ArticleJPEN. Journal of parenteral and enteral nutrition
Cumulative energy imbalance in the pediatric intensive care unit: role of targeted indirect calorimetry.
Article in JPEN. Journal of parenteral and enteral nutrition. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Is Undernutrition Associated With Deterioration of Outcomes in the Pediatric Intensive Care Unit (PICU): Systematic and Meta-Analysis Review.Frontiers in pediatrics · 2022Pooled it
- Chinese guidelines for the assessment and provision of nutrition support therapy in critically ill children.World journal of pediatrics : WJP · 2018Pooled it
- Attenuation of resting energy expenditure following hematopoietic SCT in children.Bone marrow transplantation · 2012Trial
- An In-Depth Look at Nutrition Support and Adequacy for Critically Ill Children with Organ Dysfunction.Children (Basel, Switzerland) · 2024Article
- Review
- Review
- External Validation with Accuracy Confounders of VCONutrients · 2022Article
- A methodological and clinical approach to measured energy expenditure in the critically ill pediatric patient.Frontiers in pediatrics · 2022Review
- Personalized nutrition approach in pediatrics: a narrative review.Pediatric research · 2021Review
- Modification of Nutrition Therapy During Continuous Renal Replacement Therapy in Critically Ill Pediatric Patients: A Narrative Review and Recommendations.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2019Review
- Timing of the initiation of parenteral nutrition in critically ill children.Current opinion in clinical nutrition and metabolic care · 2017Review
- Nutrition: A Primary Therapy in Pediatric Acute Respiratory Distress Syndrome.Frontiers in pediatrics · 2016Review
- Accuracy of a simplified equation for energy expenditure based on bedside volumetric carbon dioxide elimination measurement--a two-center study.Clinical nutrition (Edinburgh, Scotland) · 2015Article
- Resting energy expenditure after Fontan surgery in children with single-ventricle heart defects.JPEN. Journal of parenteral and enteral nutrition · 2012Article
- Nutritional practices and their relationship to clinical outcomes in critically ill children--an international multicenter cohort study*.Critical care medicine · 2012Article
- Energy imbalance and the risk of overfeeding in critically ill children.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2011Article
- Nutritional deficiencies during critical illness.Pediatric clinics of North America · 2009Review
- Feeding Pathway for Children on High Flow Nasal Cannula Decreases Time to Enteral Nutrition.Pediatric quality & safetyArticle
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Authors and funding
4 authors.
Funding
Abstract
introductionFailure to accurately estimate energy requirements may result in underfeeding or overfeeding. In this study, a dedicated multidisciplinary nutrition team measured energy expenditure in critically ill children.
methodsSteady-state indirect calorimetry was used to obtain measured resting energy expenditure, which was compared with equation-estimated energy expenditure and the total energy intake for each subject. The children's metabolic status was examined in relation to standard clinical characteristics.
resultsSixteen measurements were performed in 14 patients admitted to the multidisciplinary pediatric intensive care unit over a period of 12 months. Mean age of subjects in this cohort was 11.2 years (range 1.6 months to 32 years) and included 7 males and 7 postoperative patients. Altered metabolism was detected in 13 of 14 subjects and in 15 of 16 (94%) measurements. There was no correlation between the metabolic status of subjects and their clinical characteristics. Average daily energy balance was 200 kcal/d (range -518 to +859 kcal/d). Agreement between measured resting energy expenditure and equation-estimated energy expenditure was poor, with mean bias of 72.3 +/- 446 kcal/d (limits of agreement -801.9 to + 946.5 kcal/d).
conclusionsA disparity was observed between equation-estimated energy expenditure, measured resting energy expenditure, and total energy intake, with a high incidence of underfeeding or overfeeding. A wide range of metabolic alterations were recorded, which could not be accurately predicted using standard clinical characteristics. Targeted indirect calorimetry on high-risk patients selected by a dedicated nutrition team may prevent cumulative excesses and deficits in energy balance.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.