Chinese guidelines for the assessment and provision of nutrition support therapy in critically ill children
查看参考文献51篇
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文摘
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Background 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. |
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来源
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World Journal of Pediatrics
,2018,14(5):419-428 【核心库】
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DOI
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10.1007/s12519-018-0175-1
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关键词
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Adolescents
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Children
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Critical illness
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Enteral nutrition
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Indirect calorimetry
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Infant
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Malnutrition
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Nutrition assessment
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Parenteral nutrition
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Pediatric
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Resting energy expenditure
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地址
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1.
Children's Hospital, Fudan University, Shanghai, 201100
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Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045
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Children's Hospital of Chongqing Medical University, Chongqing, 400010
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Shanghai Children's Medical Center, Shanghai, 200127
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Shengjing Hospital of China Medical University, Shenyang, 110004
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The Capital Institute of Pediatrics, Beijing, 100020
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Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, 200062
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Boai Hospital of Zhongshan Affiliated to Southern Medical University, Zhongshan, 528400
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Hunan Provincial People's Hospital, Changsha, 410005
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语种
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英文 |
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文献类型
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研究性论文 |
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ISSN
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1708-8569 |
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学科
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医药、卫生 |
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基金
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funded in total by internal funds from the Emergency group of Chinese Pediatrics Society
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Pediatrics Group of Chinese Emergency Society, both of which are affiliated to the Chinese Medical Association
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文献收藏号
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CSCD:6347882
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参考文献 共
51
共3页
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1.
Ross P A. Obesity and mortality risk in critically ill children.
Pediatrics,2016,137:e20152035
|
CSCD被引
3
次
|
|
|
|
|
2.
Bechard L J. Nutritional status based on body mass index is associated with morbidity and mortality in mechanically ventilated critically ill children in the PICU.
Crit Care Med,2016,44:1530-1537
|
CSCD被引
4
次
|
|
|
|
|
3.
Gerasimidis K. A four stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital.
Br J Nutr,2010,104:751-756
|
CSCD被引
25
次
|
|
|
|
|
4.
Chourdakis M. Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population.
Am J Clin Nutr,2016,103:1301-1310
|
CSCD被引
11
次
|
|
|
|
|
5.
Spagnuolo M I. Application of a score system to evaluate the risk of malnutrition in a multiple hospital setting.
Ital J Pediatr,2013,39:81
|
CSCD被引
7
次
|
|
|
|
|
6.
Huysentruyt K. The STRONG(kids) nutritional screening tool in hospitalized children: a validation study.
Nutrition,2013,29:1356-1361
|
CSCD被引
9
次
|
|
|
|
|
7.
Moeeni V. Assessment of nutritional status and nutritional risk in hospitalized Iranian children.
Acta Paediatr,2012,101:e446-e451
|
CSCD被引
7
次
|
|
|
|
|
8.
Vazquez Martinez J L. Predicted versus measured energy expenditure by continuous, online indirect calorimetry in ventilated, critically ill children during the early postinjury period.
Pediatr Crit Care Med,2004,5:19-27
|
CSCD被引
5
次
|
|
|
|
|
9.
Verhoeven J J. Comparison of measured and predicted energy expenditure in mechanically ventilated children.
Intensive Care Med,1998,24:464-468
|
CSCD被引
4
次
|
|
|
|
|
10.
White M S. Energy expenditure in 100 ventilated, critically ill children: improving the accuracy of predictive equations.
Crit Care Med,2000,28:2307-2312
|
CSCD被引
3
次
|
|
|
|
|
11.
Mtaweh H. Energy expenditure in children after severe traumatic brain injury.
Pediatr Crit Care Med,2014,15:242-249
|
CSCD被引
4
次
|
|
|
|
|
12.
Coss-Bu J A. Resting energy expenditure and nitrogen balance in critically ill pediatric patients on mechanical ventilation.
Nutrition,1998,14:649-652
|
CSCD被引
3
次
|
|
|
|
|
13.
de Klerk G. Serial measurements of energy expenditure in critically ill children: useful in optimizing nutritional therapy?.
Intensive Care Med,2002,28:1781-1785
|
CSCD被引
3
次
|
|
|
|
|
14.
Joosten K F. Energy expenditure and substrate utilization in mechanically ventilated children.
Nutrition,1999,15:444-448
|
CSCD被引
3
次
|
|
|
|
|
15.
Coss-Bu J A. Resting energy expenditure in children in a pediatric intensive care unit: comparison of Harris-Benedict and Talbot predictions with indirect calorimetry values.
Am J Clin Nutr,1998,67:74-80
|
CSCD被引
4
次
|
|
|
|
|
16.
Hong L. Resting energy expenditure in critically ill children with mechanical ventilation.
Chin J Clin Nutr. (in Chinese),2015,23:1-7
|
CSCD被引
1
次
|
|
|
|
|
17.
Oosterveld M J. Energy expenditure and balance following pediatric intensive care unit admission: a longitudinal study of critically ill children.
Pediatr Crit Care Med,2006,7:147-153
|
CSCD被引
7
次
|
|
|
|
|
18.
Mehta N M. Cumulative energy imbalance in the pediatric intensive care unit: role of targeted indirect calorimetry.
JPEN J Parenter Enteral Nutr,2009,33:336-344
|
CSCD被引
6
次
|
|
|
|
|
19.
White M S. Energy expenditure measurements in ventilated critically ill children: withinand between-day variability.
JPEN J Parenter Enteral Nutr,1999,23:300-304
|
CSCD被引
2
次
|
|
|
|
|
20.
Framson C M. Energy expenditure in critically ill children.
Pediatr Crit Care Med,2007,8:264-267
|
CSCD被引
8
次
|
|
|
|
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