Publication: Gap Assessment of Calories Prescribed Versus Calories Delivered to Critically Ill Paediatric Patients
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Perinatal Society of Nepal (PESON)
Abstract
Abstract:
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.
Description
Maheen Awan
M.Phil. Food and Nutrition, Nutritionist at University of Child Health Sciences, The Children’s Hospital, Lahore, Pakistan.
Asna Zahid
Ph. D. Human Nutrition and Dietetics, Nutritionist at University of Child Health Sciences, The Children’s Hospital, Lahore, Pakistan.
Junaid Rashid
Professor, Pro Vice Chancellor at University of Child Health Sciences, The Children’s Hospital, Lahore, Pakistan.
Shadab Masood
Senior Registrar, Department of Paediatrics, University of Child Health Sciences, The Children’s Hospital, Lahore, Pakistan.
Anam Latif
Assistant Professor, Institute of Food Science and Nutrition, University of Sargodha, University Road, Sargodha, Punjab, Pakistan.