Best evidence summary of prevention and management of enteral nutrition interruption in critically ill children
10.3760/cma.j.cn115682-20220826-04185
- VernacularTitle:危重症患儿肠内营养中断预防与管理的最佳证据总结
- Author:
Tong SHAO
1
;
Jie GUO
;
Junna WANG
;
Wei LI
Author Information
1. 郑州大学附属儿童医院 河南省儿童医院 郑州儿童医院内科监护室，郑州 450018
- Keywords:
Intensive care;
Critically ill children;
Enteral nutrition interruption;
Prevention and management;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(20):2759-2765
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and summarize the evidence on the prevention and management of enteral nutrition interruption in critically ill children, to provide evidence-based basis for guiding the prevention and management of enteral nutrition interruption.Methods:All the evidence on prevention and management of enteral nutrition interruption in critically ill children, including guidelines, evidence summaries, systematic reviews, best practice information books, clinical decision-making, recommended practices, expert consensus and original research was searched in the Joanna Briggs Institute (JBI) Evidence-Based Health Care Center Database, British Medical Journal Best Practice, UpToDate, National Institute for Health and Care Excellence, New Zealand Guideline Group, Guidelines International Network, Scottish Intercollegiate Guideline Network, Registered Nurses' Association of Ontario, Australian Clinical Practice Guidelines, Medlive, American Society for Parenteral and Enteral Nutrition, American Society of Critical Care Medicine, European Society of Intensive Care Medicine, European Society for Clinical Nutrition and Metabolism, Malnutrition and Nutritional Care in the UK, Chinese Medical Association, CINAHL, Cochrane Library, PubMed, Web of Science, Embase, China Biology Medicine disc, WanFang Data, CNKI, and VIP. The retrieval period was from the establishment of the database to May 27, 2022.Results:A total of 26 articles were included, including 2 guidelines, 2 expert consensuses, 1 systematic review, 4 randomized controlled trials, 3 quasi experimental studies, 6 cohort studies, 3 case-control studies, 4 cross-sectional surveys and 1 case series. 20 pieces of evidence in 5 categories including definition, status, harms, predictors, prevention and management of enteral nutrition interruption were summarized .Conclusions:The evidence summary process is scientific, rigorous, and comprehensive in content. Medical and nursing staff should choose the best evidence based on specific situations and individual patient's factors during the evidence conversion process, to prevent and manage enteral nutrition interruption in critically ill children, and improve their clinical outcomes.
