Association between nutritional status and outcomes in critically‐ill pediatric patients – a systematic review

Objectives: To systematically review the evidence about the impact of nutritional status in critically‐ill pediatric patients on the following outcomes during hospitalization in pediatric intensive care units: length of hospital stay, need for mechanical ventilation, and mortality. Data source: The...

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Main Authors: Caroline A.D. Costa, Cristian T. Tonial, Pedro Celiny R. Garcia
Format: Article
Language:Portuguese
Published: Brazilian Society of Pediatrics 2016-05-01
Series:Jornal de Pediatria (Versão em Português)
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2255553616000288
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author Caroline A.D. Costa
Cristian T. Tonial
Pedro Celiny R. Garcia
author_facet Caroline A.D. Costa
Cristian T. Tonial
Pedro Celiny R. Garcia
author_sort Caroline A.D. Costa
collection DOAJ
description Objectives: To systematically review the evidence about the impact of nutritional status in critically‐ill pediatric patients on the following outcomes during hospitalization in pediatric intensive care units: length of hospital stay, need for mechanical ventilation, and mortality. Data source: The search was carried out in the following databases: Lilacs (Latin American and Caribbean Health Sciences), MEDLINE (National Library of Medicine United States) and Embase (Elsevier Database). No filters were selected. Results: A total of seven relevant articles about the subject were included. The publication period was between 1982 and 2012. All articles assessed the nutritional status of patients on admission at pediatric intensive care units and correlated it to at least one assessed outcome. A methodological quality questionnaire created by the authors was applied, which was based on some references and the researchers’ experience. All included studies met the quality criteria, but only four met all the items. Conclusion: The studies included in this review suggest that nutritional depletion is associated with worse outcomes in pediatric intensive care units. However, studies are scarce and those existing show no methodological homogeneity, especially regarding nutritional status assessment and classification methods. Contemporary and well‐designed studies are needed in order to properly assess the association between children's nutritional status and its impact on outcomes of these patients.
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spelling doaj.art-de099d9969bf4745ae48d30044d7a4332022-12-22T03:56:01ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362016-05-0192322322910.1016/j.jpedp.2016.02.010Association between nutritional status and outcomes in critically‐ill pediatric patients – a systematic reviewCaroline A.D. Costa0Cristian T. Tonial1Pedro Celiny R. Garcia2Pontifícia Universidade Católica do Rio Grande do Sul (PUC‐RS), Porto Alegre, RS, BrasilPontifícia Universidade Católica do Rio Grande do Sul (PUC‐RS), Porto Alegre, RS, BrasilPontifícia Universidade Católica do Rio Grande do Sul (PUC‐RS), Porto Alegre, RS, BrasilObjectives: To systematically review the evidence about the impact of nutritional status in critically‐ill pediatric patients on the following outcomes during hospitalization in pediatric intensive care units: length of hospital stay, need for mechanical ventilation, and mortality. Data source: The search was carried out in the following databases: Lilacs (Latin American and Caribbean Health Sciences), MEDLINE (National Library of Medicine United States) and Embase (Elsevier Database). No filters were selected. Results: A total of seven relevant articles about the subject were included. The publication period was between 1982 and 2012. All articles assessed the nutritional status of patients on admission at pediatric intensive care units and correlated it to at least one assessed outcome. A methodological quality questionnaire created by the authors was applied, which was based on some references and the researchers’ experience. All included studies met the quality criteria, but only four met all the items. Conclusion: The studies included in this review suggest that nutritional depletion is associated with worse outcomes in pediatric intensive care units. However, studies are scarce and those existing show no methodological homogeneity, especially regarding nutritional status assessment and classification methods. Contemporary and well‐designed studies are needed in order to properly assess the association between children's nutritional status and its impact on outcomes of these patients.http://www.sciencedirect.com/science/article/pii/S2255553616000288Nutritional statusPediatric intensive care unitMortalityLength of stayMechanical ventilation
spellingShingle Caroline A.D. Costa
Cristian T. Tonial
Pedro Celiny R. Garcia
Association between nutritional status and outcomes in critically‐ill pediatric patients – a systematic review
Jornal de Pediatria (Versão em Português)
Nutritional status
Pediatric intensive care unit
Mortality
Length of stay
Mechanical ventilation
title Association between nutritional status and outcomes in critically‐ill pediatric patients – a systematic review
title_full Association between nutritional status and outcomes in critically‐ill pediatric patients – a systematic review
title_fullStr Association between nutritional status and outcomes in critically‐ill pediatric patients – a systematic review
title_full_unstemmed Association between nutritional status and outcomes in critically‐ill pediatric patients – a systematic review
title_short Association between nutritional status and outcomes in critically‐ill pediatric patients – a systematic review
title_sort association between nutritional status and outcomes in critically ill pediatric patients a systematic review
topic Nutritional status
Pediatric intensive care unit
Mortality
Length of stay
Mechanical ventilation
url http://www.sciencedirect.com/science/article/pii/S2255553616000288
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AT cristianttonial associationbetweennutritionalstatusandoutcomesincriticallyillpediatricpatientsasystematicreview
AT pedrocelinyrgarcia associationbetweennutritionalstatusandoutcomesincriticallyillpediatricpatientsasystematicreview