Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey.

calorie intake malnutrition nutrition pediatric intensive care unit protein intake

Journal

Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492

Informations de publication

Date de publication:
2023
Historique:
received: 04 03 2023
accepted: 29 06 2023
medline: 21 8 2023
pubmed: 21 8 2023
entrez: 21 8 2023
Statut: epublish

Résumé

Malnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies. In this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined. Of the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% ( Timely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score.

Identifiants

pubmed: 37601138
doi: 10.3389/fped.2023.1179721
pmc: PMC10436004
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1179721

Informations de copyright

© 2023 Misirlioglu, Yildizdas, Ekinci, Ozgur Horoz, Tumgor, Yontem, Talay, Kangin, Tufan, Kesici, Yener, Kinik Kaya, Havan, Tunc, Akçay, Sevketoglu, Durak, Ozel Dogruoz, Ozcan, Perk, Duyu, Boyraz, Uysal Yazici, Ozturk, Çeleğen, Bukulmez, Kacmaz, Dinleyici, Dursun, Koker, Bayraktar, Talip Petmezci, Nabaliyeva, Agin, Hepduman, Akkuzu, Kendirli, Ozen, Topal, Ödek, Ozkale, Ozkale, Atay, Erdoğan, Konca, Yapici, Arslan, Besci, Yilmaz, Gumus, Oto, Dalkiran, Mercan, Çoban, Ipek, Gungor, Arslankoylu, Alakaya, Sari, Yucel and Yazar.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Nutrition. 2012 Mar;28(3):267-70
pubmed: 21872433
JPEN J Parenter Enteral Nutr. 2011 Jul;35(4):523-9
pubmed: 21610208
Clin Nutr. 2004 Apr;23(2):223-32
pubmed: 15030962
Crit Care Med. 2012 Jul;40(7):2204-11
pubmed: 22564954
Pediatr Crit Care Med. 2016 Jan;17(1):2-9
pubmed: 26492059
Pediatr Crit Care Med. 2015 Oct;16(8):e283-9
pubmed: 26237658
J Clin Res Pediatr Endocrinol. 2017 Jun 1;9(2):182-184
pubmed: 28443820
N Engl J Med. 2016 Mar 24;374(12):1111-22
pubmed: 26975590
JPEN J Parenter Enteral Nutr. 2008 Sep-Oct;32(5):520-34
pubmed: 18753390
Lancet Child Adolesc Health. 2018 Jul;2(7):505-515
pubmed: 30169323
Pediatr Crit Care Med. 2010 Mar;11(2):234-8
pubmed: 19794327
JPEN J Parenter Enteral Nutr. 2022 Feb;46(2):330-338
pubmed: 33818806
J Clin Res Pediatr Endocrinol. 2015 Dec;7(4):280-93
pubmed: 26777039
JPEN J Parenter Enteral Nutr. 2015 Feb;39(2):211-7
pubmed: 24285250
JPEN J Parenter Enteral Nutr. 2014 May;38(4):459-66
pubmed: 24403379
Pediatr Crit Care Med. 2007 Jan;8(1):77-8
pubmed: 17251892
Indian J Pediatr. 2015 Jul;82(7):601-5
pubmed: 25804317
Crit Care Med. 2016 Aug;44(8):1530-7
pubmed: 26985636
BMC Nutr. 2022 Aug 12;8(1):78
pubmed: 35962407
Am J Clin Nutr. 2015 Jul;102(1):199-206
pubmed: 25971721
Pan Afr Med J. 2022 Jan 27;41:77
pubmed: 35382053
Clin Nutr. 2012 Jun;31(3):345-50
pubmed: 22122869
J Med Internet Res. 2020 Jan 30;22(1):e16204
pubmed: 32012066
Intensive Care Med. 2020 Mar;46(3):411-425
pubmed: 32077997
Clin Nutr. 2016 Apr;35(2):460-467
pubmed: 25912187
Hum Nutr Clin Nutr. 1985;39 Suppl 1:5-41
pubmed: 4044297
JPEN J Parenter Enteral Nutr. 2010 Jan-Feb;34(1):38-45
pubmed: 19903872
Pediatr Crit Care Med. 2006 Mar;7(2):147-53
pubmed: 16531947
JPEN J Parenter Enteral Nutr. 2022 Jan;46(1):190-196
pubmed: 33605456
J Paediatr Child Health. 2018 May;54(5):480-486
pubmed: 29278447
Cochrane Database Syst Rev. 2016 May 27;(5):CD005144
pubmed: 27230550
Curr Opin Crit Care. 2016 Aug;22(4):316-24
pubmed: 27309970
JPEN J Parenter Enteral Nutr. 2013 Jan;37(1):102-8
pubmed: 22457419
Turk Arch Pediatr. 2023 Jan;58(1):68-74
pubmed: 36598214
An Pediatr (Barc). 2009 Jul;71(1):1-4
pubmed: 19520629

Auteurs

Merve Misirlioglu (M)

Department of Pediatric Intensive Care, Faculty of Medicine, Mersin University, Mersin, Türkiye.

