PMID: 9181746May 1, 1996Paper

Nutritional and metabolic assessment of critically ill children

São Paulo Medical Journal = Revista Paulista De Medicina
H P LeiteM Fisberg

Abstract

In a prospective study, with the objective of determining the metabolic profile, response to nutrient supply, and role of nutritional and metabolic assessment parameters in children admitted to a pediatric ICU, 11 patients in the age group 2-12 were studied. The assessment was carried out during the first 72 hours of admission, and again seven days later, and included the following parameters; caloric supply; nitrogen supply; prealbumin serum level; urinary urea nitrogen; nitrogen balance and creatinine-height index. The evolution of the parameters in the two stages of the study showed the following results: The urinary urea nitrogen median value at admission was 7.5 g/m2 of corporeal surface, and did not present significant changes seven days later. There was a significant increase in caloric supply from 42.9 to 70.3 kcal/kg, and in nitrogen supply, from 4.7 to 10.2 g/m2 of corporeal surface p 0.01. The level of nitrogen balance rose from -5.6 to 2.5 g/24 h (p < 0.03), and that of prealbumin, from 16.7 to 26.3 mg/dl (p < 0.03). There was a significant reduction in the creatinine-height index, from 86.2 percent to 55.0 percent p 0.01. The magnitude of urinary urea nitrogen excretion at admission varied 2.5-13.8 g/m2 of corporea...Continue Reading

References

Sep 1, 1992·JPEN. Journal of Parenteral and Enteral Nutrition·R A RoubenoffD F Hanley
Sep 1, 1990·JPEN. Journal of Parenteral and Enteral Nutrition·N VelascoW S Blakemore
Mar 1, 1988·JPEN. Journal of Parenteral and Enteral Nutrition·M R ThomasG M Chan
Sep 2, 1972·British Medical Journal·J C Waterlow
Jan 1, 1969·Advances in Clinical Chemistry·D Cuthbertson, W J Tilstone

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Citations

Apr 8, 2017·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Jorge A Coss-BuRyan T Hurt

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