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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