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Nutrition support in children with medical complexity and chronic critical illness: A narrative review

Jennifer M Perez1,2, Robert J Graham1,2, Nilesh M Mehta1,2

  • 1Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|October 6, 2024
PubMed

Insights

This review outlines nutrition assessment and delivery for children with medical complexity (CMC) and chronic critical illness (CCI). It provides a framework to improve health outcomes for these growing patient populations.

Area of Science:

  • Pediatric Healthcare
  • Clinical Nutrition
  • Critical Care Medicine

Background:

  • Children with medical complexity (CMC) and chronic critical illness (CCI) are increasing, requiring extensive healthcare resources.
  • Effective nutrition management is crucial for addressing the acute and long-term health needs of these children.
  • Current literature and best practices for nutrition in these populations require synthesis.

Purpose of the Study:

  • To provide a framework for nutrition assessment and delivery in CMC and CCI.
  • To review the epidemiology, nutrition outcomes, and healthcare experiences of these pediatric populations.
  • To guide the development of improved nutrition strategies and future research.

Main Methods:

  • Systematic review of existing literature on nutrition in CMC and CCI.
  • Framework development for nutrition assessment and prescription delivery.
  • Analysis of epidemiological data and health services utilization.

Main Results:

  • Identified key challenges and gaps in nutrition care for CMC and CCI.
  • Detailed methods for assessing nutrition status and energy needs.
  • Reviewed various nutrient delivery methods and perioperative considerations.

Conclusions:

  • Optimizing nutrition assessment and delivery is essential for improving outcomes in CMC and CCI.
  • A standardized framework can enhance care coordination across the continuum.
  • Further research is needed to refine nutrition interventions and support long-term health.

Keywords:
body compositioncalorimetryenteral accessenteral nutritionhome nutrition supportlife cyclenutritionnutrition assessmentparenteral nutritionpediatricsresearch and diseases

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