TY - JOUR
T1 - Nutritional goals, prescription and delivery in a pediatric intensive care unit
AU - de Neef, Marjorie
AU - Geukers, Vincent G. M.
AU - Dral, Aafke
AU - Lindeboom, Robert
AU - Sauerwein, Hans P.
AU - Bos, Albert P.
PY - 2008
Y1 - 2008
N2 - Background & aims: The aim of this study was to compare prescription and delivery of nutrition to predefined nutritional targets, and identify risk factors associated with inadequate nutritional intake. Methods: In 84 mechanically ventilated critically ill children with length of stay on the PICU of at Least 3 days, we observed prescribed and delivered percentages of predefined targets for intake of calories and macronutrients during a 10-months study period. Factors associated with inadequate intake were identified. Results: On the third day of admission 92.9% of the patients received nutritional therapy. The caloric goat was reached on day 5, mainly supplied by fat and carbohydrates. Mean actual daily protein delivery was about 75% of the target during the entire study period. Use of catecholamines or neuromuscular blocking agents was a risk factor for caloric undernutrition, whereas there were no specific risk factors for overnutrition. Conclusions: Nutritional therapy should be started in the early phase of critical illness, including adequate supply of protein. In order to prevent deficits to accumulate, parenteral nutrition should be added in an early phase, if nutritional needs cannot be met by enteral nutrition. (C) 2007 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. ALL rights reserved
AB - Background & aims: The aim of this study was to compare prescription and delivery of nutrition to predefined nutritional targets, and identify risk factors associated with inadequate nutritional intake. Methods: In 84 mechanically ventilated critically ill children with length of stay on the PICU of at Least 3 days, we observed prescribed and delivered percentages of predefined targets for intake of calories and macronutrients during a 10-months study period. Factors associated with inadequate intake were identified. Results: On the third day of admission 92.9% of the patients received nutritional therapy. The caloric goat was reached on day 5, mainly supplied by fat and carbohydrates. Mean actual daily protein delivery was about 75% of the target during the entire study period. Use of catecholamines or neuromuscular blocking agents was a risk factor for caloric undernutrition, whereas there were no specific risk factors for overnutrition. Conclusions: Nutritional therapy should be started in the early phase of critical illness, including adequate supply of protein. In order to prevent deficits to accumulate, parenteral nutrition should be added in an early phase, if nutritional needs cannot be met by enteral nutrition. (C) 2007 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. ALL rights reserved
U2 - https://doi.org/10.1016/j.clnu.2007.10.013
DO - https://doi.org/10.1016/j.clnu.2007.10.013
M3 - Article
C2 - 18068875
SN - 0261-5614
VL - 27
SP - 65
EP - 71
JO - Clinical nutrition (Edinburgh, Scotland)
JF - Clinical nutrition (Edinburgh, Scotland)
IS - 1
ER -