Measuring growth in critically ill neonates and children

被引:0
作者
Bracken, Julia M. [1 ,2 ]
Pappas, Lucy [3 ]
Wilkins, Jamie [3 ]
Tracy, Kelly [3 ]
Al-Rajabi, Taiseer R. [4 ]
Abdelhadi, Ruba A. [1 ,2 ,5 ]
机构
[1] Childrens Mercy Hosp, Dept Pediat, Div Gastroenterol, Kansas City, MO USA
[2] Univ Missouri Kansas City, Sch Med, Kansas City, MO USA
[3] Childrens Mercy Hosp, Dept Nutr, Kansas City, MO USA
[4] Univ Kansas, Coll Liberal Arts & Sci, Lawrence, KS USA
[5] Univ Missouri, Childrens Mercy Hosp & Clin, Gastroenterol, Kansas City Sch Med, 2401 Gillham Rd, Kansas City, MO 64108 USA
关键词
critical care; growth charts; malnutrition; newborn infants; nutrition assessment; pediatrics; premature infants; INTENSIVE-CARE-UNIT; EXTREMELY PRETERM INFANTS; PEDIATRIC CRITICAL-CARE; SYSTEMATIC ANALYSIS; NATIONAL-CENTER; MALNUTRITION; NUTRITION; OUTCOMES; MORTALITY; WEIGHT;
D O I
10.1002/ncp.11057
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Critical illness increases the risk of malnutrition in both infants and children. Malnutrition risk is multifactorial and includes premorbid factors as well as changes in nutrient metabolism and energy demands during critical illness. Inadequate nutrition has been linked to poor health outcomes and prolonged length of stay in the intensive care unit, demonstrating the importance of both recognizing and addressing malnutrition in this population. Assessing growth and identifying malnutrition requires methodical measurement of growth and a collaborative, multimodal approach to nutrition assessment. Among the nutrition assessment and growth evaluation tools, neonatal, preterm, pediatric, and disease-specific growth charts remain an important component of growth assessment and should be used along with a nutrition-focused physical examination. Routine measurement promotes the identification of potential growth delays that may require interventions. Indirect calorimetry adds an additional layer of detail for a complete picture of each infant or child's unique nutrition status and progress. Quality improvement research on a national level is urgently needed to assess the adequacy and availability of resources in neonatal and pediatric critical care units and to further the development of standard clinical outcome measures for nutrition assessment and intervention in the critically ill neonate and child.
引用
收藏
页码:S28 / S38
页数:11
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