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ESICM LIVES 2016: part three

GETGAG Working GroupTexas Children’s Hospital, Clinical Nutriiton, Houston, USAT. VelasquezTexas Children’s Hospital, Intensive Care, Houston, USACAPCRI StudyTexas Children’s Hospital, Intensive Care, Houston, USAfrom the FROG ICU InvestigatorsTexas Children’s Hospital, Intensive Care, Houston, USAThe WIND study groupTexas Children’s Hospital, Intensive Care, Houston, USAPlug Working GroupTexas Children’s Hospital, Intensive Care, Houston, USAGETGAG/SEMICYUCTexas Children’s Hospital, Intensive Care, Houston, USAIPREA Study GroupKochi Medical School, Department of Anesthesiology and Intensive Care Medicine, Nankoku, JapanFINNRESUSCI Study GroupKochi Medical School, Department of Anesthesiology and Intensive Care Medicine, Nankoku, JapanENVIN-HELICS Study GroupKochi Medical School, Department of Anesthesiology and Intensive Care Medicine, Nankoku, JapanARIAM registry of adult cardiac surgeryKochi Medical School, Department of Anesthesiology and Intensive Care Medicine, Nankoku, JapanThe Rapid Diagnosis of Infections in the Critically Ill TeamKochi Medical School, Department of Anesthesiology and Intensive Care Medicine, Nankoku, JapanPS-ICU GroupVall d’ Hebron University Hospital, Critical Care Department, Barcelona, SpainJapan Septic Disseminated Intravascular Coagulation (JSEPTIC DIC) study groupVall d’ Hebron University Hospital, Critical Care Department, Barcelona, SpainARIAM-ANDALUCIAVall d’ Hebron University Hospital, Anesthesia & Reanimation Department, Barcelona, SpainG. MackeySagrat Cor University Hospital, Critical Care Department, Barcelona, SpainJ. LuskVall d’ Hebron University Hospital, Critical Care Department, Barcelona, SpainUrsula G. KyleVall d’ Hebron University Hospital, Critical Care Department, Barcelona, SpainTaylor FontenotVall d’ Hebron University Hospital, Critical Care Department, Barcelona, SpainPeter MarshallVall d’ Hebron University Hospital, Critical Care Department, Barcelona, SpainL. S. ShekerdemianVall d’ Hebron University Hospital, Critical Care Department, Barcelona, SpainJ. A. Coss-BuSt Elisabeth Twee Steden Hospital, ICU, Tilburg, NetherlandsA. NishigakiSt Elisabeth Twee Steden Hospital, ICU, Tilburg, NetherlandsTomoaki YatabeSt Elisabeth Twee Steden Hospital, ICU, Tilburg, NetherlandsT. TamuraSt Elisabeth Twee Steden Hospital, ICU, Tilburg, NetherlandsKoichi YamashitaNational Institute of Cardiovascular Diseases, PCICU, Bratislava, SlovakiaM. YOKOYAMANational Institute of Cardiovascular Diseases, Bratislava, SlovakiaJuan Carlos Ruiz‐RodríguezNational Institute of Cardiovascular Diseases, Pediatric Cardiac Intensive Care Unit, Bratislava, SlovakiaB. EncinaTexas Children’s Hospital, Intensive Care, Houston, USAR. BelmonteTexas Children’s Hospital, Intensive Care, Houston, USAI. TroncosoTexas Children’s Hospital, Intensive Care, Houston, USAPau Micó TormosTexas Children’s Hospital, Intensive Care, Houston, USAM. RiveiroTexas Children’s Hospital, Intensive Care, Houston, USAJavier Baena-Texas Children’s Hospital, Intensive Care, Houston, USAÁlex Sánchez‐PlaTexas Children’s Hospital, Intensive Care, Houston, USAJ. BañerasTexas Children’s Hospital, Intensive Care, Houston, USAJoan F. Andrés-CordónBristol Royal Hospital for Children, Paediatric Intensive Care Unit, Bristol, UKNilüfer Ekşi DuranSagrat Cor University Hospital, Critical Care Department, Barcelona, SpainA. RuizUniversity of Leeds, Leeds, UKJ. CaballeroBristol Royal Hospital for Children, Paediatric Intensive Care Unit, Bristol, UKX. NuvialsJ. RieraBristol Royal Hospital for Children, Paediatric Intensive Care Unit, Bristol, UKJ SerraGreat Ormond Street Hospital, London, UKA RuttenUCCC, ICU, Kyiv, UkraineS. N. M. van IeperenUCCC, ICU, Kyiv, UkraineE. P. H. M. Der KinderenUCCC, ICU, Kyiv, UkraineT. Van LogtenCatholic University, Department of Anesthesia and Intensive Care, Rome, ItalyL. KovacikovaCatholic University, Department of Anesthesia and Intensive Care, Rome, ItalyP. SkrakCatholic University, Department of Anesthesia and Intensive Care, Rome, ItalyMartin ZahorecInternational Renal Research Institute of Vicenza (IRRIV), Department of Nephrology, Dialysis and Transplantation, Vicenza, ItalyA. Akcan-ArikanCatholic University, Department of Anesthesia and Intensive Care, Rome, ItalyJ. C. SilvaCatholic University, Department of Anesthesia and Intensive Care, Rome, ItalyMichelle GoldsworthyThe Children’s Hospital at Montefiore, Bronx, USAD. WoodShiraz University of Medical Sciences, Pediatric intensive Care, Shiraz, Islamic Republic of IranDavid A HarrisonShiraz University of Medical Sciences, Shiraz, Islamic Republic of IranRoger ParslowShiraz University of Medical Sciences, Shiraz, Islamic Republic of IranPeter J. DavisYokohama City University Hospital, Intensive Care Unit, Yokohama, JapanJoseph M PappachanYokohama City University Hospital, Department of Anesthesiology, Yokohama, JapanS. GoodwinYokohama City University Hospital, Intensive Care Unit, Yokohama, JapanPadmanabhan RamnarayanYokohama City University Hospital, Intensive Care Unit, Yokohama, JapanS. ChernyshukYokohama City University Hospital, Intensive Care Unit, Yokohama, JapanH. YemetsYokohama City University Hospital, Intensive Care Unit, Yokohama, JapanVolodymyr ZhovnirYokohama City University Hospital, Intensive Care Unit, Yokohama, JapanS. M. Pulitano’Yokohama City University Hospital, Intensive Care Unit, Yokohama, JapanS. De RosaYokohama City University Hospital, Intensive Care Unit, Yokohama, JapanAldo MancinoYokohama City University Hospital, Department of Anesthesiology, Yokohama, JapanGianluca VillaThe Children’s Hospital at Montefiore, Pediatric Critical Care, Bronx, USAF. TosiThe Children’s Hospital at Montefiore, Pediatric Critical Care, Bronx, USAPaola FranchiCairo University/Kasr Alainy Medical School, Anesthesia, Pain and Surgical ICU, Cairo, EgyptG. ContiCairo University/Kasr Alainy Medical School, Cairo, EgyptBinisha PatelCairo University/Kasr Alainy Medical School, Cairo, EgyptHnin KhineCairo University/Kasr Alainy Medical School, Cairo, EgyptAtul K. ShahThe University of Melbourne, Department of Physiotherapy, Melbourne, AustraliaDeborah SungRoyal Melbourne Hospital, Department of Physiotherapy, Melbourne, AustraliaLeif SingerThe University of Melbourne, Department of Physiotherapy, Melbourne, AustraliaS. HaghbinPeter MacCallum Cancer Centre, Department of Physiotherapy, Melbourne, AustraliaSoroor InalooFlinders Medical Centre, Department of Physiotherapy, Adelaide, AustraliaZahra SeratiNational University Hospital, Department of Rehabilitation, Singapore, SingaporeM. IdeiNational University Hospital, Department of Rehabilitation, Singapore, SingaporeT. NomuraEscola Superior da Saude, Health Sciences Program, Brasilia, BrazilNatsuhiro YamamotoThe University of Melbourne, Department of Physiotherapy, Melbourne, AustraliaY. SakaiUniversity College London Hospitals, Division of Critical Care, London, UKT. YoshidaThe University of Melbourne, Department of Physiotherapy, Melbourne, AustraliaY. MatsudaBrigham and Women’s Hospital, Department of Rehabilitation, Boston, USAY. YamaguchiBrigham and Women’s Hospital, Department of Medicine, Boston, USAS. TakakiBrigham and Women’s Hospital, Renal Division, Boston, USAO. YamaguchiQueen Elizabeth Hospital NHS FT, Birmingham, UKT. GotoQueen Elizabeth Hospital NHS FT, Birmingham, UK

