• Nutrition · Apr 2021

    Multicenter Study

    Nutritional status and nutrition support in critically ill children in Spain: Results of a multicentric study.

    • María José Solana, Gema Manrique, Reyes Fernández, María Slocker, Miriam García, Silvia Redondo, Cristina Yun, Raquel Gil, Mónica Balaguer, Eva Rodríguez, Aranzazu González-Posada, Carmen Santiago, Carmen María Martín, María Miñambres, María Sánchez, Concepción Goñi, Jorge López, and Jesus López-Herce.
    • Pediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
    • Nutrition. 2021 Apr 1; 84: 110993.

    ObjectivesCritically ill children are often malnourished and require nutrition support (NS). Early enteral nutrition (EEN) seems to be safe in critically ill patients. However, there is a scarcity of data about the management of EEN in sick pediatric patients. The aim of this study was to analyze the nutritional status, NS characteristics, macronutrient supply, and associations between NS and outcomes in critically ill children in Spain.MethodsThis was a multicentric, prospective, cross-sectional study involving critically ill children who received NS and with an expected length of stay (LOS) in the pediatric intensive care unit of ≥3 d. Anthropometric variables, characteristics of NS, EEN, nutrient supply, and complications were recorded.ResultsWe enrolled 86 children. Undernutrition and overweight were more prevalent in children ≤2 y of age than in older children (undernutrition: 40 versus 19%, respectively; overweight: 22.2 versus 14.3%, respectively). Being overweight was associated with a shorter PICU LOS (5.8 ± 2 versus 9.8 ± 6.5; P = 0.005). EN was the preferred method for nutrient delivery. EEN was administered to 58.1% of patients and was more common in children >2 y of age than in younger patients (73.1 versus 44.4%; P = 0.015). EEN was safe and was associated with a higher caloric intake (81.6 ± 35.3 versus 59.6 ± 36.6; P = 0.019). There was a negative correlation between mean time to EN initiation and maximum energy supply (r = -0.32; P = 0.07).ConclusionsMalnutrition was prevalent among critically ill children in Spain. Being overweight was associated with a shorter PICU LOS. EEN was safe and was associated with a higher caloric intake; however, it is rarely used in PICUs in Spain.Copyright © 2020 Elsevier Inc. All rights reserved.

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