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Nutritional Status and Malnutrition Assessment of Patients Followed in Pediatric Intensive Care Unit

Year 2022, Volume: 19 Issue: 1, 56 - 60, 28.04.2022
https://doi.org/10.35440/hutfd.1068515

Abstract

Background: Malnutrition, which occurs at the time of hospitalization or develops during follow-up, has a negative effect on patients in pediatric intensive care unit (PICU). In our study, we aimed to determine the malnutrition status at the time of hospitalization, the relationship of malnutrition status at hospitalization with mortality scores, as well as the changes in malnutrition status during hospitalization in PICU.
Materials and Methods: Patients aged between 1 month and 18 years, who were hospitalized and followed up in PICU of our hospital for at least 7 days between January and June 2016, were included in our study. Pediatric Nutritional Risk Score (PNRS) scores were compared with Gomez and Waterlow scores when patients were discharged from the PICU.
Results: Our study has included total 102 patients, weight loss was detected in 33 (32.3%) of the patients compared to hospitalization, while weight gain was detected in 44 (43.1%) patients. We detected newly developed malnutrition both at the time of admission and during the PICU follow-up. Patients with malnutrition at the time of discharge had a high PNRS score at admission.
Conclusions: In conclusion, the malnutrition status and risk situations of patients should be determined and patient-specific nutritional strategies applied from the beginning of treatment in PICU.

References

  • Martinez EE, Mehta NM. The science and art of pediatric critical care nutrition. Curr Opin Crit Care. 2016; 22(4): 316-24.
  • Pelletier DL, Frongillo EA. Changes in child survival are strongly associated with changes in malnutrition in developing countries. J Nutr. 2003; 133(1): 107-19.
  • Briassoulis G, Zavras N, Hatzis T. Malnutrition, nutritional indices, and early enteral feeding in critically ill children. Nutrition. 2001; 17(7-8): 548-57.
  • Pollack MM, Smith D. Protein-energy malnutrition in hospitalized children. Hosp Formul. 1981; 16(10):1189-90, 1192-3.
  • Hulst JM, van Goudoever JB, Zimmermann LJ, Hop WC, Büller HA, Tibboel D, et al. Adequate feeding and the usefulness of the respiratory quotient in critically ill children. Nutrition. 2005; 21(2): 192-8.
  • Ağın H. Nutrition in critically ill patients. Turkiye Klinikleri J Pediatr Sci. 2011; 7(1):73-80.
  • Mehta NM. Early enteral nutrition in the PICU: should we trust our gut? Pediatr Crit Care Med. 2015; 16:786–9.
  • Valla FV, Ford-Chessel C, Meyer R, Berthiller J, Dupenloup C, Follin-Arbelet N, et al. A training program for anthropometric measurements by a dedicated nutrition support team improves nutritional status assessment of the critically ill child. Pediatr Crit Care Med. 2015; 16: e82–8.
  • Taylor RM, Preedy VR, Baker AJ, Grimble G. Nutritional support in critically ill children. Clin Nutr. 2003; 22 (4): 365-9.
  • Valla FV, Baudin F, Le Roux BG, Ford-Chessel C, Gervet E, Giraud C, et al. Nutritional status deterioration occurs frequently during children's ICU stay. Pediatr Crit Care Med. 2019; 20(8): 714-21.
  • Ventura JC, Hauschild DB, Barbosa E, Bresolin NL, Kawai K, Mehta NM, et al. Undernutrition at PICU admission is predictor of 60-day mortality and PICU length of stay in critically ill children. J Acad Nutr Diet. 2020; 120(2): 219-29.
  • Menezes FS, Leite HP, Nogueira PCK. Malnutrition as an independent predictor of clinical outcome in critically ill children. Nutrition. 2012; 28(3): 267–70.
  • Taşcı O, Soylu ÖB, Kıran Taşcı E, Eser E, Oruçoğlu B, Günay İ. Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale. Turk J Gastroenterol. 2020; 31(4): 324-30.

Çocuk Yoğun Bakım Ünitesinde İzlenen Hastaların Beslenme Durumu ve Malnütrisyon Değerlendirmesi

Year 2022, Volume: 19 Issue: 1, 56 - 60, 28.04.2022
https://doi.org/10.35440/hutfd.1068515

