Current situation of enteral nutrition interruptions in sepsis children in pediatric intensive care unit
10.3760/cma.j.issn.0578-1310.2016.09.007
- VernacularTitle:儿科重症监护病房内脓毒症患儿肠内营养中断现状
- Author:
Boliang FANG
1
;
Suyun QIAN
;
Xinlei JIA
;
Zheng LI
;
Jun LIU
Author Information
1. 100045,首都医科大学附属北京儿童医院重症医学科
- Keywords:
Child;
Intensive care unit,pediatric;
Sepsis;
Enteral nutrition;
Prognosis
- From:
Chinese Journal of Pediatrics
2016;54(9):665-668
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the interruptions of enteral nutrition (EN) and it's relationship to prognosis in children with sepsis in pediatric intensive care unit (PICU).Method Daily EN intake and reasons for EN interruptions were prospectively observed and recorded in children with sepsis who were admitted to our PICU from November 2012 to April 2013.Clinical prognosis was compared between children with and without EN interruptions by t,rank-sum and x2 tests.Result Totally 60 consecutive children were included,42 males,median age 9.67 (5.36,37.0) months;50 children suffered from EN interruptions,while 10 children did not.Median time to EN initiation was 2.59 (1.53,3.67) h;EN was interrupted in 83％ (50/60) of children,for a total of 108 times and 696 h,the most common reasons were fibrobronchoscopy and radiologic procedures,27 and 29 times respectively.Children spent 0.04 (0.02,0.08) of their total observation period without EN nutrition due to EN interruptions,and was not correlated with pediatric critically ill score (r =0.12,P =0.38).Children with EN interruptions suffered from longer PICU duration ((12 ± 7) vs.(7 ± 4) d,t =2.18,P =0.03),but there was no significant difference in the 28th hospital day's mortality between these two groups (6 cases vs.1 case,x2 =0.00,P =1.00).Conclusion EN is frequently interrupted due to procedures needed fasting,EN intolerance and other reasons in children with sepsis.EN interruptions may have something to do with prolonged PICU length of stay,but the relationship needs to be examined in future studies.
