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Reducing malnutrition in critically ill pediatric patients

OBJECTIVE: To compare the prevalence of malnutrition during two time periods in a pediatric intensive care unit. METHODS: This was a retrospective cross-sectional study of patients admitted to the pediatric intensive care unit of a university hospital during two one-year periods with an interval of...

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Autores principales: Costa, Caroline Abud Drumond, Garcia, Pedro Celiny Ramos, Cabral, Daiane Drescher, Tonial, Cristian Tedesco, Bruno, Francisco, Enloft, Paulo Roberto, Velozo, Kelly Daiane Stochero
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Medicina Intensiva Brasileira - AMIB 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031423/
https://www.ncbi.nlm.nih.gov/pubmed/29995080
http://dx.doi.org/10.5935/0103-507X.20180034
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author Costa, Caroline Abud Drumond
Garcia, Pedro Celiny Ramos
Cabral, Daiane Drescher
Tonial, Cristian Tedesco
Bruno, Francisco
Enloft, Paulo Roberto
Velozo, Kelly Daiane Stochero
author_facet Costa, Caroline Abud Drumond
Garcia, Pedro Celiny Ramos
Cabral, Daiane Drescher
Tonial, Cristian Tedesco
Bruno, Francisco
Enloft, Paulo Roberto
Velozo, Kelly Daiane Stochero
author_sort Costa, Caroline Abud Drumond
collection PubMed
description OBJECTIVE: To compare the prevalence of malnutrition during two time periods in a pediatric intensive care unit. METHODS: This was a retrospective cross-sectional study of patients admitted to the pediatric intensive care unit of a university hospital during two one-year periods with an interval of four years between them. Nutritional evaluation was conducted based on weight and height measured at admission. The body mass index-for-age was the parameter chosen to evaluate nutritional status, as classified according to the World Health Organization, according to age group. RESULTS: The total sample size was 881 (406 in the contemporary sample and 475 in the historical sample). There was a significant reduction in malnutrition in the contemporary sample (p = 0.03). Malnourishment in patients in the historical sample was significantly associated with mortality and length of stay, while malnourishment in patients in the contemporary sample was not associated with worse outcomes. CONCLUSION: There was a significant reduction in malnutrition among patients in the same pediatric intensive care unit when comparing the two time periods. Our findings of a change in nutritional profile in critically ill patients corroborate the nutritional status data of children and adolescents worldwide.
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spelling pubmed-60314232018-07-10 Reducing malnutrition in critically ill pediatric patients Costa, Caroline Abud Drumond Garcia, Pedro Celiny Ramos Cabral, Daiane Drescher Tonial, Cristian Tedesco Bruno, Francisco Enloft, Paulo Roberto Velozo, Kelly Daiane Stochero Rev Bras Ter Intensiva Original Articles OBJECTIVE: To compare the prevalence of malnutrition during two time periods in a pediatric intensive care unit. METHODS: This was a retrospective cross-sectional study of patients admitted to the pediatric intensive care unit of a university hospital during two one-year periods with an interval of four years between them. Nutritional evaluation was conducted based on weight and height measured at admission. The body mass index-for-age was the parameter chosen to evaluate nutritional status, as classified according to the World Health Organization, according to age group. RESULTS: The total sample size was 881 (406 in the contemporary sample and 475 in the historical sample). There was a significant reduction in malnutrition in the contemporary sample (p = 0.03). Malnourishment in patients in the historical sample was significantly associated with mortality and length of stay, while malnourishment in patients in the contemporary sample was not associated with worse outcomes. CONCLUSION: There was a significant reduction in malnutrition among patients in the same pediatric intensive care unit when comparing the two time periods. Our findings of a change in nutritional profile in critically ill patients corroborate the nutritional status data of children and adolescents worldwide. Associação de Medicina Intensiva Brasileira - AMIB 2018 /pmc/articles/PMC6031423/ /pubmed/29995080 http://dx.doi.org/10.5935/0103-507X.20180034 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Costa, Caroline Abud Drumond
Garcia, Pedro Celiny Ramos
Cabral, Daiane Drescher
Tonial, Cristian Tedesco
Bruno, Francisco
Enloft, Paulo Roberto
Velozo, Kelly Daiane Stochero
Reducing malnutrition in critically ill pediatric patients
title Reducing malnutrition in critically ill pediatric patients
title_full Reducing malnutrition in critically ill pediatric patients
title_fullStr Reducing malnutrition in critically ill pediatric patients
title_full_unstemmed Reducing malnutrition in critically ill pediatric patients
title_short Reducing malnutrition in critically ill pediatric patients
title_sort reducing malnutrition in critically ill pediatric patients
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031423/
https://www.ncbi.nlm.nih.gov/pubmed/29995080
http://dx.doi.org/10.5935/0103-507X.20180034
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