Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey

被引：5

作者：

Misirlioglu, Merve ^{[1
]}

Yildizdas, Dincer ^{[2
]}

Ekinci, Faruk ^{[2
]}

Ozgur Horoz, Ozden ^{[2
]}

Tumgor, Gokhan ^{[3
]}

Yontem, Ahmet ^{[2
]}

Talay, Mehmet Nur ^{[4
]}

Kangin, Murat ^{[5
]}

Tufan, Erennur ^{[6
]}

Kesici, Selman ^{[6
]}

Yener, Nazik ^{[7
]}

Kinik Kaya, Hatice Elif ^{[7
]}

Havan, Merve ^{[8
]}

Tunc, Ali ^{[9
]}

Akcay, Nihal ^{[10
]}

Sevketoglu, Esra ^{[10
]}

Durak, Fatih ^{[11
]}

Ozel Dogruoz, Aysenur ^{[11
]}

Ozcan, Serhan ^{[12
]}

Perk, Oktay ^{[12
]}

Duyu, Muhterem ^{[13
]}

Boyraz, Merve ^{[13
]}

Uysal Yazici, Mutlu ^{[14
]}

Ozturk, Zeynelabidin ^{[14
]}

celegen, Mehmet ^{[15
]}

Bukulmez, Aysegul ^{[16
]}

Kacmaz, Ebru ^{[17
]}

Cagri Dinleyici, Ener ^{[17
]}

Dursun, Oguz ^{[18
]}

Koker, Alper ^{[18
]}

Bayraktar, Suleyman ^{[19
]}

Talip Petmezci, Mey ^{[20
]}

Nabaliyeva, Aygul ^{[20
]}

Agin, Hasan ^{[21
]}

Hepduman, Pinar ^{[21
]}

Akkuzu, Emine ^{[22
]}

Kendirli, Tanil ^{[23
]}

Ozen, Hasan ^{[23
]}

Topal, Sevgi ^{[24
]}

Odek, Caglar ^{[25
]}

Ozkale, Murat ^{[26
]}

Ozkale, Yasemin ^{[26
]}

Atay, Guerkan ^{[27
]}

Erdogan, Seher ^{[27
]}

Konca, Capan ^{[28
]}

Yapici, Guler ^{[28
]}

Arslan, Gazi ^{[29
]}

Besci, Tolga ^{[29
]}

Yilmaz, Resul ^{[30
]}

Gumus, Meltem ^{[31
]}

机构：

[1] Mersin Univ, Fac Med, Dept Pediat Intens Care, Mersin, Turkiye

[2] Cukurova Univ, Fac Med, Dept Pediat Intens Care, Adana, Turkiye

[3] Cukurova Univ, Fac Med, Dept Pediat Gastroenterol Hepatol & Nutr, Adana, Turkiye

[4] Hlth Sci Univ, Gazi Yasargil Training & Res Hosp, Dept Pediat, Diyarbakir, Turkiye

[5] Medipol Univ, Fac Med, Dept Pediat Intens Care, Istanbul, Turkiye

[6] Hacettepe Univ, Fac Med, Dept Pediat Intens Care, Ankara, Turkiye

[7] Ondokuz Mayis Univ, Fac Med, Dept Pediat Intens Care, Samsun, Turkiye

[8] Mersin City Training & Res Hosp, Dept Pediat Intens Care, Mersin, Turkiye

[9] Mersin City Training & Res Hosp, Dept Pediat, Mersin, Turkiye

[10] Univ Hlth Sci Bakirkoy, Dr Sadi Konuk Training & Res Hosp, Dept Pediat Intens Care, Istanbul, Turkiye

[11] Izmir Hlth Sci Univ, Tepecik Training & Res Hosp, Dept Pediat Intens Care, Izmir, Turkiye

[12] Ankara City Hosp, Dept Pediat Intens Care, Ankara, Turkiye

[13] Medeniyet Univ, Prof Dr Suleyman Yalcin City Hosp, Dept Pediat Intens Care, Istanbul, Turkiye

[14] Hlth Sci Univ Ankara, Dr Sami Ulus Obstet Child Hlth & Dis Training & Re, Dept Pediat Intens Care, Ankara, Turkiye

[15] Afyonkarahisar Hlth Sci Univ, Fac Med, Dept Pediat Intens Care, Afyonkarahisar, Turkiye

[16] Afyonkarahisar Hlth Sci Univ, Fac Med Hepatol & Nutr, Dept Pediat Gastroenterol, Afyonkarahisar, Turkiye

