Nutritional Deficiencies During Critical Illness

Overview

Journal Pediatr Clin North Am

Specialty Pediatrics

Date 2009 Nov 26

PMID 19931068

Citations 31

Authors

Nilesh M Mehta

Christopher P Duggan

Affiliations

Soon will be listed here.

Abstract

A significant proportion of critically ill children admitted to the pediatric intensive care unit (PICU) present with nutritional deficiencies. Malnourished hospitalized patients have a higher rate of complications, increased mortality, longer length of hospital stay, and increased hospital costs. Critical illness may further contribute to nutritional deteriorate with poor outcomes. Younger age, longer duration of PICU stay, congenital heart disease, burn injury, and need for mechanical ventilation support are some of the factors that are associated with worse nutritional deficiencies. Failure to estimate energy requirements accurately, barriers to bedside delivery of nutrients, and reluctance to perform regular nutritional assessments are responsible for the persistence and delayed detection of malnutrition in this cohort.

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