Abstract
Objective To investigate the nutritional status of children with mechanical ventilation, explore the influencing factors of nutritional status, and provide a basis for clinical nutrition support for children with mechanical ventilation. Methods The children with mechanical ventilation who had ventilated for more than 5 days during the period from February 1, 2017 to October 31, 2017 were selected as subjects.According to the mechanical ventilation time, they were divided into group A (5-16 d) and group B(17-29 d). We assessed malnutrition, screened nutritional risk, and measured albumin both on the admission and withdrawal of the ventilator, respectively.We also calculated the average caloric intake value (EI) and fluid volume during mechanical ventilation.Measured resting energy expenditure (MREE)was calculated by using the Schofield-HTWT formula.Feeding status during mechanical ventilation was assessed by average EI/MREE. Results The incidence of malnutrition at admission was 36.1%(13/36), and the incidence of malnutrition was 55.6%(20/36) when evacuated from the ventilator.There was a significant difference(P<0.05). The incidence of malnutrition was similar in group A and group B on admission, but the incidence of malnutrition in group B(62.5%) was significantly higher than that in group A (53.6%) when weaning.The average calorie in group B[(32.25±7.36)kcal/(kg·d)]was significantly lower than that in group A[(40.11±6.00)kcal/(kg·d)]. The mechanical ventilation time of group B[(540.63±89.66)h]was significantly longer than that of group A[(224.46±64.06)h](P<0.05). Conclusion Children with mechanical ventilation in the PICU have a higher incidence of malnutrition and the nutritional status deteriorates further during hospitalization, which may be related to calorie supply, duration of mechanical ventilation, fluid volume, and primary disease. Key words: Mechanical ventilation; Nutritional status; Malnutrition assessment; Nutritional risk screening
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