[17] Eskisehir Osmangazi Univ, Fac Med, Dept Pediat Intens Care, Eskisehir, Turkiye

[18] Akdeniz Univ, Fac Med, Dept Pediat Intens Care, Antalya, Turkiye

[19] Sultangazi Haseki Training & Res Hosp, Dept Pediat Intens Care, Istanbul, Turkiye

[20] Prof Dr Cemil Tascioglu City Hosp, Dept Pediat Intens Care, Istanbul, Turkiye

[21] Univ Hlth Sci Izmir, Dr Behcet Uz Child Dis & Surg Training & Res Hosp, Dept Pediat Intens Care, Izmir, Turkiye

[22] Isparta City Hosp, Dept Pediat Intens Care, Isparta, Turkiye

[23] Ankara Univ, Fac Med, Dept Pediat Intens Care, Ankara, Turkiye

[24] Erzurum Reg Training & Res Hosp, Dept Pediat Intens Care, Erzurum, Turkiye

[25] Uludag Univ, Fac Med, Dept Pediat Intens Care, Bursa, Turkiye

[26] Baskent Univ, Fac Med, Adana Dr Turgut Noyan Teaching & Med Res Ctr, Dept Pediat Intens Care, Adana, Turkiye

[27] Umraniye Training & Res Hosp, Dept Pediat Intens Care, Istanbul, Turkiye

[28] Adiyaman Training & Res Hosp, Dept Pediat Intens Care, Adiyaman, Turkiye

[29] Dokuz Eylul Univ, Fac Med, Dept Pediat Intens Care, Izmir, Turkiye

[30] Selcuk Univ, Fac Med, Dept Pediat Intens Care, Konya, Turkiye

[31] Selcuk Univ, Fac Med, Dept Pediat Gastroenterol Hepatol & Nutr, Konya, Turkiye

[32] Univ Hlth Sci, Bursa High Specializat Hosp, Dept Pediat Intens Care, Bursa, Turkiye

[33] Necip Fazil City Hosp, Dept Pediat Intens Care, Kahramanmaras, Turkiye

[34] Necip Fazil City Hosp, Dept Pediat, Kahramanmaras, Turkiye

[35] Mugla Univ, Fac Med, Dept Pediat Intens Care, Mugla, Turkiye

[36] Sutcu Imam Univ, Fac Med, Dept Pediat Intens Care, Kahramanmaras, Turkiye

[37] Sutcu Imam Univ, Fac Med, Dept Pediat Gastroenterol Hepatol & Nutr, Kahramanmaras, Turkiye

[38] Hatay Mustafa Kemal Univ, Fac Med, Dept Pediat Intens Care, Hatay, Turkiye

[39] Necmettin Erbakan Univ Meram, Fac Med, Dept Pediat Gastroenterol Hepatol & Nutr, Konya, Turkiye

[40] Necmettin Erbakan Univ Meram, Fac Med, Dept Pediat Intens Care, Konya, Turkiye

来源：

FRONTIERS IN PEDIATRICS | 2023年 / 11卷

关键词：

calorie intake; malnutrition; nutrition; pediatric intensive care unit; protein intake; CRITICALLY-ILL CHILDREN; LATE PARENTERAL-NUTRITION; BODY-MASS INDEX; ENTERAL NUTRITION; PROTEIN-INTAKE; MORTALITY; MALNUTRITION; MORBIDITY; ADMISSION; THERAPY;

D O I：

10.3389/fped.2023.1179721

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

IntroductionMalnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies.Material and MethodIn this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined.ResultsOf the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% (n = 249) of the patients at day one upon admission to the intensive care unit. In the first 48 h, 86.82% (n = 533) of the patients achieved the target calorie intake, and 81.65% (n = 307) of the 376 patients remaining in the intensive care unit achieved the target calorie intake at the end of one week. The risk of mortality decreased with increasing upper mid-arm circumference and triceps skin fold thickness Z-score (OR = 0.871/0.894; p = 0.027/0.024). The risk of mortality was 2.723 times higher in patients who did not achieve the target calorie intake at first 48 h (p = 0.006) and the risk was 3.829 times higher in patients who did not achieve the target calorie intake at the end of one week (p = 0.001). The risk of mortality decreased with increasing triceps skin fold thickness Z-score (OR = 0.894; p = 0.024).ConclusionTimely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score.

引用

页数：11

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