Use of an Electronic Feeds Calorie Calculator in the Pediatric Intensive Care Unit

Sng, Qian Wen; Ong, Ching Ching; Ang, Su Ling Linda; Kirk, Angela Hui Ping; Lee, Jan Hau

doi:10.1097/pq9.0000000000000249

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…The high importance for nursing research in prevention of healthcare-associated infections can be secondary to the increasing autonomy and resources among PICU nurses in Asia. Indeed, throughout many geographical regions around the world, nurses are key stakeholders in providing improved bedside care in the PICU through nurse-led strategies (40-42).…”

Section: Discussionmentioning

confidence: 99%

Pediatric Critical Care Nursing Research Priorities in Asia: An eDelphi Study*

Poh

Sng

Latour³

et al. 2022

Pediatric Critical Care Medicine

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To identify nursing research priorities in pediatric critical care in Asia. DESIGN:We conducted a modified three-round eDelphi survey with pediatric critical care nurses in Asia. The eDelphi technique has been extensively used within health research to achieve a common viewpoint from experts using questionnaires to gather research priorities. In round 1, participants were asked to list three to five research topics that they deemed important. These topics were thematically analyzed and categorized into a questionnaire. Participants rated the research topics in round 2 on a 6-point scale (1 = not important to 6 = extremely important). In round 3, the same questionnaire was used with addition of the calculated mean scores from round 2 for each topic. Research topics ranked among the top 10 were considered extremely important. SETTINGS:Twenty-two PICUs in eight Asian countries.

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Section: Discussionmentioning

confidence: 99%

Pediatric Critical Care Nursing Research Priorities in Asia: An eDelphi Study*

Poh

Sng

Latour³

et al. 2022

Pediatric Critical Care Medicine

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“…Moving forward, we can consider and examine the use of trophic feeding protocol within the first 7 days of PICU stay in children with septic shock or severe sepsis. 37 38 The use of an electronic feeds calorie calculator seems to improve the accuracy of the prescribed feeds and the time to attain full enteral feeding. 38 Second, nutrition delivery and fluid balance need to be considered together as children who are critically ill and often experience fluid restriction to prevent fluid overload, and this can hinder nutrition delivery.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Nutritional Intake in Children with Septic Shock: A Retrospective Single-Center Study

Kirk

Ong

Wong

et al. 2021

J Pediatr Intensive Care

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Nutritional practice in children with severe sepsis or septic shock remains poorly described. We aimed to describe nutrition received by children with severe sepsis or septic shock and explore the association of nutritional intake with clinical outcomes. This study was a retrospective study of children who required pediatric intensive care unit (PICU) admission from 2009 to 2016. Outcomes were mortality, ventilator-free days (VFDs), and PICU-free days (IFDs). A total of 74 patients with septic shock or severe sepsis were identified. Forty-one (55.4%) patients received enteral nutrition (EN) only, 6 (8.1%) patients received parental nutrition (PN) only, 15 (20.3%) patients received both EN and PN, and 12 (16.2%) patients received intravenous fluids alone. Eight of 74 (10.8%) and 4 of 74 (5.4%) had adequate energy and protein intake, respectively. Patients who received early EN had lower odds of 28-day mortality (adjusted hazard ratio [HR] = 0.09, 95% confidence interval [CI]: 0.02, 0.45, p = 0.03) more 28-day VFDs (adjusted β-coefficient = 18.21 [95% CI: 11.11, 25.32], p < 0.001), and IFDs (adjusted ß-coefficient = 16.71 [95% CI: 9.86, 23.56], p < 0.001) than patients who did not receive EN. Late EN was also associated with lower odds of mortality, more VFDs, and IFDs compared with no EN (HR = 0.06, 95% CI: 0.02, 0.23; p < 0.001; adjusted β coefficient = 15.66, 95% CI: 9.31, 22.02; p < 0.001; and 12.34 [95% CI: 6.22, 18.46], p < 0.001; respectively). Inadequate calories and protein were not associated with mortality. EN in children with septic shock or severe sepsis was associated with improved clinical outcomes. Future prospective studies are required to explore the impact of EN timing and optimal nutritional intake in these children.

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Nutrition Supply and Growth Post Nutrition Support Team Activity in Neonatal Intensive Care Unit

Ha,

Jung,

Hong

et al. 2024

Pediatr Gastroenterol Hepatol Nutr

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Purpose For neonates admitted to the neonatal intensive care unit (NICU), appropriate nutritional assessment and intervention are important for adequate growth. In this study, we aimed to determine whether there were changes in the nutritional supply and growth status of premature infants hospitalized in the NICU after the introduction of the Nutrition support team (NST). Methods This study retrospectively analyzed premature infants admitted to the NICU for over 14 days. The average daily calorie, protein, and fat supply at 1 and 2 weeks after birth were compared before and after NST, and growth was evaluated by changes in length, weight, and head circumference z-scores at birth and 28 days after birth. Results A total of 79 neonates were included in the present study, with 32 in the pre-NST group and 47 in the post-NST group. The average daily energy supply during the first ( p =0.001) and second ( p =0.029) weeks postnatal was significantly higher in the post-NST group than in the pre-NST group. Lipid supply for the first week was significantly higher in the post-NST group than in the pre-NST group ( p =0.010). The change in the z-score for length was significantly higher in the post-NST group than in the pre-NST group ( p =0.049). Conclusion Nutrient supply and length z-score change increased significantly at 28 days after birth in the post-NST group. These results suggest that calorie calculators and NST activity can promote adequate growth and development in neonates.

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Use of an Electronic Feeds Calorie Calculator in the Pediatric Intensive Care Unit

Abstract: Supplemental Digital Content is available in the text.

Cited by 3 publications

References 31 publications

Pediatric Critical Care Nursing Research Priorities in Asia: An eDelphi Study*

Pediatric Critical Care Nursing Research Priorities in Asia: An eDelphi Study*

Nutritional Intake in Children with Septic Shock: A Retrospective Single-Center Study

Nutrition Supply and Growth Post Nutrition Support Team Activity in Neonatal Intensive Care Unit

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