What are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition?
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/35652 http://dx.doi.org/10.1016/j.nut.2012.04.003 |
Resumo: | Objective: Children admitted to the intensive care unit (ICU) are at risk of inadequate energy intake. Although studies have identified factors contributing to an inadequate energy supply in critically ill children, they did not take into consideration the length of time during which patients received their estimated energy requirements after having achieved a satisfactory energy intake. This study aimed to identify factors associated with the non-attainment of estimated energy requirements and consider the time this energy intake is maintained.Methods: This was a prospective study involving 207 children hospitalized in the ICU who were receiving enteral and/or parenteral nutrition. the outcome variable studied was whether 90% of the estimated basal metabolic rate was maintained for at least half of the ICU stay (satisfactory energy intake). the exposure variables for outcome were gender, age, diagnosis, use of vasopressors, malnutrition, route of nutritional support, and Pediatric Index of Mortality and Pediatric Logistic Organ Dysfunction scores.Results: Satisfactory energy intake was attained by 20.8% of the patients, within a mean time of 5.07 +/- 2.48 d. in a multivariable analysis, a diagnosis of heart disease (odds ratio 3.62, 95% confidence interval 1.03-12.68, P = 0.045) increased the risk of insufficient energy intake, whereas malnutrition (odds ratio 0.43, 95% confidence interval 0.20-0.92, P = 0.030) and the use of parenteral nutrition (odds ratio 0.34, 95% confidence interval 0.15-0.77, P = 0.001) were protective factors against this outcome.Conclusion: A satisfactory energy intake was reached by a small proportion of patients during their ICU stay. Heart disease was an independent risk factor for the non-attainment of satisfactory energy intake, whereas malnutrition and the use of parenteral nutrition were protective factors against this outcome. (C) 2013 Elsevier Inc. All rights reserved. |
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Menezes, Fernanda Souza de [UNIFESP]Leite, Heitor Pons [UNIFESP]Nogueira, Paulo Cesar Koch [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2016-01-24T14:28:12Z2016-01-24T14:28:12Z2013-01-01Nutrition. New York: Elsevier B.V., v. 29, n. 1, p. 76-80, 2013.0899-9007http://repositorio.unifesp.br/handle/11600/35652http://dx.doi.org/10.1016/j.nut.2012.04.00310.1016/j.nut.2012.04.003WOS:000313138200013Objective: Children admitted to the intensive care unit (ICU) are at risk of inadequate energy intake. Although studies have identified factors contributing to an inadequate energy supply in critically ill children, they did not take into consideration the length of time during which patients received their estimated energy requirements after having achieved a satisfactory energy intake. This study aimed to identify factors associated with the non-attainment of estimated energy requirements and consider the time this energy intake is maintained.Methods: This was a prospective study involving 207 children hospitalized in the ICU who were receiving enteral and/or parenteral nutrition. the outcome variable studied was whether 90% of the estimated basal metabolic rate was maintained for at least half of the ICU stay (satisfactory energy intake). the exposure variables for outcome were gender, age, diagnosis, use of vasopressors, malnutrition, route of nutritional support, and Pediatric Index of Mortality and Pediatric Logistic Organ Dysfunction scores.Results: Satisfactory energy intake was attained by 20.8% of the patients, within a mean time of 5.07 +/- 2.48 d. in a multivariable analysis, a diagnosis of heart disease (odds ratio 3.62, 95% confidence interval 1.03-12.68, P = 0.045) increased the risk of insufficient energy intake, whereas malnutrition (odds ratio 0.43, 95% confidence interval 0.20-0.92, P = 0.030) and the use of parenteral nutrition (odds ratio 0.34, 95% confidence interval 0.15-0.77, P = 0.001) were protective factors against this outcome.Conclusion: A satisfactory energy intake was reached by a small proportion of patients during their ICU stay. Heart disease was an independent risk factor for the non-attainment of satisfactory energy intake, whereas malnutrition and the use of parenteral nutrition were protective factors against this outcome. (C) 2013 Elsevier Inc. All rights reserved.Universidade Federal de São Paulo, Dept Pediat, Discipline Nutr & Metab, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Pediat, Pediat Nephrol Sect, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Pediat, Discipline Nutr & Metab, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Pediat, Pediat Nephrol Sect, São Paulo, BrazilWeb of Science76-80engElsevier B.V.Nutritionhttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policyinfo:eu-repo/semantics/openAccessEnergy intakeMalnutritionNutritional therapyParenteral nutritionEnteral nutritionIntensive care unitPediatricHeart diseaseWhat are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlereponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/356522022-07-08 10:54:10.998metadata only accessoai:repositorio.unifesp.br:11600/35652Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:21:09.824232Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
