Use of an Electronic Feeds Calorie Calculator in the Pediatric Intensive Care Unit

Strategies to improve nutritional management are associated with better outcomes in pediatric intensive care units. We implemented a calorie-based protocol that integrated an electronic feeds calculator and stepwise feeds increment algorithm. Using a pretest-posttest design, we compared the effectiv...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Pediatric quality & safety 2020-01, Vol.5 (1), p.e249-e249
Hauptverfasser: Sng, Qian Wen, Ong, Chengsi, Ang, Su Ling Linda, Kirk, Angela Hui Ping, Lee, Jan Hau
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page e249
container_issue 1
container_start_page e249
container_title Pediatric quality & safety
container_volume 5
creator Sng, Qian Wen
Ong, Chengsi
Ang, Su Ling Linda
Kirk, Angela Hui Ping
Lee, Jan Hau
description Strategies to improve nutritional management are associated with better outcomes in pediatric intensive care units. We implemented a calorie-based protocol that integrated an electronic feeds calculator and stepwise feeds increment algorithm. Using a pretest-posttest design, we compared the effectiveness of the calorie-based protocol with an existing fluid-based protocol in a quality improvement project. The main outcome measure was the proportion of patients prescribed with the appropriate amount of calories (defined as 90%-110% of calculated energy requirements). Nurses were surveyed on their satisfaction with the new calorie-based protocol. We compared consecutive patients enrolled in the calorie-based protocol over 21 months with retrospective data of patients in the fluid-based protocol. and Mann-Whitney U tests were used to compare categorical and continuous variables, respectively. We enrolled 75 and 92 patients in the fluid-based (pre) and calorie-based (post) protocols, respectively. Both groups did not differ in their age, reasons for pediatric intensive care units admissions, length of stay, duration of mechanical ventilation, and risks of mortality. The frequency of appropriate feeds prescription increased (16.0% versus 33.7%, = 0.002). The new protocol significantly reduced the time from protocol initiation to full feeds (median: 18.0 hours, interquartile range = 18.0-27.5 versus median: 12.8 hours, interquartile range = 12.0-16.0, < 0.001). The satisfaction surveys (n = 63) revealed favorable nursing perceptions. The use of a calorie-based protocol with an electronic calculator led to an improvement in the accuracy of the prescribed feeds and the time required to attain full enteral feeding. Nursing perceptions regarding the protocol were positive.
doi_str_mv 10.1097/pq9.0000000000000249
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7056286</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2431819440</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4533-7ce5e5a4ae9e96f8ba942e8e6906f7e76303e9efc5e9e0346a673574c8872aac3</originalsourceid><addsrcrecordid>eNpdkV1rXCEQhiW0ZEOafxCKl705iUc9erwJhCVfEGgp2Wtx3TldW1d31ZOl_74e8tFthXGEeecZmReh85ZctETJy-1OXZDDQ7k6QieUS9oQ0vEPB-8ZOsv556SZgoljNGNUCsF7doK-LzLgOGAT8I0HW1IMzuJbgFXGc-NjcjBlO3pTYsIu4LIG_A1WzpRUlQ-hQMjueVIlwIvgyif0cTA-w9lrPkWL25un-X3z-PXuYX792FjeMdZICx10hhtQoMTQL43iFHoQiohBghSMsFoabFdvwrgwQrJOctv3khpj2Sm6euFux-UGVhZCScbrbXIbk37raJz-txLcWv-Iz1qSTtBeVMCXV0CKuxFy0RuXLXhvAsQxa8pZ27eKc1Kl_EVqU8w5wfA-piV6ckRXR_T_jtS2z4dffG962_9f7j76Ain_8uMekl6D8WWtSR2uOtk3dPKurdBmIjP2B256ln0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2431819440</pqid></control><display><type>article</type><title>Use of an Electronic Feeds Calorie Calculator in the Pediatric Intensive Care Unit</title><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Sng, Qian Wen ; Ong, Chengsi ; Ang, Su Ling Linda ; Kirk, Angela Hui Ping ; Lee, Jan Hau</creator><creatorcontrib>Sng, Qian Wen ; Ong, Chengsi ; Ang, Su Ling Linda ; Kirk, Angela Hui Ping ; Lee, Jan Hau</creatorcontrib><description>Strategies to improve nutritional management are associated with better outcomes in pediatric intensive care units. We implemented a calorie-based protocol that integrated an electronic feeds calculator and stepwise feeds increment algorithm. Using a pretest-posttest design, we compared the effectiveness of the calorie-based protocol with an existing fluid-based protocol in a quality improvement project. The main outcome measure was the proportion of patients prescribed with the appropriate amount of calories (defined as 90%-110% of calculated energy requirements). Nurses were surveyed on their satisfaction with the new calorie-based protocol. We compared consecutive patients enrolled in the calorie-based protocol over 21 months with retrospective data of patients in