%) in PN, which indicated that more attention should be paid to symptoms of gastrointestinal intolerance such as constipation, diarrhea, nausea, and vomiting for patients with EN while symptoms of phlebitis such as local swelling and pain should be attached more importance to for patients treated with PN to the reduce the incidence of these complications and improve the living quality of patients [34,35].…”

Section: Discussionmentioning

confidence: 99%

Nutritional status and support in hospitalized patients with neurological disorders: a cross-sectional survey

WAN

Zhan

et al. 2023

Preprint

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Background Proper nutritional management was demonstrated to reduce complications and related to better clinical outcomes. However, inaccurate nutritional screening and assessment, inappropriate nutrition support, and contrary to the suggested guidelines were observed in clinical. Methods A self-designed questionnaire was used to conduct a cross-sectional survey in a tertiary-level general hospital. Nutritional Risk Screening 2002 was used for nutrition screening. A total of 620 patients with neurological diseases were enrolled in this study. Results All patients were conducted with nutritional screening, and among them, 24.4% had nutritional risk on admission and 22.7% in the final assessment. However, there were no statistically significant differences in nutritional status between the first and final assessments, except for the serum albumin concentration. 118 patients (19.0%) received pharmaceutical nutrition therapy and complications occurred in 35(45.5%) patients treated with EN and 29 (30.5%) patients treated with PN. In our study, not all nursing measures for tube feeding apart from confirming catheter position and raising the head of the bed were carried out in every patient receiving tube feeding in our research. Conclusions The incidence of nutritional risk of inpatients with neurological diseases enrolled in this research was relatively lower. However, nutritional treatment in this study was not standardized enough and the medical staff was suggested to accept relevant professional training to perform better in nutrition support.

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Section: Discussionmentioning

confidence: 99%

Nutritional status and support in hospitalized patients with neurological disorders: a cross-sectional survey

WAN

Zhan

et al. 2023

Preprint

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“…Malnutrition in critically ill children is common [ 1 , 2 ] and is associated with poor outcomes such as increased length of hospital stay, predisposition to infectious diseases and increased mortality and costs [ 1 , 3 ]. Many factors can contribute to undernourishment in this population.…”

Section: Introductionmentioning

confidence: 99%

“…Nutrition support is one of the key pillars to avoid undernourishment in critically ill children. Enteral nutrition (EN) is the preferred method of nutrition delivery to the critically ill child [ 2 , 6 , 7 ]. Among its many advantages are the following: it induces gastrointestinal mucosa trophism avoiding bacterial translocation, it is less expensive and it is associated with lower risk of infection than parenteral nutrition [ 2 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Enteral nutrition (EN) is the preferred method of nutrition delivery to the critically ill child [ 2 , 6 , 7 ]. Among its many advantages are the following: it induces gastrointestinal mucosa trophism avoiding bacterial translocation, it is less expensive and it is associated with lower risk of infection than parenteral nutrition [ 2 , 8 ]. Early enteral nutrition (EEN), meaning enteral nutrition started within the first 48 h after pediatric critical care unit (PICU) admission, has been associated with higher caloric intake, fewer complications and lower costs [ 9 , 10 , 11 , 12 ] than delayed enteral nutrition (DEN).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence, Risk Factors and Impact of Nutrition Interruptions in Critically Ill Children

et al. 2023

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Background: Enteral nutrition interruptions (ENI) are prevalent in the pediatric intensive care unit (PICU), but there is little evidence of their characteristics. Methods: This is a cross-sectional multicenter study including critically ill children on enteral nutrition. ENIs were classified as PICU procedures, procedures performed outside the PICU (PPOP), feeding intolerance and other criteria. The number and features of ENIs were collected. Results: A total of 75 children were enrolled. There were 41 interruptions affecting 37.3% of the patients with a median duration of 5 ± 9.4 h. The most common reason for ENI was PPOP (41.5%), followed by other criteria. Interruptions were considered preventable in 24.4% of the cases, but only eight were compensated. ENIs were more prevalent among children with cardiac disease (p = 0.047), higher PRISM (p = 0.047) and longer PICU stay (p = 0.035). There was association between PRISM and total interruption time (p = 0.02) and lower caloric intake (p = 0.035). Patients with respiratory illness (p = 0.022) and on noninvasive ventilation (p = 0,028) had fewer ENIs. ENI total time was associated with lower caloric (p = 0.001) and protein (p = 0.02) intake. Conclusions: ENIs are prevalent in PICU, especially in children with higher PRISM, longer PICU stays and cardiac disease, and result in lower caloric and protein intake.

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“…Therefore, adequate nutritional intake in the early postoperative period is crucial for children with CHD. Studies have confirmed that many problems arise in the actual process of nutritional therapy, such as underestimation of energy requirements [6], feeding intolerance [7], delayed initiation of enteral nutrition (EN) or interruption of feeding [8][9][10], etc., which may affect the nutritional supply of patients after surgery and exacerbate their malnutrition. However, the current status of the above-mentioned problems in children after CHD surgery is unclear.…”

Section: Introductionmentioning

confidence: 99%

What is the postoperative nutrition intake in children with congenital heart disease? A single-center analysis in China

Zhang

et al. 2022

BMC Pediatr

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Background It is common that inadequate nutritional intake happens in patients with congenital heart disease (CHD), which can adversely affect the prognosis of patients. However, the details and reasons are not clear enough so far. Therefore, the primary aim of this study was to investigate the current nutritional requirements and energy intake on days 1–7 in the cardiac intensive care unit after surgery. Our secondary aim was to investigate potential factors that hinder nutritional supply and to compare the resting energy expenditure (REE) based on two methods, the Fick method and the Schofield equation. Methods Using retrospective analysis, we collected data from postoperative children with CHD at a children's hospital in Shanghai, China. We used the Fick method to calculate the REE, and compare the results with the actual enteral nutrition intake. Meanwhile, we recorded the initiation time of enteral nutrition, feeding intolerance, unfinished milk volume, etc. Then the correlation between the results of the Fick method and the equation method was calculated. Results A total of 49 patients were included, with a median age of 22 months (IQR 4.9, 57.3), and a median Aristotle basic complexity score of 8 (IQR 6.0, 9.8). The time interval for surgical intervention within 7 days after operation was 4 (IQR 2.5, 6). No statistical difference in REE on postoperative days 1–7. The average enteral nutrition energy provided 64.6 (33.6, 79.6)% of the REE, which showed a significant decrease on postoperative day 4, and then reached its lowest on postoperative day 5. The protein supply was 0.7 ± 0.3 kcal/kg/d. In addition, the REE calculated by the Fick method was moderately correlated with that estimated by the equation (r = 0.467, P = 0.001). Conclusions The energy and protein supply in the acute postoperative period in children with CHD is inadequate. Fluid restriction and fasting may be the main causes. In addition, there is a moderate correlation between the REE calculated by the Fick method and that estimated by the equation.

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Nutritional status and nutrition support in critically ill children in Spain: Results of a multicentric study

Cited by 13 publications

References 41 publications

Nutritional status and support in hospitalized patients with neurological disorders: a cross-sectional survey

Nutritional status and support in hospitalized patients with neurological disorders: a cross-sectional survey

Prevalence, Risk Factors and Impact of Nutrition Interruptions in Critically Ill Children

What is the postoperative nutrition intake in children with congenital heart disease? A single-center analysis in China

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