Çocuk Yoğun Bakım Ünitesinde İzlenen Hastaların Beslenme Durumu ve Malnütrisyon Değerlendirmesi

Abstract

Background: Malnutrition, which occurs at the time of hospitalization or develops during follow-up, has a negative effect on patients in pediatric intensive care unit (PICU). In our study, we aimed to determine the malnutrition status at the time of hospitalization, the relationship of malnutrition status at hospitalization with mortality scores, as well as the changes in malnutrition status during hospitalization in PICU. Materials and Methods: Patients aged between 1 month and 18 years, who were hospitalized and followed up in PICU of our hospital for at least 7 days between January and June 2016, were included in our study. Pediatric Nutritional Risk Score (PNRS) scores were compared with Gomez and Waterlow scores when patients were discharged from the PICU. Results: Our study has included total 102 patients, weight loss was detected in 33 (32.3%) of the patients compared to hospitalization, while weight gain was detected in 44 (43.1%) patients. We detected newly developed malnutrition both at the time of admission and during the PICU follow-up. Patients with malnutrition at the time of discharge had a high PNRS score at admission. Conclusions: In conclusion, the malnutrition status and risk situations of patients should be determined and patient-specific nutritional strategies applied from the beginning of treatment in PICU.