TY - JOUR
T1 - Nutritional support in 111 pediatric intensive care units
T2 - a European survey
AU - van der Kuip, Martijn
AU - Oosterveld, Michiel J S
AU - van Bokhorst-de van der Schueren, Marian A E
AU - de Meer, K
AU - Lafeber, Harry N
AU - Gemke, Reinoud J B J
PY - 2004/9
Y1 - 2004/9
N2 - OBJECTIVE: To study current strategies in nutritional management of pediatric intensive care units (PICUs) in Europe, focusing on energy requirements.DESIGN AND SETTING: Survey by a 35-item questionnaire sent to representatives of 242 PICUs in 28 countries. Addresses were obtained from national PICU associations and the members' list of the European Society of Pediatric and Neonatal Intensive Care.PARTICIPANTS: Staff members of 111 European PICUs (46%) from 24 countries.MEASUREMENTS AND RESULTS: Predominantly physicians were reported to be responsible for nutritional support. In 73% of PICUs a multidisciplinary nutritional team was available. In most PICUs daily energy requirements were estimated using weight, age, predictive equations and correction factors. In 17% of PICUs energy expenditure was regularly measured by indirect calorimetry. Nutritional status was mostly assessed by weight, physical examination, and a wide range of biochemical blood parameters. Approximately 70% of PICUs used dedicated software for nutritional support. A similar percentage of PICUs regarded "nutrition" as a research topic and part of the residents' training program.CONCLUSIONS: Most European PICUs regard nutritional support as an important aspect of patient care, as shown by the presence of nutritional teams, software, research, and education. However, energy requirements of pediatric intensive care patient were based predominantly on estimations rather than on measurements.
AB - OBJECTIVE: To study current strategies in nutritional management of pediatric intensive care units (PICUs) in Europe, focusing on energy requirements.DESIGN AND SETTING: Survey by a 35-item questionnaire sent to representatives of 242 PICUs in 28 countries. Addresses were obtained from national PICU associations and the members' list of the European Society of Pediatric and Neonatal Intensive Care.PARTICIPANTS: Staff members of 111 European PICUs (46%) from 24 countries.MEASUREMENTS AND RESULTS: Predominantly physicians were reported to be responsible for nutritional support. In 73% of PICUs a multidisciplinary nutritional team was available. In most PICUs daily energy requirements were estimated using weight, age, predictive equations and correction factors. In 17% of PICUs energy expenditure was regularly measured by indirect calorimetry. Nutritional status was mostly assessed by weight, physical examination, and a wide range of biochemical blood parameters. Approximately 70% of PICUs used dedicated software for nutritional support. A similar percentage of PICUs regarded "nutrition" as a research topic and part of the residents' training program.CONCLUSIONS: Most European PICUs regard nutritional support as an important aspect of patient care, as shown by the presence of nutritional teams, software, research, and education. However, energy requirements of pediatric intensive care patient were based predominantly on estimations rather than on measurements.
KW - Child
KW - Energy Metabolism
KW - Europe
KW - Humans
KW - Intensive Care Units, Pediatric
KW - Nutritional Status
KW - Nutritional Support
KW - Surveys and Questionnaires
U2 - https://doi.org/10.1007/s00134-004-2356-8
DO - https://doi.org/10.1007/s00134-004-2356-8
M3 - Article
C2 - 15197431
SN - 0342-4642
VL - 30
SP - 1807
EP - 1813
JO - Intensive care medicine
JF - Intensive care medicine
IS - 9
ER -