Nutritional approach in pediatric intensive care unit <b>[Abstract in English]</b>

Authors

  • Daiane Drescher Cabral UNISC
  • Kelly Dayane Stochero Velozo PUCRS
  • Jefferson Pedro Piva Universidade Federal do Rio Grande do Sul - UFRGS
  • Pedro Celiny Ramos Garcia Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS

Keywords:

MALNUTRITION, INTENSIVE CARE UNITS, PEDIATRIC, NUTRITION ASSESSMENT, NUTRITIONAL REQUIREMENTS.

Abstract

AIMS: To review the nutritional approach of critically ill children, emphasizing prior malnutrition as a factor in its severity, and anthropometric nutritional assessment methods commonly used in pediatric intensive care units. SOURCE OF DATA: The following descriptors were elected: malnutrition, intensive care units, pediatrics, nutrition assessment and nutritional requirements (and their corresponding Portuguese terms). We conducted a search in databases Medical Literature Analysis and Retrieval System Online (Medline), Web of Science and Scientific Electronic Library Online (SciELO), from August 2009 to March 2013. SUMMARY OF FINDINGS: Malnutrition persists mainly in critically ill pediatric patients, representing an increased risk of mortality and longer hospital stay. A method regarded as the gold standard for assessing nutritional status in Pediatric Intensive Care Unit was not described to date. However, anthropometry is widely used and is considered a good method. There are several ways to estimate the nutritional needs of critically ill children. Weight and age are frequently used, followed by predictive equations. CONCLUSIONS: Malnutrition is a problem that remains in the hospital environment, especially in critically ill pediatric patients. The anthropometric nutritional assessment is widely used in Pediatric Intensive Care Units, and is usually the method of choice. The Schofield equation is a good method to be used, because it establishes the baseline energy expenditure.

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Author Biographies

Daiane Drescher Cabral, UNISC

1Nutricionista, Mestre em Pediatria e Saúde da Criança pela PUCRS, Doutoranda do Programa de Pós-graduação em Pediatria e Saúde da Criança pela PUCRS, Professora do Curso de Nutrição da UNISC

Kelly Dayane Stochero Velozo, PUCRS

Enfermeira, Mestranda pelo Programa de Pós-graduação em Pediatria e Saúde da Criança pela PUCRS

Jefferson Pedro Piva, Universidade Federal do Rio Grande do Sul - UFRGS

Doutor em Medicina, Professor da Faculdade de Medicina da UFRGS

Pedro Celiny Ramos Garcia, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS

Doutor em Medicina, Professor da Faculdade de Medicina da PUCRS

Published

2013-07-20

How to Cite

Cabral, D. D., Velozo, K. D. S., Piva, J. P., & Garcia, P. C. R. (2013). Nutritional approach in pediatric intensive care unit <b>[Abstract in English]</b>. Scientia Medica, 23(2), 127–133. Retrieved from https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12512

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Section

Review Articles

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