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

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

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Veröffentlicht in:Intensive care medicine 2004-09, Vol.30 (9), p.1807-1813
Hauptverfasser: VAN DER KUIP, Martijn, OOSTERVELD, Michiel J. S, VAN DER SCHUEREN, Marian A. E. Van Bokhorst-De, DE MEER, K, LAFEBER, Harry N, GEMKE, Reinoud J. B. J
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container_end_page 1813
container_issue 9
container_start_page 1807
container_title Intensive care medicine
container_volume 30
creator VAN DER KUIP, Martijn
OOSTERVELD, Michiel J. S
VAN DER SCHUEREN, Marian A. E. Van Bokhorst-De
DE MEER, K
LAFEBER, Harry N
GEMKE, Reinoud J. B. J
description To study current strategies in nutritional management of pediatric intensive care units (PICUs) in Europe, focusing on energy requirements. 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. Staff members of 111 European PICUs (46%) from 24 countries. 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. 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.
doi_str_mv 10.1007/s00134-004-2356-8
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Energy
Energy Metabolism
Europe
Humans
Intensive care
Intensive care medicine
Intensive Care Units, Pediatric
Malnutrition
Medical sciences
Nutrition
Nutritional Status
Nutritional Support
Pediatrics
Questionnaires
Surveys and Questionnaires
title Nutritional support in 111 pediatric intensive care units: a European survey
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