Association between nutritional status and outcomes in critically-ill pediatric patients – a systematic review

Costa, Caroline Abud Drumond; Tonial, Cristian Tedesco; García, Pedro Celiny Ramos

doi:10.1016/j.jped.2015.09.005

Cited by 24 publications

(24 citation statements)

References 27 publications

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“…After confirmation of eligibility, a quality questionnaire was prepared by the authors of the study based on the methodological procedures indicated by Armstrong et al (15) , Murad et al (16) and Costa et al (17) (Chart 1). The questionnaire consisted of ten items, with "yes" or "no" answers on clarity in the identification of objectives, ethical aspects, methodological adequacy (sampling, selection/ recruitment of participants and data collection), statistical analysis, presentation/interpretation of results, limitations and contributions of the study.…”

Section: Eligibility Of Studiesmentioning

confidence: 99%

Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review

et al. 2018

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Objective: The aim of this study is to systematically review the scientific findings about the efficacy of the measure of the Adductor Pollicis Muscle Thickness for nutritional assessment of individuals in various clinical conditions. Method: Systematic review study performed according to the methodology Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: 13 original articles published between 2004 and 2016 were included. The measure was associated/correlated to parameters of nutritional status (such as weight, body mass index and Global Subjective Assessment) and muscle mass markers (such as circumference brachial muscle circumference, brachial muscle area, calf circumference, and muscle mass). All these correlations were weak or moderate. Conclusion: The measurement can be used in different populations, being able to estimate nutritional status and muscle mass. However, it is suggested that it be used in a complementary way to the nutritional evaluation, not constituting a single diagnostic/monitoring parameter.

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Section: Eligibility Of Studiesmentioning

confidence: 99%

Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review

et al. 2018

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“…It is important to note that the data available in regard to the relationship between nutritional status and clinical outcomes, such as those used in the present study, have originated from observational studies; therefore, it is difficult to draw conclusions due to the heterogeneity and limitations of those studies. ( 11 )…”

Section: Discussionmentioning

confidence: 99%

“…Patients in a PICU with nutritional status inadequacies can experience unfavorable outcomes (i.e., mechanical ventilation - MV, mortality, longer length of stay and infection); therefore, it is extremely important to assess the unit's nutritional profile. ( 11 )…”

Section: Introductionmentioning

confidence: 99%

Reducing malnutrition in critically ill pediatric patients

Costa¹,

García²,

Cabral³

et al. 2018

Revista Brasileira De Terapia Intensiva

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ObjectiveTo compare the prevalence of malnutrition during two time periods in a pediatric intensive care unit.MethodsThis 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.ResultsThe 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.ConclusionThere 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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“…Critically ill neonates and children who receive sufficient nutrition have reduced complications, spend less time on mechanical ventilation, reduced time in intensive care and have overall improved health outcomes [1][2][3][4][5]. Nutrition should, if at all possible, be delivered enterally to maintain gut barrier function [6].…”

Section: Introductionmentioning

confidence: 99%

Can they stomach it? Parent and practitioner acceptability of a trial comparing gastric residual volume measurement versus no gastric residual volume in UK NNU and PICUs: a feasibility study

Deja

Roper

Tume

et al. 2021

Pilot Feasibility Stud

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Background Routine measurement of gastric residual volume (GRV) to guide feeding in neonatal and paediatric intensive care is widespread. However, this practice is not evidence based and may cause harm. As part of a feasibility study, we explored parent and practitioner views on the acceptability of a trial comparing GRV measurement or no GRV measurement. Methods A mixed-methods study involving interviews and focus groups with practitioners and interviews with parents with experience of tube feeding in neonatal and/or paediatric intensive care. A voting system recorded closed question responses during practitioner data collection, enabling the collection of quantitative and qualitative data. Data were analysed using thematic analysis and descriptive statistics. Results We interviewed 31 parents and nine practitioners and ran five practitioner focus groups (n=42). Participants described how the research question was logical, and the intervention would not be invasive and potential benefits of not withholding the child’s feeds. However, both groups held concerns about the potential risk of not measuring GRV, including delayed diagnosis of infection and gut problems, increased risk of vomiting into lungs and causing discomfort or pain. Parent’s views on GRV measurement and consent decision making were influenced by their views on the importance of feeding in the ICU, their child’s prognosis and associated comorbidities or complications. Conclusions The majority of parents and practitioners viewed the proposed trial as acceptable. Potential concerns and preferences were identified that will need careful consideration to inform the development of the proposed trial protocol and staff training.

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Association between nutritional status and outcomes in critically-ill pediatric patients – a systematic review

Cited by 24 publications

References 27 publications

Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review

Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review

Reducing malnutrition in critically ill pediatric patients

Can they stomach it? Parent and practitioner acceptability of a trial comparing gastric residual volume measurement versus no gastric residual volume in UK NNU and PICUs: a feasibility study

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