RT Journal Article
T1 Prevalence, Risk Factors and Impact of Nutrition Interruptions in Critically Ill Children
A1 Solana García, María José
A1 Slocker, María
A1 Martínez de Compañon, Zuriñe
A1 Olmedilla, Marta
A1 Miñambres, María
A1 Reyes, Susana
A1 Fernández, Reyes
A1 Rodríguez, Eva
A1 Redondo, Silvia
A1 Díaz, Laura
A1 Sánchez, María
A1 López-Herce Cid, Jesús
AB Background: 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.
PB MDPI
SN 2072-6643
YR 2023
FD 2023-02-08
LK https://hdl.handle.net/20.500.14352/103583
UL https://hdl.handle.net/20.500.14352/103583
LA eng
NO Solana, 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
NO Instituto de Salud Carlos III (España)
DS Docta Complutense
RD 4 abr 2025