HN-00480046_Nutritional Adequacy of Gastrointestinal Surgical PICU Patients: Where Are We Now

Introduction: Malnutrition is considered as an important problem in critically ill children since at admission/ during ICU staying malnutrition may lead to fat free mass(FFM) loss, increased length of hospital/ ICU staying time, poor clinical outcomes and costs during Pediatric Intensive Care(PICU) staying. Successful nutrition support of PICU admitted patients for minimizing morbidities and growth retardation in this era is of particular importance. Auditing of current nutritional interventions in PICU is essential to improve the quality of nutrition services in pediatrics critically illnesses.Method: This audit was carried out in gastrointestinal surgical PICU patients over a 4-week period (January 2019) at Akbar Children’s Hospital in Mashhad, Iran. Patients with ICU length of stay> 24 hours were enrolled. Clinical characteristics, route of nutrition support, nutrient delivery and the time to reach nutritional goals were recorded.Results: Thirty eligible critically ill children were enrolled to the study. Median age of participants was 2.25 months and 46% (14 patients) were male. Median time of PICU length of stay was 5.5 days and median of hours from PICU admission to initiating nutrition support was 23.5 hours. Although 43.3% of patients received less than 66.6% of their target daily energy requirements, 83.3% of them reached to protein adequacy according to their calculated target.Conclusion: Our audit showed that nutrients delivery especially energy delivery are suboptimal and improvement of nutrition services are in especial importance and need immediate interventions in gastrointestinal surgical critically ill children.

کلیدواژه ها:

Intensive Care Units ، Pediatric ، Nutrition support ، Nutrition Assessment ، Diet Therapy