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01-09-2004 | Neonatal and Pediatric Intensive Care

Nutritional support in 111 pediatric intensive care units: a European survey

Authors: Martijn van der Kuip, Michiel J. S. Oosterveld, Marian A. E. van Bokhorst–de van der Schueren, K. de Meer, Harry N. Lafeber, Reinoud J. B. J. Gemke

Published in: Intensive Care Medicine | Issue 9/2004

Abstract

Objective

To study current strategies in nutritional management of pediatric intensive care units (PICUs) in Europe, focusing on energy requirements.

Design and setting

Survey by a 35-item questionnaire sent to representatives of 242 PICUs in 28 countries. Addresses were obtained from national PICU associations and the members’ list of the European Society of Pediatric and Neonatal Intensive Care.

Participants

Staff members of 111 European PICUs (46%) from 24 countries.

Measurements and results

Predominantly physicians were reported to be responsible for nutritional support. In 73% of PICUs a multidisciplinary nutritional team was available. In most PICUs daily energy requirements were estimated using weight, age, predictive equations and correction factors. In 17% of PICUs energy expenditure was regularly measured by indirect calorimetry. Nutritional status was mostly assessed by weight, physical examination, and a wide range of biochemical blood parameters. Approximately 70% of PICUs used dedicated software for nutritional support. A similar percentage of PICUs regarded “nutrition” as a research topic and part of the residents’ training program.

Conclusions

Most European PICUs regard nutritional support as an important aspect of patient care, as shown by the presence of nutritional teams, software, research, and education. However, energy requirements of pediatric intensive care patient were based predominantly on estimations rather than on measurements.

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Title: Nutritional support in 111 pediatric intensive care units: a European survey
Authors: Martijn van der Kuip
Michiel J. S. Oosterveld
Marian A. E. van Bokhorst–de van der Schueren
K. de Meer
Harry N. Lafeber
Reinoud J. B. J. Gemke
Publication date: 01-09-2004
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 9/2004
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-004-2356-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Nutritional support in 111 pediatric intensive care units: a European survey

Abstract

Objective

Design and setting

Participants

Measurements and results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Design and setting

Participants

Measurements and results

Conclusions

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