AI Article Synopsis
- The study aimed to review how nutritional status affects critically-ill pediatric patients in intensive care, focusing on their hospital stay duration, mechanical ventilation needs, and mortality rates.
- A review of seven articles published between 1982 and 2012 showed that poor nutritional status at admission correlated with worse patient outcomes, although the studies varied in quality and methods.
- The findings suggest that nutritional depletion negatively impacts pediatric patient outcomes, highlighting the need for more contemporary and consistent research in this area.
Article Abstract
Objectives: To systematically review the evidence about the impact of nutritional status in critically-ill pediatric patients on the following outcomes during hospitalization in pediatric intensive care units: length of hospital stay, need for mechanical ventilation, and mortality.
Data Source: The search was carried out in the following databases: Lilacs (Latin American and Caribbean Health Sciences), MEDLINE (National Library of Medicine United States) and Embase (Elsevier Database). No filters were selected.
Results: A total of seven relevant articles about the subject were included. The publication period was between 1982 and 2012. All articles assessed the nutritional status of patients on admission at pediatric intensive care units and correlated it to at least one assessed outcome. A methodological quality questionnaire created by the authors was applied, which was based on some references and the researchers' experience. All included studies met the quality criteria, but only four met all the items.
Conclusion: The studies included in this review suggest that nutritional depletion is associated with worse outcomes in pediatric intensive care units. However, studies are scarce and those existing show no methodological homogeneity, especially regarding nutritional status assessment and classification methods. Contemporary and well-designed studies are needed in order to properly assess the association between children's nutritional status and its impact on outcomes of these patients.
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| http://dx.doi.org/10.1016/j.jped.2015.09.005 | DOI Listing |
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