Chinese guidelines for the assessment and provision of nutrition support therapy in critically ill children

World Journal of Pediatrics : WJP
Xue-Mei ZhuYi-Min Zhu

Abstract

This document represents the first evidence-based guidelines to describe best practices in nutrition therapy in critically ill children (> 1 month and < 18 years), who are expected to require a length of stay more than 2 or 3 days in a Pediatric Intensive Care Unit admitting medical patients domain. A total of 25,673 articles were scanned for relevance. After careful review, 88 studies appeared to answer the pre-identified questions for the guidelines. We used the grading of recommendations, assessment, development and evaluation criteria to adjust the evidence grade based on the quality of design and execution of each study. The guidelines emphasise the importance of nutritional assessment, particularly the detection of malnourished patients. Indirect calorimetry (IC) is recommended to estimate energy expenditure and there is a creative value in energy expenditure, 50 kcal/kg/day for children aged 1-8 years during acute phase if IC is unfeasible. Enteral nutrition (EN) and early enteral nutrition remain the preferred routes for nutrient delivery. A minimum protein intake of 1.5 g/kg/day is suggested for this patient population. The role of supplemental parenteral nutrition (PN) has been highlighted in patients with low nutriti...Continue Reading

References

Jul 11, 1998·Intensive Care Medicine·J J VerhoevenK F Joosten
Sep 15, 1999·JPEN. Journal of Parenteral and Enteral Nutrition·M S WhiteJ A McEniery
Dec 31, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jose Luis Vazquez MartinezFrancisco Ruza Tarrio
Sep 29, 2004·JPEN. Journal of Parenteral and Enteral Nutrition·Wendalyn KingRobert Pettignano
Apr 20, 2005·JPEN. Journal of Parenteral and Enteral Nutrition·Gisele Limongeli GurgueiraWerther Brunow de Carvalho
Jan 6, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·George BriassoulisTassos Hatzis
Mar 15, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michiel J S OosterveldReinoud J B J Gemke
Jun 2, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Toni Petrillo-AlbaranoKirk Easley
Mar 22, 2007·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Simone Brasil de Oliveira IglesiasWerther Brunow de Carvalho
Apr 10, 2007·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Christine M Hardy FramsonJohanna T Dwyer
Apr 20, 2007·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Cecile LambeVirginie Colomb
May 1, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Pradip KamatJana A Stockwell
Jan 8, 2009·JPEN. Journal of Parenteral and Enteral Nutrition·Nilesh M MehtaChristopher Duggan
Apr 10, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Dick A van WaardenburgKoen F Joosten
Sep 12, 2009·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·R MeyerD Labadarios
Nov 12, 2009·JPEN. Journal of Parenteral and Enteral Nutrition·Nilesh M MehtaChristopher Duggan
Apr 20, 2010·The British Journal of Nutrition·Konstantinos GerasimidisCharlotte M Wright
Nov 15, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Joseph A CarcilloUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Collaborative Pediatric Critical Car
Jan 18, 2012·Journal of Pediatric Gastroenterology and Nutrition·Maria V M VidigalPaulo C K Nogueira
Oct 16, 2012·Journal of the Academy of Nutrition and Dietetics·Ursula G KyleJorge A Coss-Bu
Jan 9, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Brian R JacobsUNKNOWN Nutritional Immunomodulation in Children with Lung Injury (NICLI) Study Group
Jan 1, 2014·Italian Journal of Pediatrics·Maria Immacolata SpagnuoloAlfredo Guarino
Jan 8, 2014·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Haifa MtawehMichael J Bell
Jan 10, 2014·JPEN. Journal of Parenteral and Enteral Nutrition·Theresa A MikhailovPraveen S Goday
Feb 24, 2015·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Iolanda JordanElisabeth Esteban
Apr 29, 2015·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Corinne Jotterand ChaparroJacques Cotting
Aug 4, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michael F CanarieUNKNOWN Northeast Pediatric Critical Care Research Consortium
Dec 15, 2015·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Duygu Sönmez Düzkaya, Suzan Yildiz
Dec 26, 2015·Journal of Intensive Care Medicine·Mohammed Abdul Moety Al-BiltagiGhada Abudelmomen Suliman
Feb 26, 2016·Pediatrics·Patrick A RossRobinder G Khemani
Mar 16, 2016·The New England Journal of Medicine·Tom FivezGreet Van den Berghe
Apr 22, 2016·The American Journal of Clinical Nutrition·Michael ChourdakisJessie M Hulst

❮ Previous
Next ❯

Citations

Oct 1, 2018·World Journal of Pediatrics : WJP·Jie Chen
May 25, 2021·Clinical Nutrition ESPEN·Iva HojsakKoen Joosten

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.