the fluid-based protocol. and Mann-Whitney U tests were used to compare categorical and continuous variables, respectively. We enrolled 75 and 92 patients in the fluid-based (pre) and calorie-based (post) protocols, respectively. Both groups did not differ in their age, reasons for pediatric intensive care units admissions, length of stay, duration of mechanical ventilation, and risks of mortality. The frequency of appropriate feeds prescription increased (16.0% versus 33.7%, = 0.002). The new protocol significantly reduced the time from protocol initiation to full feeds (median: 18.0 hours, interquartile range = 18.0-27.5 versus median: 12.8 hours, interquartile range = 12.0-16.0, &lt; 0.001). The satisfaction surveys (n = 63) revealed favorable nursing perceptions. The use of a calorie-based protocol with an electronic calculator led to an improvement in the accuracy of the prescribed feeds and the time required to attain full enteral feeding. Nursing perceptions regarding the protocol were positive.</description><identifier>ISSN: 2472-0054</identifier><identifier>EISSN: 2472-0054</identifier><identifier>DOI: 10.1097/pq9.0000000000000249</identifier><identifier>PMID: 32766483</identifier><language>eng</language><publisher>United States: the Author(s). Published by Wolters Kluwer Health, Inc</publisher><subject>Individual QI Projects from Single Institutions</subject><ispartof>Pediatric quality &amp; safety, 2020-01, Vol.5 (1), p.e249-e249</ispartof><rights>the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4533-7ce5e5a4ae9e96f8ba942e8e6906f7e76303e9efc5e9e0346a673574c8872aac3</citedby><cites>FETCH-LOGICAL-c4533-7ce5e5a4ae9e96f8ba942e8e6906f7e76303e9efc5e9e0346a673574c8872aac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056286/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056286/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32766483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sng, Qian Wen</creatorcontrib><creatorcontrib>Ong, Chengsi</creatorcontrib><creatorcontrib>Ang, Su Ling Linda</creatorcontrib><creatorcontrib>Kirk, Angela Hui Ping</creatorcontrib><creatorcontrib>Lee, Jan Hau</creatorcontrib><title>Use of an Electronic Feeds Calorie Calculator in the Pediatric Intensive Care Unit</title><title>Pediatric quality &amp; safety</title><addtitle>Pediatr Qual Saf</addtitle><description>Strategies to improve nutritional management are associated with better outcomes in pediatric intensive care units. We implemented a calorie-based protocol that integrated an electronic feeds calculator and stepwise feeds increment algorithm. Using a pretest-posttest design, we compared the effectiveness of the calorie-based protocol with an existing fluid-based protocol in a quality improvement project. The main outcome measure was the proportion of patients prescribed with the appropriate amount of calories (defined as 90%-110% of calculated energy requirements). Nurses were surveyed on their satisfaction with the new calorie-based protocol. We compared consecutive patients enrolled in the calorie-based protocol over 21 months with retrospective data of patients in the fluid-based protocol. and Mann-Whitney U tests were used to compare categorical and continuous variables, respectively. We enrolled 75 and 92 patients in the fluid-based (pre) and calorie-based (post) protocols, respectively. Both groups did not differ in their age, reasons for pediatric intensive care units admissions, length of stay, duration of mechanical ventilation, and risks of mortality. The frequency of appropriate feeds prescription increased (16.0% versus 33.7%, = 0.002). The new protocol significantly reduced the time from protocol initiation to full feeds (median: 18.0 hours, interquartile range = 18.0-27.5 versus median: 12.8 hours, interquartile range = 12.0-16.0, &lt; 0.001). The satisfaction surveys (n = 63) revealed favorable nursing perceptions. The use of a calorie-based protocol with an electronic calculator led to an improvement in the accuracy of the prescribed feeds and the time required to attain full enteral feeding. Nursing perceptions regarding the protocol were positive.