Anthropometric profile and associated variables of patients admitted to a pediatric intensive care unit

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.20959

Keywords:

Anthropometric status; Nutritional assessment; Pediatric intensive care unit.

Abstract

Introduction: The diagnosis of malnutrition and signs of nutritional risk, if identified, are fundamental for individualized dietary intervention in critically ill patients to ensure an improvement in nutritional status and clinical outcomes of these patients. Objective: To evaluate the anthropometric status of patients admitted to a PICU, as well as to verify its association with age, length of stay and clinical outcomes. Methods: Observational, cross-sectional and retrospective study. The sample was composed of 88 patients hospitalized from February to July 2019. Assessments of the anthropometric status of the patients were performed. Variables collected included demographic data, clinical diagnosis, length of stay, and reason for patient discharge. Analyses were performed in the SPSS version 20.0 program. Categorical variables were presented as absolute and relative frequencies, and continuous variables as medians and interquartile ranges. To evaluate the association between variables, the chi-square test was used. Results: According to the anthropometric evaluation of the patients 63.2% were eutrophic, 8.1% were overweight and 28.7% were malnourished, of these 68% were severely malnourished. There was no statistically significant association between the variables analyzed. Conclusion: Evaluation of the anthropometric status of critically ill patients admitted to the Pediatric ICU in this study showed a high percentage of malnourished children and no statistically significant association between anthropometric status, age, length of stay and the outcomes length of stay and death.

References

Batista, I. G. S., Gomes, A. C. V., Olinto, E. O. S. et al. (2021). Estado nutricional de pacientes críticos pediátricos: associação com o quadro clínico e desfecho terapêutico. Brazilian Journal of Health Review, Curitiba. 4(1), 1669-86.

Bejon, P.; Mohammed, S., Mwangi, I., Atkinson, S. H., Osier, F., Peshu, N., Newton, C. R.; Maitland, K. & Berkley, J. A. (2008). Fraction of all hospital admissions and deaths attributable to malnutrition among children in rural Kenya. Am J Clin Nutr. 88, 1626-31.

Bechard, L. J., Duggan, C, Touger-Decker, R, Parrot, J. S., Rothpletz-Puglia, P., Byham-Gray, L. et al. (2016). 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. 44, 1530–7

Brooks, J. et al. (2011). Low weight, morbidity, and mortality in children with cerebral palsy: new clinical growth charts. Pediatrics. 128(2).

Cameron, J. W., Rosenthal, A. & Olson, A. D. (1995). Malnutrition in hospitalized children with congenital heart disease. Arch Pediatr Adolesc Med. 149, 1098-102.

Costa, G. A., Delgado, A. F., Ferraro, A. & Okay, T. S. (2010). Application of the pediatric risk of mortality (PRISM) score and determination of mortality risk factors in a tertiary pediatric intensive care unit. Clinics. 65(11), 1087-92.

Ferreira, H. S. (2000). Avaliação Nutricional de crianças pelo método antropométrico. In: Ferreira HS. Desnutrição, magnitude, significado social e possibilidade de prevenção. Maceió: Edufal;.2, 33-89.

Hecht, C., Weber, M., Grote, V., Daskalou, E, Dell’era, L., Flynn, D. et al. (2014). Disease associated malnutrition correlates with length of hospital stay in children. Clin Nutr. 34(1), 53-59.

Hulst, J., Joosten, K., Zimmermann, L., Hop, W., Van Buuren, S., Büller, H. et al. (2004). Malnutrition in critically ill children: from admission to 6 months after discharge. Clin Nutr. 23, 223-32.

Ista, E. & Joosten, K. (2005). Nutritional assessment and enteral support of critically ill children. Crit Care Nurs Clin North Am. 17, 385-93.

Jacquot, A., Valla, F. V., Mura, T., Tume, L. N., Bertet, H., Ford-Chessel, C., Milesi, C. et al. (2019). “Nutri-reaped study: nutritional assessment of French critically ill children and nutrition practice survey in French-speaking pediatric intensive care units.” Annals of intensive care. 9(15), 2-11.

Jiménez, G. R. & Santana, P. S. (2011) Estado nutricional de los niños atendidos en el Hospital Pediátrico “Juan Manuel Márquez”, De La Habana (Cuba). Rev Cubana Aliment Nutr. 21(2), 236-47.

Lim, S. L., Ong, K. C. B., Chan, Y. H., Loke, W. C., Ferguson, M. & Daniels, L. (2012). Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr. 31(3), 345-50.

Mesquita, M., Iramain, R., Chavez, A., Avalos, S. & Duarte, A. (2008). Estado nutricional em la unidad de Cuidados Intensivos Pediátricos: influye sobre la morbimortalidad? Pediatría (Asunción). 35, 88-94.

Minamisawa, R. et al. (2004). Fatores associados ao baixo peso ao nascer no Estado de Goiás. Revista Eletrônica de Enfermagem. 6, 336-49.