Intensive Care Medicine Experimentaljournal2016en

ABI

Annotatsiya

Introduction: Critically ill children in the pediatric intensive care unit (PICU) are at high risk for developing nutritional deficiencies and undernutrition is known to be a risk factor for morbidity and mortality. Malnutrition represents a continuous spectrum ranging from marginal nutrient status to severe metabolic and functional alterations and this in turn, affects clinical outcome. Objectives: The aim of the study was to assess nutritional status of critically ill children admitted to the PICU and its association to clinical outcomes. Methods: Critically ill children age 6 months to 18 years were prospectively enrolled on PICU admission. Nutritional status was assessed by weight for age (WFA: underweight), weight for height (WFH: wasting), height for age (HFA: stunting) z-scores and mid upper arm circumference (MUAC: wasting) according to the WHO. (1,2) Malnutrition was defined as mild, moderate, and severe if z-scores were > -1, > -2, and > -3, respectively. Hospital and PICU length of stay (LOS), duration of mechanical ventilation (MV), and risk of mortality (ROM) by the Pediatric Index of Mortality 2 (PIM2) were obtained. Sensitivity and specificity of the MUAC to identify children with wasting (WFH) were calculated. Results: Two hundred and fifty children (136 males), aged 81 months (23-167; median (25-75 th IQR)), were prospectively included in the study. The hospital LOS was 8 (4-16) days; PICU LOS: 2 (1-4) days; duration of MV, 0 (0-1.5) days; PIM2 ROM 2.61 0.25 %. WFA, WFH, and HFA z-scores of -0.48 0.14; 0.19 0.13; and -0.95 0.13 respectively; MUAC, 16.3 0.18 cm (6 to 59 months, n = 108); 24.2 0.46 cm (5 to 18 years, n = 142). The prevalence of underweight, wasting and stunting was 26.4 %, 19.6 %, and 44.4 % respectively. The sensitivity and specificity for MUAC vs. WFH to identify wasting was: 34.5 % (20.3-50.6; 95 % CI) and 95.5 % (91.8-97.9), respectively. Values are mean SE.

Mavzular

Cardiac, Anesthesia and Surgical Outcomes Cardiac Arrest and Resuscitation Intensive Care Unit Cognitive Disorders

Identifikatorlar

DOI: 10.1186/s40635-016-0100-7

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