This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Pollack, M. M. Articles by Wiley, J. S. Search for Related Content PubMed PubMed Citation Articles by Pollack, M. M. Articles by Wiley, J. S. Social Bookmarking                         What's this?

Nutritional Depletions in Critically Ill Children: Associations with Physiologic Instability and Increased Quantity of Care

Child Health and Development and Anesthesiology, George Washington University School of Medicine, Pediatric Intensive Care Unit, and Research Foundation and Department of Anesthesiology, Children's Hospital National Medical Center, Washington, D.C

Urs E. Ruttimann, PH.D.

Child Health and Development and Anesthesiology, George Washington University School of Medicine, Pediatric Intensive Care Unit, and Research Foundation and Department of Anesthesiology, Children's Hospital National Medical Center, Washington, D.C

Jeanette S. Wiley, R.D.

Child Health and Development and Anesthesiology, George Washington University School of Medicine, Pediatric Intensive Care Unit, and Research Foundation and Department of Anesthesiology, Children's Hospital National Medical Center, Washington, D.C

The association of nutritional depletions with physiologic instability and quantity of care was examined in 60 critically ill children. Nutritional status was evaluated by anthropometric techniques. Physiologic stability was measured by the Physiologic Stability Index and quantity of care was measured by the Therapeutic Intervention Scoring System. Acute protein-energy malnutrition was significantly associated with increased physiologic instability and increased quantity of care (p < 0.01). This association was present for the total group, children less than 24 months of age, and for these two groups with nonsurvivors excluded. Mortality was also significantly associated with acute protein-energy malnutrition (p < 0.001). Physiologic instability and increased quantity of care were not associated with chronic protein-energy malnutrition, fat store depletion, or somatic protein store depletion. We conclude that acute protein-energy malnutrition in critically ill children is associated with increased physiologic instability and increased quantity of care. (Journal of Parenteral and Enteral Nutrition 9:309-313, 1985)

Journal of Parenteral and Enteral Nutrition, Vol. 9, No. 3, 309-313 (1985)
DOI: 10.1177/0148607185009003309


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				N. M. Mehta, C. Compher, and A.S.P.E.N. Board of Directors A.S.P.E.N. Clinical Guidelines: Nutrition Support of the Critically Ill Child JPEN J Parenter Enteral Nutr, May 1, 2009; 33(3): 260 - 276. [Full Text] [PDF]

				T. Gibbons and G. J. Fuchs Malnutrition: A Hidden Problem in Hospitalized Children Clinical Pediatrics, May 1, 2009; 48(4): 356 - 361. [PDF]

				N. M. Mehta, L. J. Bechard, K. Leavitt, and C. Duggan Cumulative Energy Imbalance in the Pediatric Intensive Care Unit: Role of Targeted Indirect Calorimetry JPEN J Parenter Enteral Nutr, May 1, 2009; 33(3): 336 - 344. [Abstract] [Full Text] [PDF]

				H. E. Skillman and P. E. Wischmeyer Nutrition Therapy in Critically Ill Infants and Children JPEN J Parenter Enteral Nutr, September 1, 2008; 32(5): 520 - 534. [Abstract] [Full Text] [PDF]

				N. M. Mehta, L. J. Bechard, K. Leavitt, and C. Duggan Severe Weight Loss and Hypermetabolic Paroxysmal Dysautonomia Following Hypoxic Ischemic Brain Injury: The Role of Indirect Calorimetry in the Intensive Care Unit JPEN J Parenter Enteral Nutr, May 1, 2008; 32(3): 281 - 284. [Abstract] [Full Text] [PDF]

				A.P.C.P. Carlotti, D. Bohn, A.K. Matsuno, D.M. Pasti, M. Gowrishankar, and M.L. Halperin Indicators of lean body mass catabolism: emphasis on the creatinine excretion rate QJM, March 1, 2008; 101(3): 197 - 205. [Abstract] [Full Text] [PDF]

				G. L. Gurgueira, H. P. Leite, J. A. de Aguiar Carrazedo Taddei, and W. B. de Carvalho Outcomes in a Pediatric Intensive Care Unit Before and After the Implementation of a Nutrition Support Team JPEN J Parenter Enteral Nutr, May 1, 2005; 29(3): 176 - 185. [Abstract] [Full Text] [PDF]

				J. A Coss-Bu, W. J Klish, D. Walding, F. Stein, E O'B. Smith, and L. S Jefferson Energy metabolism, nitrogen balance, and substrate utilization in critically ill children Am. J. Clinical Nutrition, November 1, 2001; 74(5): 664 - 669. [Abstract] [Full Text] [PDF]

				K. M. Creamer, D. S. Chan, C. Sutton, C. DeLeon, C. Moreno, and B. A. Shoupe A Comprehensive Pediatric Inpatient Nutrition Support Package: A Multi-disciplinary Approach Nutr Clin Pract, August 1, 2001; 16(4): 246 - 257. [Abstract] [PDF]

				S. J. Tilden, S. Watkins, T. K. Tong, and M. Jeevanandam Measured Energy Expenditure in Pediatric Intensive Care Patients Arch Pediatr Adolesc Med, April 1, 1989; 143(4): 490 - 492. [Abstract] [PDF]