Cited 5 times in
Avoidable Causes of Delayed Enteral Nutrition in Critically Ill Children
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 고신옥 | - |
dc.contributor.author | 김경원 | - |
dc.contributor.author | 김규언 | - |
dc.contributor.author | 손명현 | - |
dc.date.accessioned | 2014-12-18T08:56:04Z | - |
dc.date.available | 2014-12-18T08:56:04Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/87222 | - |
dc.description.abstract | To evaluate the incidence of delayed enteral nutrition (EN) and identify avoidable causes of delay, we retrospectively reviewed medical records of 200 children (median age [range]; 37.5 [1-216] months) who stayed in the intensive care unit (ICU) for a minimum of 3 days. Among 200 children, 115 received EN following ICU admission with a median time of EN initiation of 5 days after admission. Of these, only 22 patients achieved the estimated energy requirement. A significant decrease in the final z score of weight for age from the initial assessment was observed in the non-EN group only (-1.3±2.17 to -1.57±2.35, P<0.001). More survivors than non-survivors received EN during their ICU stay (61.2% vs 30.0%, P=0.001) and received EN within 72 hr of ICU admission (19.8% vs 3.3%, P=0.033). The most common reason for delayed EN was gastrointestinal (GI) bleeding, followed by altered GI motility and hemodynamic instability. Only eight cases of GI bleeding and one case of altered GI motility were diagnosed as active GI bleeding and ileus, respectively. This study showed that the strategies to reduce avoidable withholding EN are necessary to improve the nutrition status of critically ill children. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Child | - |
dc.subject.MESH | Child, Preschool | - |
dc.subject.MESH | Critical Illness | - |
dc.subject.MESH | Energy Intake | - |
dc.subject.MESH | Enteral Nutrition/statistics & numerical data* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Gastrointestinal Hemorrhage/diagnosis* | - |
dc.subject.MESH | Gastrointestinal Motility | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Ileus/diagnosis* | - |
dc.subject.MESH | Infant | - |
dc.subject.MESH | Intensive Care Units | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Nutritional Status | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Withholding Treatment/statistics & numerical data* | - |
dc.title | Avoidable Causes of Delayed Enteral Nutrition in Critically Ill Children | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Pediatrics (소아과학) | - |
dc.contributor.googleauthor | Hosun Lee | - |
dc.contributor.googleauthor | Shin Ok Koh | - |
dc.contributor.googleauthor | Hyungmi Kim | - |
dc.contributor.googleauthor | Myung Hyun Sohn | - |
dc.contributor.googleauthor | Kyu-Earn Kim | - |
dc.contributor.googleauthor | Kyung Won Kim | - |
dc.identifier.doi | 10.3346/jkms.2013.28.7.1055 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00126 | - |
dc.contributor.localId | A00303 | - |
dc.contributor.localId | A00327 | - |
dc.contributor.localId | A01967 | - |
dc.relation.journalcode | J01517 | - |
dc.identifier.eissn | 1598-6357 | - |
dc.identifier.pmid | 23853489 | - |
dc.subject.keyword | Child | - |
dc.subject.keyword | Critical Illness | - |
dc.subject.keyword | Enteral Nutrition | - |
dc.subject.keyword | Parenteral Nutrition | - |
dc.contributor.alternativeName | Koh, Shin Ok | - |
dc.contributor.alternativeName | Kim, Kyung Won | - |
dc.contributor.alternativeName | Kim, Kyu Earn | - |
dc.contributor.alternativeName | Son, Myung Hyun | - |
dc.contributor.affiliatedAuthor | Koh, Shin Ok | - |
dc.contributor.affiliatedAuthor | Kim, Kyung Won | - |
dc.contributor.affiliatedAuthor | Kim, Kyu Earn | - |
dc.contributor.affiliatedAuthor | Son, Myung Hyun | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 28 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1055 | - |
dc.citation.endPage | 1059 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.28(7) : 1055-1059, 2013 | - |
dc.identifier.rimsid | 32910 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.