Prevalence, Risk Factors and Impact of Nutrition Interruptions in Critically Ill Children

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dc.contributor.authorSolana García, María José
dc.contributor.authorSlocker, María
dc.contributor.authorMartínez de Compañon, Zuriñe
dc.contributor.authorOlmedilla, Marta
dc.contributor.authorMiñambres, María
dc.contributor.authorReyes, Susana
dc.contributor.authorFernández, Reyes
dc.contributor.authorRodríguez, Eva
dc.contributor.authorRedondo, Silvia
dc.contributor.authorDíaz, Laura
dc.contributor.authorSánchez, María
dc.contributor.authorLópez-Herce Cid, Jesús
dc.date.accessioned2024-04-26T15:18:19Z
dc.date.available2024-04-26T15:18:19Z
dc.date.issued2023-02-08
dc.description.abstractBackground: Enteral nutrition interruptions (ENI) are prevalent in the pediatric intensive care unit (PICU), but there is little evidence of their characteristics. Methods: This is a cross-sectional multicenter study including critically ill children on enteral nutrition. ENIs were classified as PICU procedures, procedures performed outside the PICU (PPOP), feeding intolerance and other criteria. The number and features of ENIs were collected. Results: A total of 75 children were enrolled. There were 41 interruptions affecting 37.3% of the patients with a median duration of 5 ± 9.4 h. The most common reason for ENI was PPOP (41.5%), followed by other criteria. Interruptions were considered preventable in 24.4% of the cases, but only eight were compensated. ENIs were more prevalent among children with cardiac disease (p = 0.047), higher PRISM (p = 0.047) and longer PICU stay (p = 0.035). There was association between PRISM and total interruption time (p = 0.02) and lower caloric intake (p = 0.035). Patients with respiratory illness (p = 0.022) and on noninvasive ventilation (p = 0,028) had fewer ENIs. ENI total time was associated with lower caloric (p = 0.001) and protein (p = 0.02) intake. Conclusions: ENIs are prevalent in PICU, especially in children with higher PRISM, longer PICU stays and cardiac disease, and result in lower caloric and protein intake.
dc.description.departmentDepto. de Salud Pública y Materno - Infantil
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.sponsorshipInstituto de Salud Carlos III (España)
dc.description.statuspub
dc.identifier.citationSolana, M. J., Slocker, M., Martínez de Compañon, Z., Olmedilla, M., Miñambres, M., Reyes, S., Fernández, R., Rodríguez, E., Redondo, S., Díaz, L., Sánchez, M., & López-Herce, J. (2023). Prevalence, Risk Factors and Impact of Nutrition Interruptions in Critically Ill Children. Nutrients, 15(4), 855. https://doi.org/10.3390/nu15040855
dc.identifier.doi10.3390/nu15040855
dc.identifier.issn2072-6643
dc.identifier.officialurlhttps://doi.org/10.3390/nu15040855
dc.identifier.pmid36839213
dc.identifier.urihttps://hdl.handle.net/20.500.14352/103583
dc.issue.number855
dc.journal.titleNutrients
dc.language.isoeng
dc.page.final11
dc.page.initial1
dc.publisherMDPI
dc.relation.projectIDRD21/0012/0011
dc.rightsAttribution 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject.cdu616‑053.2
dc.subject.keywordNutrition barriers
dc.subject.keywordEnteral nutrition
dc.subject.keywordInterruptions
dc.subject.keywordPICU
dc.subject.keywordCritically ill children
dc.subject.ucmPediatría
dc.subject.unesco3201.10 Pediatría
dc.titlePrevalence, Risk Factors and Impact of Nutrition Interruptions in Critically Ill Children
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number15(4)
dspace.entity.typePublication
relation.isAuthorOfPublicationaeca59b2-3437-4bda-939a-35c9384cd207
relation.isAuthorOfPublicationac986236-954c-46aa-908b-fea5bd2c420a
relation.isAuthorOfPublication.latestForDiscoveryaeca59b2-3437-4bda-939a-35c9384cd207
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