HN-02220245_Nutritional Status of Critically Ill Children Admitted to Pediatric Intensive Care Units (PICU)

Introduction: to estimate the prognosis and clinical outcomes of children admitted to Pediatric Intensive Care Units (PICU). Considering the nutritional status of the patients upon the admission time by the medical management teams may lead to realistic decision-making and promotion of nutrition support services.Methods: This study was performed to investigate the at admission nutritional status of critically ill children during June-2019 at 2 PICU wards of Akbar children hospital, Mashhad, Iran. At admission weight for age, height for age and weight for height Z scores of PICU admitted children with PICU length of stay> 48 hours was recorded retrospectively.Results: A total of 32 patients were enrolled to this study which 62.5% (20 patients) of them were male and 37.5% (12 patients) were female. Totally, 40.7% (13 patients) were surgical cases. Eighteen critically ill children had normal nutritional status upon their admission time while 5 patients (15.8%) had moderate (-3 < Z scores < -2) and 9 patients (28.1%) had severe malnutrition (Z scores < -3) upon the admission time. At admission, nutritional status was not different between patients with internal diseases and surgical patients.Conclusion: Malnourished children are at especial importance of nutrition support during PICU staying. Early and optimum nutrition care process is at special necessity to improve prognosis of malnourished PICU patients. Our audit showed that a considerable ratio (43.9%) of critically ill children had moderate/ severe malnutrition upon their admission time.

کلیدواژه ها:

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