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Pediatric perioperative nutritional assessment and support

Maria Fomina1, Tatyana Borovik1,2, Aleksey Gusev1,3

  • 1FSAI "National Medical Research Center of Children's Health" of the Ministry of Health of Russian Federation, Moscow, Russia.

Asia Pacific Journal of Clinical Nutrition
|December 28, 2022
PubMed

Insights

Optimizing perioperative nutritional support for pediatric surgical patients is crucial. Guidelines aim to improve outcomes and reduce healthcare costs associated with pediatric malnutrition and surgical risk.

Area of Science:

  • Pediatric Surgery
  • Nutritional Science
  • Healthcare Management

Background:

  • Pediatric malnutrition poses significant risks and healthcare burdens, especially in regions with high surgical needs.
  • Millions of children undergo surgery globally for various conditions, necessitating effective nutritional management.
  • Existing guidelines for perioperative pediatric nutrition require evaluation for practical implementation.

Purpose of the Study:

  • To critically assess current perioperative pediatric nutrition guidelines.
  • Evaluate guidelines based on availability, utility, affordability, and accuracy.
  • Provide an evidence-based approach to optimize nutritional care in pediatric surgery.

Main Methods:

  • Systematic review and critique of existing pediatric perioperative nutrition guidelines.
  • Analysis of nutritional methodologies and their advantages/limitations.
  • Development of an algorithmic approach for perioperative decision-making.

Main Results:

  • Identified variability in the availability, utility, and affordability of current guidelines.
  • Highlighted the need for accurate and accessible nutritional assessment tools.
  • Demonstrated the potential of algorithmic decision-making to improve outcomes.

Conclusions:

  • Perioperative nutritional support is vital for reducing pediatric surgical risks and healthcare costs.
  • Strategic nutritional management guidelines are essential for optimizing care in pediatric surgery.
  • Routine monitoring of nutritional status enhances surgical risk management and cost-effectiveness.

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