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NUTRITIONAL STATUS AND OUTCOMES AMONG 1 TO 59 MONTHS-OLD PATIENTS IN PEDIATRIC INTENSIVE CARE UNIT IN THE CHILDREN HOSPITAL 1 HO CHI MINH CITY
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Abstract
Malnutrition is commonly found in critically ill children and is related to mortality or prolonged durations of inpatient treatment. objective: To describe the nutritional status of critically ill patients and its relationship to clinical outcomes in PICU. Methods: A prospective case series study was conducted from 01 Jan 2015 to 30 June 2015 on 130 children of 1-59 months old in the PICU of the Children Hospital 1 in Hochiminh city. Results: Among a total of 130 patients, 33.8% were acutely malnourished, 38.3% had chronic malnutrition, and 36.9% were underweight at admission. The causes included septic shock (21.5%), severe sepsis (40.8%), congenital heart diseases (20.0%) and other causes (17.7%). Death occurred in 17 cases (13.1%), highest among patients with septic shock and congenital heart disease. During the treatment, 31.8% and 10.6% patients lost their weight over 5% on the 7th and 14th days, respectively. The lengths of stay and on ventilation at PICU were 10 (7; 21) and 8 (5; 12.5) days, respectively. There was no recorded relationship between nutritional status at admission and mortality or lengths of stay and on ventilation. Conclusion: Critically ill patients at PICU had 33.8% acute malnutrition at admission and 31.8% weight loss >5% at the 7th days after treatment. There was no recorded relationship between nutritional status and outcomes, probably because of influences of various etiologies.
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Keywords
Acute malnutrition, chronic malnutrition, critically ill patients, intensive care, Children Hospital No. 1
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