Factors Associated with Length of Hospital Stay in Pediatric Hematopoietic Stem Cell Transplantation Patients Administrating Parenteral Nutrition

Park, Hyo Jung; Ph, Riard; Yoon, Jung Ah; Kim, Do Young; Huh, Yoon; Chung, Seon Young; In, Yong Won; Lee, Young Mee; Seo, Jeong Meen; Sohn, Kie Ho

doi:10.15747/jcn.2011.4.1.1

J Clin Nutr

2011

DOI: 10.15747/jcn.2011.4.1.1

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Factors Associated with Length of Hospital Stay in Pediatric Hematopoietic Stem Cell Transplantation Patients Administrating Parenteral Nutrition

Hyo Jung Park¹,

Riard Ph²,

Jung Ah Yoon³

et al.

Abstract: Purpose: Parenteral nutrition (PN) is a standard supportive care for pediatric patients undergoing hematopoietic stem cell transplantation (HSCT) in Samsung Medical Center. The objective of this study was to identify the factors associated with the length of hospital stay (LOS) in pediatric HSCT patients administrating PN routinely. Methods: This was a retrospective study for 128 pediatric HSCT patients from Aug. 2008 to Dec. 2009. Demographics, nutrition status on the first report in the nutrition support tea… Show more

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Validation of a FFQ for estimating ω-3, ω-6 and trans fatty acid intake during pregnancy using mature breast milk and food recalls

Sartorelli

Nishimura²,

Castro

et al. 2012

Eur J Clin Nutr

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BACKGROUND/OBJECTIVES:To assess the performance of a food frequency questionnaire (FFQ) for estimating o-3, o-6 and trans fatty acid intake during pregnancy. Moreover, we determined whether the fatty acid composition of mature breast milk represents a valuable biomarker for fatty acid intake during pregnancy. SUBJECTS/METHODS: A prospective study in 41 pregnant women, aged 18-35 years, was conducted. Food intake during pregnancy was evaluated by three 24-h recalls (24 hR), and 2 FFQ. The fatty acid composition of mature breast milk was determined by gas chromatography. The method of triads and joint classification between quartiles of intake were applied. RESULTS: The FFQ was accurate for estimating docosahexanoic (DHA), linoleic and total o-6 fatty acids according to validity coefficients. Higher agreements (470%) into the same or adjacent quartiles between the dietary methods were found for a-linolenic, total o-3, linoleic and trans fatty acid intake. High validity coefficients for eicosapentanoic (EPA) and DHA acids of human milk were found (0.61 and 0.73, respectively), and the method was adequate for categorizing the intake of a-linolenic, total o-3 and trans fatty acids compared with FFQ estimates, and for arachidonic acid and trans fatty acids compared with food recall estimates, during pregnancy. CONCLUSIONS: The FFQ was an accurate tool for categorizing a-linolenic, total o-3 and trans fatty acid intake. According to the validity coefficients observed, the FFQ accurately estimated DHA, linoleic and total o-6 fatty acids and the composition of mature breast milk was shown to be a suitable biomarker for EPA and DHA fatty acid intake during pregnancy.

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Validation of a FFQ for estimating ω-3, ω-6 and trans fatty acid intake during pregnancy using mature breast milk and food recalls

Sartorelli

Nishimura²,

Castro

et al. 2012

Eur J Clin Nutr

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show abstract

Effects of Parenteral Nutrition in Pediatric Patients with Hematopoietic Stem Cell Transplantation

