Adequate enteral feeding in the pediatric intensive care unit may be associated with fewer nosocomial infections and deaths
Year: 2012
Type: article
Abstract: Commentary on: Mehta NM, Bechard LJ, Cahill N, et al. Nutritional practices and their relationship to clinical outcomes in critically ill children: an international multicenter cohort study. Crit Care Med 2012; 40: 2204– 11.[OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] Adequate nutritional support is a keystone to prevent vulnerable critically ill children from becoming undernourished. However, there is often a marked discrepancy in prescribed and delivered energy and protein intake. Several barriers explaining these inadequate nutritional practices have been identified. Consequently, cumulative energy and protein deficits develop, which result in anthropometric deterioration as shown in a cohort of 293 paediatric intensive care unit (PICU) patients.1 So far, multicentre studies describing nutritional practices in PICUs in large cohorts of critically ill children have been lacking and the association between nutritional practices and clinical outcome has not been described. In a prospective multicentre cohort study, Mehta and colleagues studied nutritional practices in 500 children admitted into 31 participating PICUs. This study … [1]: {openurl}?query=rft.jtitle%253DCritical%2Bcare%2Bmedicine%26rft.stitle%253DCrit%2BCare%2BMed%26rft.aulast%253DMehta%26rft.auinit1%253DN.%2BM.%26rft.volume%253D40%26rft.issue%253D7%26rft.spage%253D2204%26rft.epage%253D2211%26rft.atitle%253DNutritional%2Bpractices%2Band%2Btheir%2Brelationship%2Bto%2Bclinical%2Boutcomes%2Bin%2Bcritically%2Bill%2Bchildren--an%2Binternational%2Bmulticenter%2Bcohort%2Bstudy%2A.%26rft_id%253Dinfo%253Adoi%252F10.1097%252FCCM.0b013e31824e18a8%26rft_id%253Dinfo%253Apmid%252F22564954%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1097/CCM.0b013e31824e18a8&link_type=DOI [3]: /lookup/external-ref?access_num=22564954&link_type=MED&atom=%2Febmed%2F18%2F4%2F151.atom [4]: /lookup/external-ref?access_num=000305767800026&link_type=ISI
Source: BMJ Evidence-Based Medicine
Authors: Koen Joosten, Carlijn de Betue
Institutions: Erasmus MC, Erasmus MC - Sophia Children’s Hospital
Language: English
Subfield: Nutrition and Dietetics
Field: Nursing
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2162641908