Dincer Yildizdas (D)

Department of Pediatric Intensive Care, Faculty of Medicine, Cukurova University, Adana, Türkiye.

Faruk Ekinci (F)

Department of Pediatric Intensive Care, Faculty of Medicine, Cukurova University, Adana, Türkiye.

Ozden Ozgur Horoz (O)

Department of Pediatric Intensive Care, Faculty of Medicine, Cukurova University, Adana, Türkiye.

Gokhan Tumgor (G)

Department of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Cukurova University, Adana, Türkiye.

Ahmet Yontem (A)

Department of Pediatric Intensive Care, Faculty of Medicine, Cukurova University, Adana, Türkiye.

Mehmet Nur Talay (MN)

Department of Pediatrics, Health Sciences University, Gazi Yasargil Training and Research Hospital, Diyarbakir, Türkiye.

Murat Kangin (M)

Department of Pediatric Intensive Care, Faculty of Medicine, Medipol University, Istanbul, Türkiye.

Erennur Tufan (E)

Department of Pediatric Intensive Care, Faculty of Medicine, Hacettepe University, Ankara, Türkiye.

Selman Kesici (S)

Department of Pediatric Intensive Care, Faculty of Medicine, Hacettepe University, Ankara, Türkiye.

Nazik Yener (N)

Department of Pediatric Intensive Care, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Türkiye.

Hatice Elif Kinik Kaya (HE)

Department of Pediatric Intensive Care, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Türkiye.

Merve Havan (M)

Department of Pediatric Intensive Care, Mersin City Training and Research Hospital, Mersin, Türkiye.

Ali Tunc (A)

Department of Pediatrics, Mersin City Training and Research Hospital, Mersin, Türkiye.

Nihal Akçay (N)

Department of Pediatric Intensive Care, University of Health Sciences Bakirkoy, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Türkiye.

Esra Sevketoglu (E)

Department of Pediatric Intensive Care, University of Health Sciences Bakirkoy, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Türkiye.

Fatih Durak (F)

Department of Pediatric Intensive Care, İzmir Health Sciences University, Tepecik Training and Research Hospital, İzmir, Türkiye.

Aysenur Ozel Dogruoz (A)

Department of Pediatric Intensive Care, İzmir Health Sciences University, Tepecik Training and Research Hospital, İzmir, Türkiye.

Serhan Ozcan (S)

Department of Pediatric Intensive Care, Ankara City Hospital, Ankara, Türkiye.

Oktay Perk (O)

Department of Pediatric Intensive Care, Ankara City Hospital, Ankara, Türkiye.

Muhterem Duyu (M)

Department of Pediatric Intensive Care, Medeniyet University, Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Türkiye.

Merve Boyraz (M)

Department of Pediatric Intensive Care, Medeniyet University, Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Türkiye.

Mutlu Uysal Yazici (M)

Department of Pediatric Intensive Care, Health Sciences University Ankara, Dr. Sami Ulus Obstetrics Child Health and Diseases Training and Research Hospital, Ankara, Türkiye.

Zeynelabidin Ozturk (Z)

Department of Pediatric Intensive Care, Health Sciences University Ankara, Dr. Sami Ulus Obstetrics Child Health and Diseases Training and Research Hospital, Ankara, Türkiye.

Mehmet Çeleğen (M)

Department of Pediatric Intensive Care, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Türkiye.

Aysegul Bukulmez (A)

Department of Pediatric Gastroenterology, Faculty of Medicine, Hepatology and Nutrition, Afyonkarahisar Health Sciences University, Afyonkarahisar, Türkiye.

Ebru Kacmaz (E)

Department of Pediatric Intensive Care, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.

Ener Cagri Dinleyici (E)

Department of Pediatric Intensive Care, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.

Oguz Dursun (O)

Department of Pediatric Intensive Care, Faculty of Medicine, Akdeniz University, Antalya, Türkiye.

Alper Koker (A)

Department of Pediatric Intensive Care, Faculty of Medicine, Akdeniz University, Antalya, Türkiye.