Son¹

2018

J Clin Nutr

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This study examined the effects of parenteral nutrition (PN) on the nutritional status, clinical improvement, and PN-related complications in pediatric patients who had undergone hematopoietic stem cell transplantation (HSCT). Methods: A retrospective audit of 110 pediatric patients (age≤18), who underwent HSCT from March 2015 to February 2017 was undertaken. The patients were divided into 3 groups based on the ratio of daily calorie supplementation to the daily calorie requirement (ROCS). The clinical factors related to the nutritional status, such as difference in body weight (BW), body mass index (BMI), percent ideal body weight (PIBW), total protein (T.protein), and albumin; the early clinical outcome, such as PN-duration, length of hospitaliaztion (LOH), engraftment day (ED), graft-versus-host disease, sepsis, pneumonia and mucositis; and PN-related complications, including elevation of total bilirubin (T.bil), direct bilirubin (D.bil), aspartate aminotransferase, alanine aminotransferase, glucose and cholesterol levels, and hepatic veno-occlusive disease were analyzed using the electronic medical records. Additional analysis subject to auto-HSCT and allo-HSCT patients was also performed. Results: The very-low-ROCS, low-ROCS, and satisfied-ROCS group were 30 (27.3%), 47 (42.7%), and 33 (30.0%) patients, respectively. The PN-duration (P=0.005, z=-2.271), LOH (P=0.023, z=-2.840), ED (P<0.001, z=-3.695), T.bil elevation (P<0.001, z=-3.660), and D.bil elevation (P=0.002, z=-3.064) tended to decrease with increasing ROCS. The difference in the PN-duration (P=0.017), ED (P=0.001), T.bil elevation (P=0.001), and D.bil elevation (P=0.011) in the 3 groups was statistically significant. In the auto-HSCT patients, the change in BW (P=0.031, z=+2.154), PIBW (P=0.029, z=+2.187), and BMI (P=0.021, z=+2.306) tended to increase. In the allo-HSCT patients, the change in T.protein (P=0.022, z=+2.286) increased but the ED (P=0.021, z=-2.304) decreased. Conclusion: Aggressive PN supplementation has an effect on maintaining the nutritional status and achieving better early outcomes in pediatric HSCT patients, whereas it has no effect on increasing the PN-related complications.

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The Influence of Pediatric Nutrition Support Team on Hospitalized Pediatric Patients Receiving Parenteral Nutrition

et al. 2020

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Purpose: Malnutrition is a common problem in hospitalized patients that can increase the risk of complications, including infections and length of hospitalization. Appropriate nutritional support is important, particularly in pediatric patients, because growth and development are closely related to the nutritional supply. This study examined the status of nutritional support for pediatric patients in general wards to determine if interventions of the pediatric nutrition support team (pNST) contribute to appropriate nutritional support and help improve their nutritional status. Methods: Between July 2016 and June 2017, all pediatric inpatients who received parenteral nutrition support at the Seoul National University Bundang Hospital were recruited and divided into the NST group and non-NST group according to the activities of pNST. The nutritional status was assessed in all subjects, and the calories and proteins delivered through nutritional support in each group were calculated and then compared with the recommended requirements in pediatric patients. Results: The number of patients recruited was 174: 100 (57.5%) in the NST group and 74 (42.5%) in the non-NST group. Significantly more calories and protein were supplied in the NST group than the non-NST group in hospitalized children aged between four and 17 years (P＜0.05). In the non-NST group, the amounts of calories supplied were insufficient compared to the recommended requirements. The proportion of patients supplied with the appropriate number of calories was 60.0% in the NST group and 20.0% in the non-NST group (P＜0.001), and the proportion of cases supplied with the appropriate amount of protein was 87.0% in the NST group and 62.2% in the non-NST group (P＜0.001). Conclusion:Interventions of the pediatric nutrition support team contributed to the sufficient supply of calories and protein and the improvement of clinical outcomes in hospitalized children on parenteral nutrition therapy.

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Factors Associated with Length of Hospital Stay in Pediatric Hematopoietic Stem Cell Transplantation Patients Administrating Parenteral Nutrition

Cited by 3 publications

References 0 publications

Validation of a FFQ for estimating ω-3, ω-6 and trans fatty acid intake during pregnancy using mature breast milk and food recalls

Validation of a FFQ for estimating ω-3, ω-6 and trans fatty acid intake during pregnancy using mature breast milk and food recalls

Effects of Parenteral Nutrition in Pediatric Patients with Hematopoietic Stem Cell Transplantation

The Influence of Pediatric Nutrition Support Team on Hospitalized Pediatric Patients Receiving Parenteral Nutrition

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