Winderlich Jacinta, Little Bridget, Oberender Felix, Bollard Tessa, Farrell Tamara, Jenkins Samantha, Landorf Emma, McCall Andrea, Menzies Jessica, O'Brien Katie, Rowe Carla, Sim Kirsten, van der Wilk Melanie, Woodgate Jemma, Paul Eldho, Udy Andrew A, Ridley Emma J
Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Paediatric Intensive Care Unit, Monash Children's Hospital, Melbourne, Victoria, Australia.
J Pediatr Gastroenterol Nutr. 2025 Jan;80(1):209-217. doi: 10.1002/jpn3.12387. Epub 2024 Oct 23.
The role of nutrition in the recovery of critically ill children has not been investigated and current nutrition provision in the post-pediatric intensive care unit (PICU) period is unknown. The primary objective of this study was to describe ward nutrition support in children following PICU discharge.
Children up to 18 years admitted to one of nine PICUs over a 2-week period with a length of stay >48 h were enrolled. Data were collected on the first full ward day following PICU discharge and on Days 7, 14, 21, and 28 following PICU admission. Data points included oral intake, enteral (EN) and parenteral nutrition (PN) support, and oral and EN energy and protein provision.
Among the 108 children, on the first full ward day 75/108 (69%) children received EN, 54/108 (50%) oral intake, and 8/108 (7%) PN. Of those receiving oral nutrition only on the first full ward day (25/108; 23%), 9/25 (36%) received <50% of their estimated energy and protein requirements. Of those provided EN only, and where nutrition targets were known, on the first full ward day 8/46 (17%) and 7/46 (15%) met <75% of their estimated energy and protein requirements, respectively. On Day 28, this increased to 4/12 (33%) and 5/12 (42%).
In this study of ward-based nutrition support, key findings included consistent use of EN and PN up to at least 28 days following PICU admission, and a high proportion of children receiving EN or oral intake only not meeting their estimated energy and protein requirements.
尚未对营养在危重症儿童康复中的作用进行研究，且目前小儿重症监护病房（PICU）后期的营养供应情况尚不清楚。本研究的主要目的是描述PICU出院后儿童的病房营养支持情况。
纳入在2周内入住9个PICU之一、住院时间>48小时的18岁以下儿童。在PICU出院后的第一个完整病房日以及PICU入院后的第7、14、21和28天收集数据。数据点包括口服摄入量、肠内营养（EN）和肠外营养（PN）支持，以及口服和EN的能量和蛋白质供应。
在108名儿童中，在第一个完整病房日，75/108（69%）的儿童接受EN，54/108（50%）有口服摄入量，8/108（7%）接受PN。在第一个完整病房日仅接受口服营养的儿童中（25/108；23%），9/25（36%）摄入的能量和蛋白质不足估计需求量的50%。在仅接受EN且已知营养目标的儿童中，在第一个完整病房日，8/46（17%）和7/46（15%）分别摄入的能量和蛋白质不足估计需求量的75%。到第28天，这一比例分别增至4/12（33%）和5/12（42%）。
在这项关于病房营养支持的研究中，主要发现包括PICU入院后至少28天内持续使用EN和PN，以及很大一部分仅接受EN或口服营养的儿童未达到其估计的能量和蛋白质需求。