What are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition? |
title |
What are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition? |
spellingShingle |
What are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition? Menezes, Fernanda Souza de [UNIFESP] Energy intake Malnutrition Nutritional therapy Parenteral nutrition Enteral nutrition Intensive care unit Pediatric Heart disease |
title_short |
What are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition? |
title_full |
What are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition? |
title_fullStr |
What are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition? |
title_full_unstemmed |
What are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition? |
title_sort |
What are the factors that influence the attainment of satisfactory energy intake in pediatric intensive care unit patients receiving enteral or parenteral nutrition? |
author |
Menezes, Fernanda Souza de [UNIFESP] |
author_facet |
Menezes, Fernanda Souza de [UNIFESP] Leite, Heitor Pons [UNIFESP] Nogueira, Paulo Cesar Koch [UNIFESP] |
author_role |
author |
author2 |
Leite, Heitor Pons [UNIFESP] Nogueira, Paulo Cesar Koch [UNIFESP] |
author2_role |
author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Menezes, Fernanda Souza de [UNIFESP] Leite, Heitor Pons [UNIFESP] Nogueira, Paulo Cesar Koch [UNIFESP] |
dc.subject.eng.fl_str_mv |
Energy intake Malnutrition Nutritional therapy Parenteral nutrition Enteral nutrition Intensive care unit Pediatric Heart disease |
topic |
Energy intake Malnutrition Nutritional therapy Parenteral nutrition Enteral nutrition Intensive care unit Pediatric Heart disease |
description |
Objective: Children admitted to the intensive care unit (ICU) are at risk of inadequate energy intake. Although studies have identified factors contributing to an inadequate energy supply in critically ill children, they did not take into consideration the length of time during which patients received their estimated energy requirements after having achieved a satisfactory energy intake. This study aimed to identify factors associated with the non-attainment of estimated energy requirements and consider the time this energy intake is maintained.Methods: This was a prospective study involving 207 children hospitalized in the ICU who were receiving enteral and/or parenteral nutrition. the outcome variable studied was whether 90% of the estimated basal metabolic rate was maintained for at least half of the ICU stay (satisfactory energy intake). the exposure variables for outcome were gender, age, diagnosis, use of vasopressors, malnutrition, route of nutritional support, and Pediatric Index of Mortality and Pediatric Logistic Organ Dysfunction scores.Results: Satisfactory energy intake was attained by 20.8% of the patients, within a mean time of 5.07 +/- 2.48 d. in a multivariable analysis, a diagnosis of heart disease (odds ratio 3.62, 95% confidence interval 1.03-12.68, P = 0.045) increased the risk of insufficient energy intake, whereas malnutrition (odds ratio 0.43, 95% confidence interval 0.20-0.92, P = 0.030) and the use of parenteral nutrition (odds ratio 0.34, 95% confidence interval 0.15-0.77, P = 0.001) were protective factors against this outcome.Conclusion: A satisfactory energy intake was reached by a small proportion of patients during their ICU stay. Heart disease was an independent risk factor for the non-attainment of satisfactory energy intake, whereas malnutrition and the use of parenteral nutrition were protective factors against this outcome. (C) 2013 Elsevier Inc. All rights reserved. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-01-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T14:28:12Z |
dc.date.available.fl_str_mv |
2016-01-24T14:28:12Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Nutrition. New York: Elsevier B.V., v. 29, n. 1, p. 76-80, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/35652 http://dx.doi.org/10.1016/j.nut.2012.04.003 |
dc.identifier.issn.none.fl_str_mv |
0899-9007 |
dc.identifier.doi.none.fl_str_mv |
10.1016/j.nut.2012.04.003 |
dc.identifier.wos.none.fl_str_mv |
WOS:000313138200013 |
identifier_str_mv |
Nutrition. New York: Elsevier B.V., v. 29, n. 1, p. 76-80, 2013. 0899-9007 10.1016/j.nut.2012.04.003 WOS:000313138200013 |
url |
http://repositorio.unifesp.br/handle/11600/35652 http://dx.doi.org/10.1016/j.nut.2012.04.003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Nutrition |
dc.rights.driver.fl_str_mv |
http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
76-80 |
dc.publisher.none.fl_str_mv |
Elsevier B.V. |
publisher.none.fl_str_mv |
Elsevier B.V. |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
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1783460279822057472 |