View in EDS PDF Full Text

Estado nutricional en niños de una Unidad de Cuidados Intensivos: estudio de cohorte.

Saved in:
Bibliographic Details
Title: Estado nutricional en niños de una Unidad de Cuidados Intensivos: estudio de cohorte.
Alternate Title: Nutritional status in children in Intensive Care Unit: a cohort study.
Authors: Tantaleán Da Fieno, José1 jtantalean@unfv.edu.pe, León Paredes, Rosa2, Palomo Luck, Patricia3, Patrón Terrero, Emiliana Rizo4, DelÁguila Villar, Carlos
Source: Andes Pediatrica. mar/abr2026, Vol. 97 Issue 2, p239-247. 9p.
Subjects: PEDIATRIC intensive care, ARTIFICIAL respiration, NUTRITIONAL status, NOSOCOMIAL infections, LENGTH of stay in hospitals, INTENSIVE care units, MORTALITY, SCHOOL children
Geographic Terms: PERU
Abstract (English): Studies on the association between nutritional diagnosis and outcomes in critically ill children show mixed results. Objective: To evaluate nutritional status and determine its association with outcomes in a Pediatric Intensive Care Unit (PICU). Patients and Method: Retrospective cohort study at the National Institute of Child Health, Peru. We assessed nutritional status at admission using weight/height (< 2 years) and BMI for age (= 2 years), and determined its association with mortality, PICU length of stay, mechanical ventilation (MV), ventilator-free days, and healthcare-associated infections. We excluded children with diagnoses that affected anthropometry due to non-nutritional causes. We applied bivariate analysis and adjusted Poisson regression. Results: In 487 patients, 13.1% were underweight and 23% were overweight. In bivariate analysis, underweight children had less ventilator-free days (21 days vs 25 days; p = 0.0101) and longer ICU stay (8 days vs 5.5 days; p = 0.0153). In the regression analysis, underweight children had a 15% and 21% higher risk of requiring MV compared to children of normal weight and overweight (RR: 0.85; IC: 0.75-0.94 and 0.79; IC: 0.69-0.91, respectively; p = 0.001). Overweight children had more ventilator-free days compared to those underweight (RR: 1.11; CI: 1.01-1.21; p = 0.018). Mortality, healthcare-associated infections, or PICU stay were not associated with nutritional diagnosis. Conclusions: Underweight was correlated with greater use of MV, while overweight was related to an increase in ventilator-free days. There was no association between nutritional status and mortality, length of stay, or healthcare-associated infections. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Los estudios de asociación entre diagnóstico nutricional y desenlaces en niños críticos muestran resultados diversos. Objetivo: Evaluar el estado nutricional y determinar su asociación con los desenlaces en una Unidad de Cuidados Intensivos Pediátricos (UCIP). Pacientes y Método: Estudio de cohorte retrospectivo en el Instituto Nacional de Salud del Niño, Perú. Evaluamos el estado nutricional al ingreso utilizando peso para talla (< 2 años) e IMC para edad (= 2 años), y determinamos su asociación con la mortalidad, estancia en UCIP, ventilación mecánica (VM), días libres de ventilador e infecciones asociadas al cuidado de la salud. Se excluyeron niños con diagnósticos que afectaran la antropometría por causas no nutricionales. Se aplicó análisis bivariado y regresión de Poisson ajustada. Resultados: En 487 pacientes, 13.1% tenían peso bajo y 23% exceso de peso. En el análisis bivariado, los niños con peso bajo presentaron menos días libres de ventilador (21 días vs 25 días; p = 0,0101) y mayor estancia en UCI (8 días vs 5,5 días; p = 0,0153). En el análisis de regresión, los niños con peso bajo tenían un riesgo 15% y 21% mayor de requerir VM, en comparación con niños de peso normal y con exceso de peso (RR: 0,85; IC:0,75-0,94 y 0,79; IC:0,69-0,91respectivamente; p = 0,001). Los niños con exceso de peso tuvieron más días libres de ventilador en comparación con niños de peso bajo (RR: 1,11; IC: 1,01-1,21; p = 0,018). No hubo asociación del estado nutricional con mortalidad, infecciones o estancia en UCIP. Conclusiones: El peso bajo se correlacionó con mayor uso de VM, mientras que el exceso de peso se relacionó con incremento en los días libres de ventilador. No observamos asociación entre el estado nutricional y la mortalidad, estancia o infecciones. [ABSTRACT FROM AUTHOR]
Copyright of Andes Pediatrica is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
Description
Abstract:Studies on the association between nutritional diagnosis and outcomes in critically ill children show mixed results. Objective: To evaluate nutritional status and determine its association with outcomes in a Pediatric Intensive Care Unit (PICU). Patients and Method: Retrospective cohort study at the National Institute of Child Health, Peru. We assessed nutritional status at admission using weight/height (< 2 years) and BMI for age (= 2 years), and determined its association with mortality, PICU length of stay, mechanical ventilation (MV), ventilator-free days, and healthcare-associated infections. We excluded children with diagnoses that affected anthropometry due to non-nutritional causes. We applied bivariate analysis and adjusted Poisson regression. Results: In 487 patients, 13.1% were underweight and 23% were overweight. In bivariate analysis, underweight children had less ventilator-free days (21 days vs 25 days; p = 0.0101) and longer ICU stay (8 days vs 5.5 days; p = 0.0153). In the regression analysis, underweight children had a 15% and 21% higher risk of requiring MV compared to children of normal weight and overweight (RR: 0.85; IC: 0.75-0.94 and 0.79; IC: 0.69-0.91, respectively; p = 0.001). Overweight children had more ventilator-free days compared to those underweight (RR: 1.11; CI: 1.01-1.21; p = 0.018). Mortality, healthcare-associated infections, or PICU stay were not associated with nutritional diagnosis. Conclusions: Underweight was correlated with greater use of MV, while overweight was related to an increase in ventilator-free days. There was no association between nutritional status and mortality, length of stay, or healthcare-associated infections. [ABSTRACT FROM AUTHOR]
ISSN:24526045
DOI:10.32641/andespediatr.v97i2.5806