Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey
Frontiers in Pediatrics · Ağustos 2023
YÖKSİS Kayıtları
Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey
Frontiers Media SA · 2023 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ MELTEM GÜMÜŞ →
Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey
Frontiers Media SA · 2023 SCI-Expanded
PROFESÖR RESUL YILMAZ →
Makale Bilgileri
DergiFrontiers in Pediatrics
Yayın TarihiAğustos 2023
Cilt / Sayfa11
Scopus ID2-s2.0-85168386307
Erişim🔓 Açık Erişim
Özet
Introduction: Malnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies. Material and Method: In this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined. Results: Of the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% (n = 249) of the patients at day one upon admission to the intensive care unit. In the first 48 h, 86.82% (n = 533) of the patients achieved the target calorie intake, and 81.65% (n = 307) of the 376 patients remaining in the intensive care unit achieved the target calorie intake at the end of one week. The risk of mortality decreased with increasing upper mid-arm circumference and triceps skin fold thickness Z-score (OR = 0.871/0.894; p = 0.027/0.024). The risk of mortality was 2.723 times higher in patients who did not achieve the target calorie intake at first 48 h (p = 0.006) and the risk was 3.829 times higher in patients who did not achieve the target calorie intake at the end of one week (p = 0.001). The risk of mortality decreased with increasing triceps skin fold thickness Z-score (OR = 0.894; p = 0.024). Conclusion: Timely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score.
Yazarlar (61)
1
Merve Misirlioglu
ORCID: 0000-0003-0739-5108
2
Dincer Yildizdas
3
Faruk Ekinci
4
Ozden Ozgur Horoz
5
Gokhan Tumgor
6
Ahmet Yontem
7
Mehmet Nur Talay
8
Murat Kangin
9
Erennur Tufan
10
Selman Kesici
11
Nazik Yener
12
Hatice Elif Kinik Kaya
13
Merve Havan
14
Ali Tunc
15
Nihal Akçay
16
Esra Sevketoglu
17
Fatih Durak
18
Aysenur Ozel Dogruoz
19
Serhan Ozcan
20
Oktay Perk
21
Muhterem Duyu
22
Merve Boyraz
23
Mutlu Uysal Yazici
24
Zeynelabidin Ozturk
25
Mehmet Çeleğen
26
Aysegul Bukulmez
27
Ebru Kacmaz
28
Ener Cagri Dinleyici
29
Oguz Dursun
30
Alper Koker
31
Suleyman Bayraktar
32
Mey Talip Petmezci
33
Aygul Nabaliyeva
34
Hasan Agin
35
Pinar Hepduman
36
Emine Akkuzu
37
Tanil Kendirli
38
Hasan Ozen
39
Sevgi Topal
40
Çağlar Ödek
41
Murat Ozkale
42
Yasemin Ozkale
43
Gürkan Atay
44
Seher Erdoğan
45
Capan Konca
46
Guler Yapici
47
Gazi Arslan
48
Tolga Besci
49
Resul Yilmaz
50
Meltem Gumus
51
Arzu Oto
52
Tahir Dalkiran
53
Mehmet Mercan
54
Yasemin Çoban
55
Sevcan Ipek
56
Sukru Gungor
57
Ali Ertug Arslankoylu
58
Mehmet Alakaya
59
Ferhat Sari
60
Aylin Yucel
61
Abdullah Yazar
Anahtar Kelimeler
calorie intake
malnutrition
nutrition
pediatric intensive care unit
protein intake
Kurumlar
Adıyaman Training and Research Hospital
Adiyaman Turkey
Afyonkarahisar Health Sciences University
Afyonkarahisar Turkey
Akdeniz University, Faculty of Medicine
Antalya Turkey
Ankara City Hospital
Ankara Turkey
Ankara Üniversitesi
Ankara Turkey
Başkent Üniversitesi
Ankara Turkey
Bursa Uludağ Üniversitesi
Bursa Turkey
Çukurova Üniversitesi Tip Fakültesi
Adana Turkey
Dokuz Eylül Üniversitesi
Izmir Turkey
Erzurum Regional Training and Research Hospital
Erzurum Turkey
Eskişehir Osmangazi Üniversitesi Tip Fakültesi
Eskisehir Turkey
Hacettepe Üniversitesi
Ankara Turkey
Haseki Education and Research Hospital
Istanbul Turkey
Isparta City Hospital
Isparta Turkey
İstanbul Medipol Üniversitesi
Istanbul Turkey
Izmir Health Sciences University
Izmir Turkey
Kahramanmaras Sütçü Imam Üniversitesi
Kahramanmaras Turkey
Medeniyet University
Istanbul Turkey
Mersin City Training and Research Hospital
Mersin Turkey
Mersin Üniversitesi
Mersin Turkey
Muğla Sıtkı Koçman Üniversitesi
Mugla Turkey
Mustafa Kemal Üniversitesi
Antakya Turkey
Necip Fazil City Hospital
Kahramanmaras Turkey
Necmettin Erbakan Üniversitesi
Meram Turkey
Ondokuz Mayis University, Medical School
Samsun Turkey
Prof. Dr. Cemil Tascioglu City Hospital
Istanbul Turkey
Selçuk Tip Fakültesi
Konya Turkey
Umraniye Training and Research Hospital
Istanbul Turkey
University of Health Sciences
Istanbul Turkey
University of Health Sciences Bursa City Hospital
Bursa Turkey
Metrikler
3
Atıf
61
Yazar
5
Anahtar Kelime