</description><subject>Individual QI Projects from Single Institutions</subject><issn>2472-0054</issn><issn>2472-0054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpdkV1rXCEQhiW0ZEOafxCKl705iUc9erwJhCVfEGgp2Wtx3TldW1d31ZOl_74e8tFthXGEeecZmReh85ZctETJy-1OXZDDQ7k6QieUS9oQ0vEPB-8ZOsv556SZgoljNGNUCsF7doK-LzLgOGAT8I0HW1IMzuJbgFXGc-NjcjBlO3pTYsIu4LIG_A1WzpRUlQ-hQMjueVIlwIvgyif0cTA-w9lrPkWL25un-X3z-PXuYX792FjeMdZICx10hhtQoMTQL43iFHoQiohBghSMsFoabFdvwrgwQrJOctv3khpj2Sm6euFux-UGVhZCScbrbXIbk37raJz-txLcWv-Iz1qSTtBeVMCXV0CKuxFy0RuXLXhvAsQxa8pZ27eKc1Kl_EVqU8w5wfA-piV6ckRXR_T_jtS2z4dffG962_9f7j76Ain_8uMekl6D8WWtSR2uOtk3dPKurdBmIjP2B256ln0</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Sng, Qian Wen</creator><creator>Ong, Chengsi</creator><creator>Ang, Su Ling Linda</creator><creator>Kirk, Angela Hui Ping</creator><creator>Lee, Jan Hau</creator><general>the Author(s). Published by Wolters Kluwer Health, Inc</general><general>Wolters Kluwer Health</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200101</creationdate><title>Use of an Electronic Feeds Calorie Calculator in the Pediatric Intensive Care Unit</title><author>Sng, Qian Wen ; Ong, Chengsi ; Ang, Su Ling Linda ; Kirk, Angela Hui Ping ; Lee, Jan Hau</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4533-7ce5e5a4ae9e96f8ba942e8e6906f7e76303e9efc5e9e0346a673574c8872aac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Individual QI Projects from Single Institutions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sng, Qian Wen</creatorcontrib><creatorcontrib>Ong, Chengsi</creatorcontrib><creatorcontrib>Ang, Su Ling Linda</creatorcontrib><creatorcontrib>Kirk, Angela Hui Ping</creatorcontrib><creatorcontrib>Lee, Jan Hau</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatric quality &amp; safety</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sng, Qian Wen</au><au>Ong, Chengsi</au><au>Ang, Su Ling Linda</au><au>Kirk, Angela Hui Ping</au><au>Lee, Jan Hau</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of an Electronic Feeds Calorie Calculator in the Pediatric Intensive Care Unit</atitle><jtitle>Pediatric quality &amp; safety</jtitle><addtitle>Pediatr Qual Saf</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>5</volume><issue>1</issue><spage>e249</spage><epage>e249</epage><pages>e249-e249</pages><issn>2472-0054</issn><eissn>2472-0054</eissn><abstract>Strategies to improve nutritional management are associated with better outcomes in pediatric intensive care units. We implemented a calorie-based protocol that integrated an electronic feeds calculator and stepwise feeds increment algorithm. Using a pretest-posttest design, we compared the effectiveness of the calorie-based protocol with an existing fluid-based protocol in a quality improvement project. The main outcome measure was the proportion of patients prescribed with the appropriate amount of calories (defined as 90%-110% of calculated energy requirements). Nurses were surveyed on their satisfaction with the new calorie-based protocol. We compared consecutive patients enrolled in the calorie-based protocol over 21 months with retrospective data of patients in the fluid-based protocol. and Mann-Whitney U tests were used to compare categorical and continuous variables, respectively. We enrolled 75 and 92 patients in the fluid-based (pre) and calorie-based (post) protocols, respectively. Both groups did not differ in their age, reasons for pediatric intensive care units admissions, length of stay, duration of mechanical ventilation, and risks of mortality. The frequency of appropriate feeds prescription increased (16.0% versus 33.7%, = 0.002). The new protocol significantly reduced the time from protocol initiation to full feeds (median: 18.0 hours, interquartile range = 18.0-27.5 versus median: 12.8 hours, interquartile range = 12.0-16.0, &lt; 0.001). The satisfaction surveys (n = 63) revealed favorable nursing perceptions. The use of a calorie-based protocol with an electronic calculator led to an improvement in the accuracy of the prescribed feeds and the time required to attain full enteral feeding. Nursing perceptions regarding the protocol were positive.</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>32766483</pmid><doi>10.1097/pq9.0000000000000249</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2472-0054
ispartof Pediatric quality & safety, 2020-01, Vol.5 (1), p.e249-e249
issn 2472-0054
2472-0054
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7056286
source DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Individual QI Projects from Single Institutions
title Use of an Electronic Feeds Calorie Calculator in the Pediatric Intensive Care Unit
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T00%3A46%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Use%20of%20an%20Electronic%20Feeds%20Calorie%20Calculator%20in%20the%20Pediatric%20Intensive%20Care%20Unit&rft.jtitle=Pediatric%20quality%20&%20safety&rft.au=Sng,%20Qian%20Wen&rft.date=2020-01-01&rft.volume=5&rft.issue=1&rft.spage=e249&rft.epage=e249&rft.pages=e249-e249&rft.issn=2472-0054&rft.eissn=2472-0054&rft_id=info:doi/10.1097/pq9.0000000000000249&rft_dat=%3Cproquest_pubme%3E2431819440%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2431819440&rft_id=info:pmid/32766483&rfr_iscdi=true