Costa Caroline Abud Drumond, Garcia Pedro Celiny Ramos, Cabral Daiane Drescher, Tonial Cristian Tedesco, Bruno Francisco, Enloft Paulo Roberto, Velozo Kelly Daiane Stochero
Programa de Pós-Graduação em Pediatria e Saúde da Criança, Pontifícia Universidade Católica do Rio Grande do Sul - Porto Alegre (RS), Brasil.
Unidade de Terapia Intensiva Pediátrica, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul - Porto Alegre (RS), Brasil.
Rev Bras Ter Intensiva. 2018 Apr-Jun;30(2):160-165. doi: 10.5935/0103-507X.20180034.
To compare the prevalence of malnutrition during two time periods in a pediatric intensive care unit.
This was a retrospective cross-sectional study of patients admitted to the pediatric intensive care unit of a university hospital during two one-year periods with an interval of four years between them. Nutritional evaluation was conducted based on weight and height measured at admission. The body mass index-for-age was the parameter chosen to evaluate nutritional status, as classified according to the World Health Organization, according to age group.
The total sample size was 881 (406 in the contemporary sample and 475 in the historical sample). There was a significant reduction in malnutrition in the contemporary sample (p = 0.03). Malnourishment in patients in the historical sample was significantly associated with mortality and length of stay, while malnourishment in patients in the contemporary sample was not associated with worse outcomes.
There was a significant reduction in malnutrition among patients in the same pediatric intensive care unit when comparing the two time periods. Our findings of a change in nutritional profile in critically ill patients corroborate the nutritional status data of children and adolescents worldwide.
比较儿科重症监护病房两个时间段内营养不良的患病率。
这是一项回顾性横断面研究，研究对象为一所大学医院儿科重症监护病房在两个为期一年的时间段内收治的患者，两个时间段间隔四年。根据入院时测量的体重和身高进行营养评估。采用年龄别体重指数作为评估营养状况的参数，并根据世界卫生组织的标准按年龄组进行分类。
总样本量为881例（当代样本406例，历史样本475例）。当代样本中营养不良情况显著减少（p = 0.03）。历史样本中的患者营养不良与死亡率和住院时间显著相关，而当代样本中的患者营养不良与较差的预后无关。
比较两个时间段时，同一儿科重症监护病房患者的营养不良情况显著减少。我们关于危重症患者营养状况变化的研究结果证实了全球儿童和青少年的营养状况数据。
