Short-Term Follow-Up of the Nutritional Status of Children Undergoing Autologous Peripheral Blood Stem Cell Transplantation

Pedron, Caio César; Madero, Luís; Madero, Rosário; García-Novo, Maria Dolores; Díaz, MA; Hernández, Miguel Cruz

doi:10.1080/08880010050122825

Cited by 9 publications

(3 citation statements)

References 14 publications

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“…Despite this well-documented need for adequate nutrition on long-term outcomes (Weisdorf et al, 2006), these studies highlight the fact that pediatric patients do not receive their full nutrition requirements during the transplant period (Pedrón, Madero, García-Novo, Díaz, & Hernández, 2000;Uderzo et al, 1991), though reasons for this are not yet well defined. One potential reason for this may relate to issues such as fluid overload (Michael, Kuehnle, & Goldstein, 2004) preventing the delivery of the patients' full nutritional requirements.…”

Section: Introductionmentioning

confidence: 98%

Adequacy of Nutritional Support in Pediatric Blood and Marrow Transplantation

Cohen

Maurice

2009

J Pediatr Oncol Nurs

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The use of nutrition support has become standard practice in blood and marrow transplantation, but what remains unclear is whether patients receive adequate nutrition supplementation during this time. This study is a retrospective audit of the nutritional supplementation of 34 pediatric patients admitted to a pediatric oncology unit for a blood and marrow transplantation. All patients received parenteral nutrition (PN) as their standard nutritional therapy with an average of 79 +/- 10.6% of their estimated requirements given over the transplant period. The glucose/amino acid infusion was inadequate on 40% of PN days mainly because of fluid overload causing a reduction in infusion rates. The lipid infusion was inadequate on 60% of PN days mainly because of stoppages when drugs and/or blood were infused. The mean percentage weight change on discharge was +0.3 +/- 4.7%. This had a large range of between -9.9% and +7.9% of body weight and did not seem to be related to adequacy of nutrition during transplant. This study showed that although frequent rate reductions in nutrition infusions did occur, most patients still received the majority of their nutritional requirements.

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Section: Introductionmentioning

confidence: 98%

Adequacy of Nutritional Support in Pediatric Blood and Marrow Transplantation

Cohen

Maurice

2009

J Pediatr Oncol Nurs

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“…By surveying the short-term nutritional status of 34 child transplantation patients, results showed a significant correlation between nutritional intake and nutritional status [21], presented that the nutritional status was more satisfactory in the group that received appropriate nutritional support and proposed that positive effect was presented in lean body mass. However, the results of various studies indicate that more efforts must be made in various aspects, such as the development of indicators for nutritional support [3,22-24].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Intake and Nutritional Status by the Type of Hematopoietic Stem Cell Transplantation

Lee

Kim

2012

Clin Nutr Res

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The aim of this study was to investigate the changes of nutritional intake and nutritional status and analyze the association between them during hematopoietic stem cell transplantation. This was a retrospective cross sectional study on 36 patients (9 Autologous transplantation group and 27 Allogeneic transplantation group) undergoing hematopoietic stem cell transplantation at The Catholic University of Korea, Seoul St. Mary's Hospital from May to August 2010. To assess oral intake and parenteral nutrition intake, 24-hour recall method and patient's charts review was performed. Nutritional status was measured with the scored patient-generated subjective global assessment (PG-SGA). The subjects consisted of 6 (66.7%) males and 3 (33.3%) females in the autologous transplantation group (auto), 12 (44.4%) males and 15 (55.6%) females in the allogeneic transplantation group (allo). The mean age was 40.9 ± 13.6 years (auto) and 37.8 ± 11.0 years (allo). The average hospitalized period was 25.2 ± 3.5 days (auto) and 31.6 ± 6.6 days (allo), which were significant different (p < 0.05). Nutritional intake was lowest at Post+1wk in two groups. In addition, calorie intake by oral diet to recommended intake at Post+2wk was low (20.8% auto and 20.5% allo) but there were no significant differences in change of nutritional intake over time (Admission, Pre-1day, Post+1wk, Post+2wk) between auto group and allo group by repeated measures ANOVA test. The result of nutritional assessment through PG-SGA was significantly different at Pre-1day only (p < 0.01). There was a significant negative correlation between the nutritional status during Post+2wk and the oral calorie/protein intake to recommended amount measured during Post+1wk and Post+2wk (p < 0.01). These results could be used to establish evidence-based nutritional care guidelines for patients during hematopoietic stem cell transplantation.

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“…In children an autologous blood stem cell transplantation usually has only a low impact on nutritional status (III) [144], [145]. Thus, a targeted nutritional therapy should be based primarily on the above-mentioned criteria (see: Indication for PN in cancer patients) or be initiated if a conditioning therapy is chosen, which is associated with a high risk for severe mucositis.…”

Section: Indications For Parenteral Nutrition During Autologous/allogmentioning

confidence: 99%