Abstract

Amaç: Hastanede yatış sırasında ortaya çıkan veya izlem sırasında gelişen malnütrisyon, çocuk yoğun bakım ünitesindeki (ÇYBÜ) hastaları olumsuz etkilemektedir. Çalışmamızda, ÇYBÜ'nde yatış anındaki malnütrisyon durumunu, yatıştaki malnütrisyon durumunun mortalite skorları ile ilişkisini ve ÇYBÜ'nde yatışı sırasında malnütrisyon durumundaki değişiklikleri belirlemeyi amaçladık.
Materyal ve Metod: Çalışmamıza Ocak-Haziran 2016 tarihleri arasında hastanemiz ÇYBÜ'nde yatarak en az 7 gün takip edilen 1 ay-18 yaş arası hastalar dahil edildi. Pediatrik Nutrisyonel Risk Skoru (PNRS), ÇYBÜ'nden taburcu olduklarında hesaplanan Gomez ve Waterlow skorları ile karşılaştırıldı.
Bulgular: Çalışmamıza toplam 102 hasta dahil edilmiş olup, hastaların 33'ünde (%32.3) hastaneye yatışa göre kilo kaybı, 44'ünde (%43.1) kilo artışı saptanmıştır. Hem başvuru anında hem de ÇYBÜ takibinde yeni gelişen malnütrisyon saptandı. Taburculuk sırasında malnütrisyonlu olan hastaların başvuru sırasında yüksek PNRS skoru vardı.
Sonuç: Çocuk yoğun bakım ünitesinde tedavinin başlangıcından itibaren hastaların malnütrisyon durumu ile risk durumları belirlenmeli ve hastaya özel beslenme stratejileri uygulanmalıdır.

References

  • Martinez EE, Mehta NM. The science and art of pediatric critical care nutrition. Curr Opin Crit Care. 2016; 22(4): 316-24.
  • Pelletier DL, Frongillo EA. Changes in child survival are strongly associated with changes in malnutrition in developing countries. J Nutr. 2003; 133(1): 107-19.
  • Briassoulis G, Zavras N, Hatzis T. Malnutrition, nutritional indices, and early enteral feeding in critically ill children. Nutrition. 2001; 17(7-8): 548-57.
  • Pollack MM, Smith D. Protein-energy malnutrition in hospitalized children. Hosp Formul. 1981; 16(10):1189-90, 1192-3.
  • Hulst JM, van Goudoever JB, Zimmermann LJ, Hop WC, Büller HA, Tibboel D, et al. Adequate feeding and the usefulness of the respiratory quotient in critically ill children. Nutrition. 2005; 21(2): 192-8.
  • Ağın H. Nutrition in critically ill patients. Turkiye Klinikleri J Pediatr Sci. 2011; 7(1):73-80.
  • Mehta NM. Early enteral nutrition in the PICU: should we trust our gut? Pediatr Crit Care Med. 2015; 16:786–9.
  • Valla FV, Ford-Chessel C, Meyer R, Berthiller J, Dupenloup C, Follin-Arbelet N, et al. A training program for anthropometric measurements by a dedicated nutrition support team improves nutritional status assessment of the critically ill child. Pediatr Crit Care Med. 2015; 16: e82–8.
  • Taylor RM, Preedy VR, Baker AJ, Grimble G. Nutritional support in critically ill children. Clin Nutr. 2003; 22 (4): 365-9.
  • Valla FV, Baudin F, Le Roux BG, Ford-Chessel C, Gervet E, Giraud C, et al. Nutritional status deterioration occurs frequently during children's ICU stay. Pediatr Crit Care Med. 2019; 20(8): 714-21.
  • Ventura JC, Hauschild DB, Barbosa E, Bresolin NL, Kawai K, Mehta NM, et al. Undernutrition at PICU admission is predictor of 60-day mortality and PICU length of stay in critically ill children. J Acad Nutr Diet. 2020; 120(2): 219-29.
  • Menezes FS, Leite HP, Nogueira PCK. Malnutrition as an independent predictor of clinical outcome in critically ill children. Nutrition. 2012; 28(3): 267–70.
  • Taşcı O, Soylu ÖB, Kıran Taşcı E, Eser E, Oruçoğlu B, Günay İ. Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale. Turk J Gastroenterol. 2020; 31(4): 324-30.
There are 13 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Hatice Feray Arı 0000-0002-2208-2524

Hasan Ağın 0000-0003-3306-8899

Gokhan Ceylan 0000-0002-1730-6968

Gülhan Atakul 0000-0002-3832-9691

Özlem Saraç Sandal 0000-0003-2684-0625

Ferhat Sarı 0000-0002-9134-767X

Rana İşgüder 0000-0002-6070-8196

Mustafa Çolak 0000-0001-8310-3766

Publication Date April 28, 2022
Submission Date February 5, 2022
Acceptance Date March 11, 2022
Published in Issue Year 2022 Volume: 19 Issue: 1

Cite

Vancouver Arı HF, Ağın H, Ceylan G, Atakul G, Saraç Sandal Ö, Sarı F, İşgüder R, Çolak M. Nutritional Status and Malnutrition Assessment of Patients Followed in Pediatric Intensive Care Unit. Harran Üniversitesi Tıp Fakültesi Dergisi. 2022;19(1):56-60.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty