Cargando…

Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report

Nutrition in pediatric populations who require life-saving extracorporeal membrane oxygenation (ECMO) remains a debate. We sought to identify if nutritional needs were met in a patient cohort. A retrospective chart review of patients (N = 64) requiring ECMO at Helen DeVos Children’s Hospital between...

Descripción completa

Detalles Bibliográficos
Autores principales: Brackmann, Megan, Lintvedt, Annika, Kogelschatz, Benjamin, Heinze, Erika, Parker, Jessica L., Ferguson, Karen, Rosner, Elizabeth, Boville, Brian, Leimanis-Laurens, Mara L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383656/
https://www.ncbi.nlm.nih.gov/pubmed/37513638
http://dx.doi.org/10.3390/nu15143221
_version_ 1785080964361224192
author Brackmann, Megan
Lintvedt, Annika
Kogelschatz, Benjamin
Heinze, Erika
Parker, Jessica L.
Ferguson, Karen
Rosner, Elizabeth
Boville, Brian
Leimanis-Laurens, Mara L.
author_facet Brackmann, Megan
Lintvedt, Annika
Kogelschatz, Benjamin
Heinze, Erika
Parker, Jessica L.
Ferguson, Karen
Rosner, Elizabeth
Boville, Brian
Leimanis-Laurens, Mara L.
author_sort Brackmann, Megan
collection PubMed
description Nutrition in pediatric populations who require life-saving extracorporeal membrane oxygenation (ECMO) remains a debate. We sought to identify if nutritional needs were met in a patient cohort. A retrospective chart review of patients (N = 64) requiring ECMO at Helen DeVos Children’s Hospital between 2018 and 2022 was evaluated for demographics, daily nutritional data, laboratory values, ECMO complications, and outcome data, with primary outcome measures of percent protein and percent caloric intake. Secondary outcome measures included the intensive care unit length of stay, time on ECMO, mortality, and day 1 severity of illness scores (Pediatric Logistic Organ Dysfunction). The timeline partially overlapped with the COVID-19 pandemic. Data were collected for 467 ECMO days with a median age of 2.6 months; 57.8% of patients were male and 65.6% were with one pre-existing comorbidity. Venoarterial (VA) ECMO was utilized in 84.4% of patients; the ECMO indication was cardiac in 53.1% of patients. The 28-day mortality was 43.8%. The proportion of days in which the caloric goal was met was 0%; the proportion of days in which protein goals were met was 33.3%. Non-cardiac ECMO patients had a greater number of days where caloric goals were met (p-value = 0.04). Mortality at 28 days was not statistically significant (p-value = 0.28) for calories or protein administered. The patient cohort struggled to meet calorie and protein goals while on ECMO.
format Online
Article
Text
id pubmed-10383656
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103836562023-07-30 Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report Brackmann, Megan Lintvedt, Annika Kogelschatz, Benjamin Heinze, Erika Parker, Jessica L. Ferguson, Karen Rosner, Elizabeth Boville, Brian Leimanis-Laurens, Mara L. Nutrients Article Nutrition in pediatric populations who require life-saving extracorporeal membrane oxygenation (ECMO) remains a debate. We sought to identify if nutritional needs were met in a patient cohort. A retrospective chart review of patients (N = 64) requiring ECMO at Helen DeVos Children’s Hospital between 2018 and 2022 was evaluated for demographics, daily nutritional data, laboratory values, ECMO complications, and outcome data, with primary outcome measures of percent protein and percent caloric intake. Secondary outcome measures included the intensive care unit length of stay, time on ECMO, mortality, and day 1 severity of illness scores (Pediatric Logistic Organ Dysfunction). The timeline partially overlapped with the COVID-19 pandemic. Data were collected for 467 ECMO days with a median age of 2.6 months; 57.8% of patients were male and 65.6% were with one pre-existing comorbidity. Venoarterial (VA) ECMO was utilized in 84.4% of patients; the ECMO indication was cardiac in 53.1% of patients. The 28-day mortality was 43.8%. The proportion of days in which the caloric goal was met was 0%; the proportion of days in which protein goals were met was 33.3%. Non-cardiac ECMO patients had a greater number of days where caloric goals were met (p-value = 0.04). Mortality at 28 days was not statistically significant (p-value = 0.28) for calories or protein administered. The patient cohort struggled to meet calorie and protein goals while on ECMO. MDPI 2023-07-20 /pmc/articles/PMC10383656/ /pubmed/37513638 http://dx.doi.org/10.3390/nu15143221 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Brackmann, Megan
Lintvedt, Annika
Kogelschatz, Benjamin
Heinze, Erika
Parker, Jessica L.
Ferguson, Karen
Rosner, Elizabeth
Boville, Brian
Leimanis-Laurens, Mara L.
Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report
title Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report
title_full Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report
title_fullStr Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report
title_full_unstemmed Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report
title_short Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report
title_sort daily nutritional intake of pediatric patients (n = 64) on extracorporeal membrane oxygenation from 2018 to 2022: a single-center report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383656/
https://www.ncbi.nlm.nih.gov/pubmed/37513638
http://dx.doi.org/10.3390/nu15143221
work_keys_str_mv AT brackmannmegan dailynutritionalintakeofpediatricpatientsn64onextracorporealmembraneoxygenationfrom2018to2022asinglecenterreport
AT lintvedtannika dailynutritionalintakeofpediatricpatientsn64onextracorporealmembraneoxygenationfrom2018to2022asinglecenterreport
AT kogelschatzbenjamin dailynutritionalintakeofpediatricpatientsn64onextracorporealmembraneoxygenationfrom2018to2022asinglecenterreport
AT heinzeerika dailynutritionalintakeofpediatricpatientsn64onextracorporealmembraneoxygenationfrom2018to2022asinglecenterreport
AT parkerjessical dailynutritionalintakeofpediatricpatientsn64onextracorporealmembraneoxygenationfrom2018to2022asinglecenterreport
AT fergusonkaren dailynutritionalintakeofpediatricpatientsn64onextracorporealmembraneoxygenationfrom2018to2022asinglecenterreport
AT rosnerelizabeth dailynutritionalintakeofpediatricpatientsn64onextracorporealmembraneoxygenationfrom2018to2022asinglecenterreport
AT bovillebrian dailynutritionalintakeofpediatricpatientsn64onextracorporealmembraneoxygenationfrom2018to2022asinglecenterreport
AT leimanislaurensmaral dailynutritionalintakeofpediatricpatientsn64onextracorporealmembraneoxygenationfrom2018to2022asinglecenterreport