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Chinese guidelines for the assessment and provision of nutrition support therapy in critically ill children
Alternative TitleChinese guidelines for the assessment and provision of nutrition support therapy in critically ill children
Zhu XueMei1; Qian SuYun2; Lu GuoPing1; Xu Feng3; Wang Ying4; Liu ChunFeng5; Ren XiaoXu6; Zhang YuCai7; Gao HengMiao2; Zhou Tao8; Dang HongXing3; Zhang ChongFan1; Zhu YiMin9
2018
Source PublicationWORLD JOURNAL OF PEDIATRICS
ISSN1708-8569
Volume14Issue:5Pages:419-428
AbstractBackground This document represents the first evidence-based guidelines to describe best practices in nutrition therapy in critically ill children (> 1 month and < 18 years), who are expected to require a length of stay more than 2 or 3 days in a Pediatric Intensive Care Unit admitting medical patients domain.
Other AbstractBackground This document represents the first evidence-based guidelines to describe best practices in nutrition therapy in critically ill children (> 1 month and < 18 years), who are expected to require a length of stay more than 2 or 3 days in a Pediatric Intensive Care Unit admitting medical patients domain. Methods A total of 25,673 articles were scanned for relevance. After careful review, 88 studies appeared to answer the preidentified questions for the guidelines. We used the grading of recommendations, assessment, development and evaluation criteria to adjust the evidence grade based on the quality of design and execution of each study. Results The guidelines emphasise the importance of nutritional assessment, particularly the detection of malnourished patients. Indirect calorimetry (IC) is recommended to estimate energy expenditure and there is a creative value in energy expenditure, 50 kcal/kg/day for children aged 1-8 years during acute phase if IC is unfeasible. Enteral nutrition (EN) and early enteral nutrition remain the preferred routes for nutrient delivery. A minimum protein intake of 1.5 g/kg/day is suggested for this patient population. The role of supplemental parenteral nutrition (PN) has been highlighted in patients with low nutritional risk, and a delayed approach appears to be beneficial in this group of patients. Immune-enhancing cannot be currently recommended neither in EN nor PN. Conclusion Overall, the pediatric critically ill population is heterogeneous, and an individualized nutrition support with the aim of improving clinical outcomes is necessary and important.
KeywordINTENSIVE-CARE-UNIT RANDOMIZED CONTROLLED-TRIAL MECHANICALLY VENTILATED CHILDREN RESTING ENERGY-EXPENDITURE ENTERAL NUTRITION HOSPITALIZED CHILDREN INDIRECT CALORIMETRY PEDIATRIC-PATIENTS PROTEIN MORTALITY Adolescents Children Critical illness Enteral nutrition Indirect calorimetry Infant Malnutrition Nutrition assessment Parenteral nutrition Pediatric Resting energy expenditure
Indexed ByCSCD
Language英语
Funding Project[Emergency group of Chinese Pediatrics Society] ; [Pediatrics Group of Chinese Emergency Society]
CSCD IDCSCD:6347882
Citation statistics
Document Type期刊论文
Identifierhttp://ir.imr.ac.cn/handle/321006/147886
Collection中国科学院金属研究所
Affiliation1.复旦大学
2.Capital Med University, Beijing Childrens Hosp, Natl Ctr Childrens Hlth, 56 Nan Li Shi Rd, Beijing 100045, Peoples R China
3.Chongqing Med University, Childrens Hosp, 136 Zhongshan 2 Rd, Chongqing 400010, Peoples R China
4.Shanghai Childrens Med Ctr, 1678 DongFang Rd, Shanghai 200127, Peoples R China
5.中国科学院金属研究所
6.Capital Institute Pediat, 2 Yabao Rd, Beijing 100020, Peoples R China
7.上海交通大学
8.Southern Med University, Boai Hosp Zhongshan, 6 Chenggui Rd, Zhongshan 528400, Peoples R China
9.Hunan Prov Peoples Hosp, 60 Jiefang West Rd, Changsha 410005, Hunan, Peoples R China
Recommended Citation
GB/T 7714
Zhu XueMei,Qian SuYun,Lu GuoPing,et al. Chinese guidelines for the assessment and provision of nutrition support therapy in critically ill children[J]. WORLD JOURNAL OF PEDIATRICS,2018,14(5):419-428.
APA Zhu XueMei.,Qian SuYun.,Lu GuoPing.,Xu Feng.,Wang Ying.,...&Zhu YiMin.(2018).Chinese guidelines for the assessment and provision of nutrition support therapy in critically ill children.WORLD JOURNAL OF PEDIATRICS,14(5),419-428.
MLA Zhu XueMei,et al."Chinese guidelines for the assessment and provision of nutrition support therapy in critically ill children".WORLD JOURNAL OF PEDIATRICS 14.5(2018):419-428.
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