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住院营养不良儿童的营养支持治疗:一项叙述性综述

Nutrition Support Therapy for Hospitalized Children with Malnutrition: A Narrative Review.

作者信息

AlQahtani Sheikha Nasser, AlGubaisi Sara, AlHaffaf Faisal Ahmed, Makki Rabab Jamel, Alohali Eman Ali, AlMadani Raneem Omran, AlSagiheer Haifa Mujahed, Al-Otaibi Mastourah Mousa, Mohammed Hossam Tawakol

机构信息

Department of Dietetics, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia.

Department of Pediatrics, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia.

出版信息

Healthcare (Basel). 2025 Feb 25;13(5):497. doi: 10.3390/healthcare13050497.

DOI:10.3390/healthcare13050497
PMID:40077059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11899272/
Abstract

Nutrition support is essential to improve clinical outcomes and prevent malnutrition-related complications in hospitalized children. This review aims to explore the latest international guidelines and recommendations for nutrition support therapy over the last decade. Many organizations and pediatric societies emphasize the importance of nutrition support therapy and the critical role of nutrition support teams in assessing and managing malnutrition, particularly after screening patients who are at high risk. Although current recommendations address gaps in clinical practice related to nutrition support, minor differences remain across guidelines due to geographical variations among these societies. A unified approach to implementing nutrition support therapy from admission to discharge, with a clear pathway and the involvement of competent healthcare providers, is needed in all healthcare settings. Furthermore, more in-depth systematic reviews, meta-analyses, and consensus statements that integrate guidelines from all societies are required. Such efforts would better support healthcare providers in aligning clinical practices with the highest standards of care.

摘要

营养支持对于改善住院儿童的临床结局及预防与营养不良相关的并发症至关重要。本综述旨在探讨过去十年中营养支持治疗的最新国际指南和建议。许多组织和儿科学会强调营养支持治疗的重要性以及营养支持团队在评估和管理营养不良方面的关键作用,尤其是在筛查高危患者之后。尽管当前的建议弥补了与营养支持相关的临床实践中的差距,但由于这些学会之间存在地域差异,各指南仍存在细微差别。在所有医疗环境中,都需要一种从入院到出院实施营养支持治疗的统一方法,要有明确的路径并让称职的医疗服务提供者参与其中。此外,还需要更深入的系统评价、荟萃分析以及整合所有学会指南的共识声明。这些努力将更好地支持医疗服务提供者使临床实践符合最高护理标准。

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