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Abstract PD-026: ENERGY INTAKE AND OUTCOMES IN CRITICALLY ILL CHILDREN WITH BRONCHIOLITIS

Ng, G.Y.H.1; Ong, C.2; Wong, J.J.M.3; Teoh, O.H.4; Mok, Y.H.3; Lee, J.H.3

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 37
doi: 10.1097/01.pcc.0000537428.82030.86
Poster Discussion Abstracts
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1Nanyang Technological University, Lee Kong Chian School of Medicine, Singapore, Singapore

2KK Women’s and Children’s Hospital, Nutrition and Dietetics, Singapore, Singapore

3KK Women’s and Children’s Hospital, Children’s Intensive Care Unit, Singapore, Singapore

4KK Women’s and Children’s Hospital, Respiratory Service, Singapore, Singapore

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Aims & Objectives:

Optimal nutritional practices in the paediatric intensive care unit (PICU) are largely unknown. We aimed to investigate if appropriate calorie provision leads to shorter PICU stay and fewer invasive ventilator days in critically ill children with bronchiolitis.

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Methods

We conducted a retrospective study on patients with bronchiolitis requiring at least 72 hours stay in the PICU from 2009 – 2014. Baseline demographics, PICU medical data and energy intake in their first seven days of stay were collected. Outcomes of interest were length of PICU stay and invasive ventilation duration. We determined energy requirements using the Schofield equation without addition of stress factors. Underfeeding was defined as the average daily energy intake to requirement ratio <0.8, and overfeeding >1.2. Clinical outcomes were compared among the three groups of patients (underfed, sufficiently-fed, overfed).

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Results

44 patients were included (Table 1), with median age of 4.7 months (interquartile range [IQR] 1.0 – 10.6 months). Median PICU stay was 8.0 (IQR 6.0 – 12.0) days. 39 patients (88.6%) required invasive ventilation, with median ventilation duration of 7.0 (IQR 4.0 – 9.8) days. Median energy intake to requirement ratio was 0.9 (IQR 0.76 – 1.16). 15 (34.1%) patients were underfed, while 10 (22.8%) were overfed. There was no significant difference in the PICU stay lengths nor invasive ventilation duration between groups (Table 2).

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Conclusions

Our results suggest that energy adequacy did not significantly affect PICU stay length or ventilator dependence in critically ill children with bronchiolitis.

©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies