Browsing by Author "Rashid, Junaid"
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Publication Gap Assessment of Calories Prescribed Versus Calories Delivered to Critically Ill Paediatric Patients(Perinatal Society of Nepal (PESON), 2024) Awan, Maheen; Zahid, Asna; Rashid, Junaid; Masood, Shadab; Latif, AnamAbstract: Introduction: In critically ill pediatric patients, determination and delivery of accurate calories is a prerequisite for positive clinical outcomes. Gap between calories prescribed and delivered are a major cause of longer hospitalization and malnutrition. Methods: 100 patients from PICU receiving feeds through naso-gastric or post-pyloric tubes were recruitted in the study. Patients were divided into three age groups. Age, gender, diagnosis, weight, height, BMI/ z-scores for age, EER, nutritional status, calories prescribed, delivered and the main barriers affecting the delivery of calories were determined. Results: Out of 100 participants, 46 were severely malnourished according to WHO z-scores and 55 were severely malnourished according to SGA score. 24% of the patients met EER whereas 39% patients met prescribed calories, as the difference was less than 15 kcal/kg/day. The major feeding barrier was fluid restriction that affected 55% of the patients. Conclusion: A large number of patients did not receive prescribed calories due to several interruptions. Protocols should be devised to address barriers in delivery of nutrition.