Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report
Nutrition in pediatric populations who require life-saving extracorporeal membrane oxygenation (ECMO) remains a debate. We sought to identify if nutritional needs were met in a patient cohort. A retrospective chart review of patients (N = 64) requiring ECMO at Helen DeVos Children’s Hospital between...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/14/3221 |
| _version_ | 1797587964675489792 |
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| author | Megan Brackmann Annika Lintvedt Benjamin Kogelschatz Erika Heinze Jessica L. Parker Karen Ferguson Elizabeth Rosner Brian Boville Mara L. Leimanis-Laurens |
| author_facet | Megan Brackmann Annika Lintvedt Benjamin Kogelschatz Erika Heinze Jessica L. Parker Karen Ferguson Elizabeth Rosner Brian Boville Mara L. Leimanis-Laurens |
| author_sort | Megan Brackmann |
| collection | DOAJ |
| description | Nutrition in pediatric populations who require life-saving extracorporeal membrane oxygenation (ECMO) remains a debate. We sought to identify if nutritional needs were met in a patient cohort. A retrospective chart review of patients (N = 64) requiring ECMO at Helen DeVos Children’s Hospital between 2018 and 2022 was evaluated for demographics, daily nutritional data, laboratory values, ECMO complications, and outcome data, with primary outcome measures of percent protein and percent caloric intake. Secondary outcome measures included the intensive care unit length of stay, time on ECMO, mortality, and day 1 severity of illness scores (Pediatric Logistic Organ Dysfunction). The timeline partially overlapped with the COVID-19 pandemic. Data were collected for 467 ECMO days with a median age of 2.6 months; 57.8% of patients were male and 65.6% were with one pre-existing comorbidity. Venoarterial (VA) ECMO was utilized in 84.4% of patients; the ECMO indication was cardiac in 53.1% of patients. The 28-day mortality was 43.8%. The proportion of days in which the caloric goal was met was 0%; the proportion of days in which protein goals were met was 33.3%. Non-cardiac ECMO patients had a greater number of days where caloric goals were met (<i>p</i>-value = 0.04). Mortality at 28 days was not statistically significant (<i>p</i>-value = 0.28) for calories or protein administered. The patient cohort struggled to meet calorie and protein goals while on ECMO. |
| first_indexed | 2024-03-11T00:46:20Z |
| format | Article |
| id | doaj.art-cd81a973406649729907df39518da41a |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T00:46:20Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-cd81a973406649729907df39518da41a2023-11-18T20:48:59ZengMDPI AGNutrients2072-66432023-07-011514322110.3390/nu15143221Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center ReportMegan Brackmann0Annika Lintvedt1Benjamin Kogelschatz2Erika Heinze3Jessica L. Parker4Karen Ferguson5Elizabeth Rosner6Brian Boville7Mara L. Leimanis-Laurens8Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USADepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USADepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USACorewell Health, Grand Rapids, MI 49503, USACorewell Health, Grand Rapids, MI 49503, USAPediatric Critical Care Medicine, Helen DeVos Children’s Hospital, Grand Rapids, MI 49503, USADepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USADepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USADepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USANutrition in pediatric populations who require life-saving extracorporeal membrane oxygenation (ECMO) remains a debate. We sought to identify if nutritional needs were met in a patient cohort. A retrospective chart review of patients (N = 64) requiring ECMO at Helen DeVos Children’s Hospital between 2018 and 2022 was evaluated for demographics, daily nutritional data, laboratory values, ECMO complications, and outcome data, with primary outcome measures of percent protein and percent caloric intake. Secondary outcome measures included the intensive care unit length of stay, time on ECMO, mortality, and day 1 severity of illness scores (Pediatric Logistic Organ Dysfunction). The timeline partially overlapped with the COVID-19 pandemic. Data were collected for 467 ECMO days with a median age of 2.6 months; 57.8% of patients were male and 65.6% were with one pre-existing comorbidity. Venoarterial (VA) ECMO was utilized in 84.4% of patients; the ECMO indication was cardiac in 53.1% of patients. The 28-day mortality was 43.8%. The proportion of days in which the caloric goal was met was 0%; the proportion of days in which protein goals were met was 33.3%. Non-cardiac ECMO patients had a greater number of days where caloric goals were met (<i>p</i>-value = 0.04). Mortality at 28 days was not statistically significant (<i>p</i>-value = 0.28) for calories or protein administered. The patient cohort struggled to meet calorie and protein goals while on ECMO.https://www.mdpi.com/2072-6643/15/14/3221extracorporeal membrane oxygenationnutritional needslength of staymortalitycaloric and protein goalspediatric intensive care unit |
| spellingShingle | Megan Brackmann Annika Lintvedt Benjamin Kogelschatz Erika Heinze Jessica L. Parker Karen Ferguson Elizabeth Rosner Brian Boville Mara L. Leimanis-Laurens Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report Nutrients extracorporeal membrane oxygenation nutritional needs length of stay mortality caloric and protein goals pediatric intensive care unit |
| title | Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report |
| title_full | Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report |
| title_fullStr | Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report |
| title_full_unstemmed | Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report |
| title_short | Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report |
| title_sort | daily nutritional intake of pediatric patients n 64 on extracorporeal membrane oxygenation from 2018 to 2022 a single center report |
| topic | extracorporeal membrane oxygenation nutritional needs length of stay mortality caloric and protein goals pediatric intensive care unit |
| url | https://www.mdpi.com/2072-6643/15/14/3221 |
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