Netto, L. A., Muniz, V. M., Zandonade, E., Maciel, E. L. N., Bortolozzo, R. N., Costa, N. F. et al. (2014). Performance of the Pediatric Index of Mortality 2 in a pediatric intensive care unit. Revista Brasileira de Terapia Intensiva. 26(1), 44-50.

Oliveira, C. A. S., Pinto, F. C. C., Vasconcelos, T. B. & Bastos, V. P. D. (2017). Análise de indicadores assistenciais em uma Unidade de Terapia Intensiva Pediátrica na cidade de Fortaleza/CE. Cad. Saúde Colet., Rio de Janeiro. 25 (1), 99-105.

Pawellek, I., Dokoupil, K. & Kaletzo, B. (2008). Prevalence of malnutrition in paediatric hospital patients. Clin Nutr. 27(1), 72-76.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.

Prince, N. J., Brown, K. L., Mebrahtu, T. F., Parslow, R. C. & Peters, M. J. (2014). Weight-for-age distribution and case-mix adjusted outcomes of 14,307 paediatric intensive care admissions. Intensive Care Medicine. 40(8), 1132-39.

Ribeiro, V. A. A., Thaisy, C. H. S. & Fatal, L. B. S. (2017). Pacientes pediátricos hospitalizados: evolução do estado nutricional e fatores associados. BRASPEN J 2018. 33(1), 32-8.

Rocha, G. A., Rocha, E. J. M. & Martins, C. V. (2006). Hospitalização: efeito sobre o estado nutricional em crianças. J. Pediatr. (Rio J.), Porto Alegre. 82(1), 70-74.

Rugolo, L. M. S. S. (2011). Manejo do recém-nascido pré-termo tardio: peculiaridades e cuidados especiais. Sociedade Brasileira de Pediatria. 1-13.

Sarni, R. O. S., Carvalho, M. F. C. C., Monte, C. M. G., Albuquerque, Z. P. & Souza, F. I. S. (2009). Anthropometric evaluation, risk factors for malnutrition, and nutritional therapy for children in teaching hospitals in Brazil. J Pediatr. (Rio J). 85(3), 223-8.

Sigulem, D. M., Devincenzi, M. U. & Lessa, A.C. (2000) Diagnóstico do estado nutricional da criança e do adolescente. J Pediatr. (Rio J). 76, 275-84.

Silva, A. C.; Calmon, L. S.; Leite, L. O. & Fatal, L. B. S. (2021). Adequação Calórico-Proteica e Nutrição Enteral Precoce em uma Unidade de Terapia Intensiva Pediátrica: um estudo observacional / caloric-protein adequacy and early enteral nutrition in an intensive care unit pediatric. Brazilian Journal Of Health Review, [S.L.], South Florida Publishing LLC. 4(3), 13124-37.

Silva, E. P. & Tiengo, A. (2014). Perfil Nutricional de Crianças Hospitalizadas e sua Relação com o Período de Internação em um Hospital de Ensino no Sul de Minas Gerais. Revista Ciências em Saúde. 4(4), 3.

Silveira, C. R. M., Mello, E. D. & Carvalho, P. R. A. (2008). Evolution of nutritional status of pediatric in patients of a tertiary care general hospital in Brazil. Nutr Hosp. 23(6), 599-606.

Simões, A. P. B. et al. (2010). Estado nutricional de crianças e adolescentes hospitalizados em enfermaria de cirurgia pediátrica. Rev Paul Pediatr. 28(1):41-7.

Souza, M. F., Leite, H. P. & Koch, N. P. C. (2012). Malnutrition as an independent predictor of clinical outcome in critically ill children. Nutrition. 28(3):267–70.

Vermilyea, S., Slicker, J., El-Chamas, K., Sultan, M., Dasqupta, M., Hoffmann, R. et al. (2013). Subjective global assessment in criticallychildren. J Parenter Enter Nutr. (37):659- 666.

World Health Organization, Food and Agriculture Organization of the United Nations. (2018). Driving commitment for nutrition within the UN Decade of Action on Nutrition: policy brief. Geneva: World Health Organization; (WHO/NMH/NHD/17.11).

WHO Multicentre Growth Reference Study Group – WHO Child Growth standards based on length/height, weight and age. (2006). In: De Onis, M; Garza, C; Onyango, AW and Martorell, R, Guest Editors – WHO Child Growth Standards, Acta Paediatrica. 95 (450), 76-85.

World Health Organization. Growth reference data for 5-19 years, WHO reference (2007). Available at: < http://www.who.int/growthref/en/>.

Published

21/10/2021

How to Cite

CALMON, L. S. .; SILVA, A. C. da .; LEITE, L. de O. .; FATAL, L. B. da S. . Anthropometric profile and associated variables of patients admitted to a pediatric intensive care unit . Research, Society and Development, [S. l.], v. 10, n. 13, p. e545101320959, 2021. DOI: 10.33448/rsd-v10i13.20959. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20959. Acesso em: 7 dec. 2021.

Issue

Section

Health Sciences