Publication Date
6-9-2024
Journal
Children
DOI
10.3390/children11060711
PMID
38929290
PMCID
PMC11202205
PubMedCentral® Posted Date
6-9-2024
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
pediatrics, nutrition support, intensive care, critical neurological illness, malnutrition
Abstract
The literature on the nutritional needs and outcomes of critically ill children is scarce, especially on those with critical neurological illnesses (CNIs). Current evidence shows a lower mortality in patients who achieve two-thirds of their nutritional needs during the first week of pediatric intensive care unit (PICU) admission. We hypothesized that achieving 60% of the recommended dietary intake during the first week of a PICU stay is not feasible in patients with CNI. We designed an observational retrospective cohort study where we included all index admissions to the PICU in our institution of children (1 month to 18 years) with CNI from January 2018 to June 2021. We collected patient demographics, anthropometric measures, and caloric and protein intake (enteral and parenteral) information during the first week of PICU admission. Goal adequacy for calories and protein was defined as [(intake/recommended) × 100] ≥ 60%. A total of 1112 patients were included in the nutrition assessment, 12% of whom were underweight (weight for age z score < -2). Of this group, 180 met the criteria for nutrition support evaluation. On the third day of admission, 50% of the patients < 2 years achieved caloric and protein goal adequacy, compared to 25% of patients > 2 years, with
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Critical Care Commons, Dietetics and Clinical Nutrition Commons, Medical Sciences Commons, Nervous System Diseases Commons, Neurology Commons, Pediatrics Commons