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A nutritional support team in the pediatric intensive care unit: changes and factors impeding appropriate nutrition

Cecile Lambe1, Philippe Hubert, Philippe Jouvet

  • 1Réanimation Pédiatrique, Hôpital Necker-Enfants Malades, APHP, Université René Descartes, Paris, France. Cecile.lambe@svp.aphp.fr

Clinical Nutrition (Edinburgh, Scotland)
|April 20, 2007
PubMed

Insights

A nutritional support team (NST) did not significantly alter nutritional management in a pediatric intensive care unit (PICU). Admission factors like high PRISM scores and CRP levels were linked to delayed sustained optimal caloric intake (SOCI).

Area of Science:

  • Pediatric Intensive Care
  • Clinical Nutrition
  • Nutritional Support Teams

Background:

  • Pediatric intensive care units (PICUs) face challenges in optimizing nutritional intake for critically ill children.
  • Effective nutritional management is crucial for patient outcomes in the PICU.

Purpose of the Study:

  • To evaluate the impact of a nutritional support team (NST) intervention in a PICU.
  • To identify admission factors associated with delayed sustained optimal caloric intake (SOCI).

Main Methods:

  • A comparative study assessed caloric and protein intake in 82 children before (2000) and after (2003) NST implementation.
  • Multivariate analysis identified predictive factors for delayed SOCI achievement.

Main Results:

  • No significant differences were observed in cumulative caloric/protein deficits or time to achieve SOCI between the two periods.
  • Factors associated with delayed SOCI included high PRISM scores, elevated CRP levels, fluid restriction, and higher weight-for-age percentiles.

Conclusions:

  • NST intervention did not significantly improve nutritional management in this PICU setting.
  • Several patient-specific factors at admission complicate achieving optimal nutrition in critically ill children.
Abstract

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