Nutritional assessment of children and adolescents on admission to a pediatric intensive care unit

Authors

  • Letícia Dione Caruccio Hospital de Clínicas de Porto Alegre. http://orcid.org/0000-0001-8387-2119
  • Vera Lúcia Bosa Hospital de Clinicas de Porto Alegre Universidade Federal do Rio Grande do Sul
  • Tatiana Maraschin Hospital de Clínicas de Porto Alegre
  • Paulo Roberto Antoniacci Carvalho Hospital de Clínicas de Porto Alegre Universidade Federal do Rio Grande do Sul

DOI:

https://doi.org/10.15448/1983-652X.2018.4.25278

Keywords:

nutritional assessment, pediatrics, critically ill, intensive care unit, prematurity.

Abstract

Objective: To evaluate the nutritional status of children and adolescents on admission in the pediatric intensive care unit in a public referral hospital.
Material and Methods: Cross-sectional study that evaluated 277 patients aged 0 to 19 years who were admitted to the pediatric intensive care unit in the first 72 hours of hospitalization in the year 2013. The variables, from medical records, were the anthropometric measurements of weight and height. To investigate the association between nutritional status and other variables, the chi-squared test was used, considering a significance level of p<0.05.
Results: Of the 277 patients, 53.4% (n=148) were male and 10.5% were classified as (n=21) malnutrition, 20.1% (n=40) as overweight and 69.34% (n=138) as eutrophic. Malnutrition was more prevalent among children younger than 2 years, while overweight was higher in the age group of 2 to 10 years. In 28.79 % (n=57) of the sample short stature was found, with higher prevalence among children under 2 years (p<0.001) and may be associated with the high number of premature infants in the sample (n=26, p=0.003).
Conclusion: In the admission of children and adolescents in pediatric intensive care unit, malnutrition was the least prevalent nutritional status when compared to other studies. The significant number of premature infants may be associated with high prevalence of short stature found.

Author Biographies

Letícia Dione Caruccio, Hospital de Clínicas de Porto Alegre.

Nutricionsita Clínica, especialista em Nefrologia e Saúde da Criança. Nutricionista da Unidade Clínica Médica do Hospital Universitário EBSERH - Universidade Federal do Rio Grande.

Vera Lúcia Bosa, Hospital de Clinicas de Porto Alegre Universidade Federal do Rio Grande do Sul

Professora Adjunta do Departamento de Nutrição da Universidade Federal do Rio Grande do Sul (UFRGS). Doutora pelo Programa de Pós Graduação em Saúde da Criança e do Adolescente da UFRGS (2010). Mestre em Pediatria pela Universidade Federal do Rio Grande do Sul - UFRGS (2008). Especialista em Administração Hospitalar e Negócios em Saúde (2002). Graduada em Nutrição pelo Centro Universitário Metodista IPA (1997). Possui experiência na área de Nutrição, com ênfase em nutrição clínica e saúde pública, atuando principalmente nos seguintes temas: saúde da criança e do adolescente, avaliação nutricional, nutrição do escolar, origens desenvolvimentistas da saúde e doença (DOHaD), banco de leite humano, central de fórmulas e pediatria clínica.

Tatiana Maraschin, Hospital de Clínicas de Porto Alegre

Possui graduação em nutrição pela Universidade do Vale do Rio dos Sinos (1991). Especialista em nutrição clínica (IMEC) e em gestão hospitalar (GHC - Fiocruz). Atualmente é nutricionista clínica do Hospital de Clínicas de Porto Alegre. Experiência na área de nutrição clínica, com ênfase em pediatria.

Paulo Roberto Antoniacci Carvalho, Hospital de Clínicas de Porto Alegre Universidade Federal do Rio Grande do Sul

graduação em Medicina pela Universidade Federal do Rio Grande do Sul (UFRGS) (1975), mestrado em Ciências Medicas: Pediatria pela UFRGS (1993) e doutorado em Ciências Medicas: Pediatria pela UFRGS (2001). Atualmente é Professor Titular do Departamento de Pediatria da Faculdade de Medicina da UFRGS.

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Published

2018-12-30

Issue

Vol. 11 No. 4 (2018)

Section

Original Articles

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