PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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(Article 75 | POJ_0069)

Submitted Abstracts

PENSA 2017 Congress

Submitted: August 10, 2017

Abstract ID = 39 | Classification: (8) - Pregnancy, neonatal, pediatric, lactatation

Title: Target calorie achieved and their outcome in critically ill children receiving enteral nutrition (EN) in a tertiary care centre in India

Author(s): Sreedharan L (1), Kandath S (2), Shankar B (1)

(1 = Clinical Dietetics, 2 = Critical Care)

Institution where study was conducted: Apollo Children’s Hospitals, Chennai, India

Keywords: Pediatric critical care , optimal Enteral Nutrition, outcome

Background: Provision of optimal nutrition for children in critical care is often challenging.

Objectives: To assess the target energy achieved in critically ill children receiving EN and to describe their relationship to clinical outcomes.

Methods: Retrospective study was conducted from January 2016-December 2016. Children who received EN for ≥ 3 days in the intensive care unit (ICU) were included. They were categorized according to the percentage of target calorie achieved (Group A ≥ 75 % and Group B < 75 %).

Results: 33 children were enrolled in the study. An average of 82.2 % and 55.2 % target calories was achieved in Group A and Group B. Group B had a higher mean feed initiation (27.2± 2.1 hours) and higher feed interruptions (5.6 ± 3.2 hours). Fluids delivered in Group B (61%) were less than Group A (87%). A greater proportion of fluid delivered as EN (p<0.001) was associated with mean energy intake during stay. Fasting (22%),fluid restriction (55%) for clinical reasons and interruptions (22%) for procedures were the most common reasons why target calorie requirements were not met in Group B. The average length of stay (ALOS) in ICU (4.00 ± 0.4 days) and hospital (5.7 ± 1.4 days) was less in the Group A.

Conclusion: Intake of a higher percentage of prescribed dietary energy goal via enteral route could be associated with reduced length of stay. Therefore delivery of EN should be prioritized over other “non-nutritional” fluids to meet the target calorie.