Abstract
Objective To assess nutritional status of critically ill children, and to investigate the correlation of nutritional status with illness severity and clinical outcomes, so as to provide a theoretical basis for rational nutrition support of critically ill children. Methods All patients hospitalized in the pediatric intensive care unit of Beijing Children' s Hospital from November, 2010 to January 2011 were enrolled and studied prospectively. We collected anthropometric parameters (body length/height, body weight, head circumference, etc) for nutritional assessment, as well as their clinical data such as underlying diseases, pediatric risk of mortality scores (PRISM) , length of hospital stay and mechanical ventilation duration. Results In 196 cases , the prevalence of malnutrition was 21.9% (43/196). Malnutrition group had greater PRISM scores, higher mechanical ventilation rate and a lower 28-day survival rate than normal nutritional status group (allP <0.05). Conclusions The prevalence of malnutrition on admission to the PICU was high and poor nutritional status indicated greater illness severity and adverse clinical outcomes Key words: Critical illness; Malnutrition; Anthropometry; Nutritional status; Pediatric critical illness score; Pediatric risk of mortality scores; Severity of diseases; Clinical outcomes.
Published Version
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