Suleyman Bayraktar (S)

Department of Pediatric Intensive Care, Sultangazi Haseki Training and Research Hospital, Istanbul, Türkiye.

Mey Talip Petmezci (M)

Department of Pediatric Intensive Care, Prof. Dr. Cemil Tascıoglu City Hospital, Istanbul, Türkiye.

Aygul Nabaliyeva (A)

Department of Pediatric Intensive Care, Prof. Dr. Cemil Tascıoglu City Hospital, Istanbul, Türkiye.

Hasan Agin (H)

Department of Pediatric Intensive Care, University of Health Sciences Izmir, Dr. Behcet Uz Child Diseases and Surgery Training and Research Hospital, Izmir, Türkiye.

Pinar Hepduman (P)

Department of Pediatric Intensive Care, University of Health Sciences Izmir, Dr. Behcet Uz Child Diseases and Surgery Training and Research Hospital, Izmir, Türkiye.

Emine Akkuzu (E)

Department of Pediatric Intensive Care, Isparta City Hospital, Isparta, Türkiye.

Tanil Kendirli (T)

Department of Pediatric Intensive Care, Faculty of Medicine, Ankara University, Ankara, Türkiye.

Hasan Ozen (H)

Department of Pediatric Intensive Care, Faculty of Medicine, Ankara University, Ankara, Türkiye.

Sevgi Topal (S)

Department of Pediatric Intensive Care, Erzurum Regional Training and Research Hospital, Erzurum Türkiye.

Çağlar Ödek (Ç)

Department of Pediatric Intensive Care, Faculty of Medicine, Uludag University, Bursa, Türkiye.

Murat Ozkale (M)

Department of Pediatric Intensive Care, Faculty of Medicine, Baskent University, Adana Dr Turgut Noyan Teaching and Medical Research Center, Adana, Türkiye.

Yasemin Ozkale (Y)

Department of Pediatric Intensive Care, Faculty of Medicine, Baskent University, Adana Dr Turgut Noyan Teaching and Medical Research Center, Adana, Türkiye.

Gürkan Atay (G)

Department of Pediatric Intensive Care, Umraniye Training and Research Hospital, Istanbul, Türkiye.

Seher Erdoğan (S)

Department of Pediatric Intensive Care, Umraniye Training and Research Hospital, Istanbul, Türkiye.

Capan Konca (C)

Department of Pediatric Intensive Care, Adiyaman Training and Research Hospital, Adiyaman, Türkiye.

Guler Yapici (G)

Department of Pediatric Intensive Care, Adiyaman Training and Research Hospital, Adiyaman, Türkiye.

Gazi Arslan (G)

Department of Pediatric Intensive Care, Faculty of Medicine, Dokuz Eylul University, Izmir, Türkiye.

Tolga Besci (T)

Department of Pediatric Intensive Care, Faculty of Medicine, Dokuz Eylul University, Izmir, Türkiye.

Resul Yilmaz (R)

Department of Pediatric Intensive Care, Faculty of Medicine, Selcuk University, Konya, Türkiye.

Meltem Gumus (M)

Department of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Selcuk University, Konya, Türkiye.

Arzu Oto (A)

Department of Pediatric Intensive Care, University of Health Sciences Bursa High Specialization Hospital, Bursa, Türkiye.

Tahir Dalkiran (T)

Department of Pediatric Intensive Care, Necip Fazil City Hospital, Kahramanmaras, Türkiye.

Mehmet Mercan (M)

Department of Pediatrics, Necip Fazil City Hospital, Kahramanmaras, Türkiye.

Yasemin Çoban (Y)

Department of Pediatric Intensive Care, Faculty of Medicine, Mugla University, Mugla, Türkiye.

Sevcan Ipek (S)

Department of Pediatric Intensive Care, Faculty of Medicine, Sutcu Imam University, Kahramanmaras, Türkiye.

Sukru Gungor (S)

Department of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Sutcu Imam University, Kahramanmaras, Türkiye.

Ali Ertug Arslankoylu (AE)

Department of Pediatric Intensive Care, Faculty of Medicine, Mersin University, Mersin, Türkiye.

Mehmet Alakaya (M)

Department of Pediatric Intensive Care, Faculty of Medicine, Mersin University, Mersin, Türkiye.

Ferhat Sari (F)

Department of Pediatric Intensive Care, Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Türkiye.

Aylin Yucel (A)

Department of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Necmettin Erbakan University Meram, Konya, Türkiye.

Abdullah Yazar (A)

Department of Pediatric Intensive Care, Faculty of Medicine, Necmettin Erbakan University Meram, Konya, Türkiye.

Classifications MeSH