scholarly journals Serial measurements of energy expenditure in critically ill children: optimizing nutritional therapy?

Critical Care ◽  
2001 ◽  
Vol 5 (Suppl 1) ◽  
pp. P133
Author(s):  
G de Klerk ◽  
WCJ Hop ◽  
M de Hoog ◽  
KFM Joosten
Keyword(s):  
Energy Expenditure ◽  
Critically Ill ◽  
Nutritional Therapy ◽  
Critically Ill Children ◽  
Serial Measurements

Can energy expenditure be predicted in critically ill children?*

2003 ◽  
Vol 4 (2) ◽  
pp. 176-180 ◽  
Author(s):  
Rachel M. Taylor ◽  
Paul Cheeseman ◽  
Victor Preedy ◽  
Alastair J. Baker ◽  
George Grimble
Keyword(s):  
Energy Expenditure ◽  
Critically Ill ◽  
Critically Ill Children

scholarly journals Physical activity as a determinant of total energy expenditure in critically ill children

2007 ◽  
Vol 26 (6) ◽  
pp. 744-751 ◽  
Author(s):  
Martijn van der Kuip ◽  
Kees de Meer ◽  
Klaas R. Westerterp ◽  
Reinoud J. Gemke
Keyword(s):  
Physical Activity ◽  
Energy Expenditure ◽  
Total Energy ◽  
Critically Ill ◽  
Total Energy Expenditure ◽  
Critically Ill Children

scholarly journals A Comparison between Continuous Indirect Calorimetry and Single Weight-Based Formula in Estimating Resting Energy Expenditure in Nutritional Therapy: A Prospective Randomized Controlled Study in Critically Ill Patients

2021 ◽  
Vol 16 (2) ◽  
pp. 207-215
Author(s):  
Cheah Saw Kian ◽  
Keyword(s):  
Energy Expenditure ◽  
Critically Ill ◽  
Indirect Calorimetry ◽  
Resting Energy Expenditure ◽  
Nutritional Therapy ◽  
Controlled Study ◽  
Rank Test ◽  
Icu Mortality ◽  
Cumulative Energy ◽  
Resting Energy

Optimal nutritional therapy is important to improve outcome in critically ill population in an intensive care unit (ICU). Although indirect calorimetry (IC) is currently a gold standard for resting energy expenditure (REE) measurement, yet it is still not routinely used in the ICU. A total of 146 mechanically ventilated patients were randomised to receive enteral nutrition (EN) with energy targeted based on continuous indirect calorimetry (IC) measurements (IC group, n=73) or according to 25 kcal/kg/day (SWB group, n=73). Patient characteristics were equally distributed and the IC group showed lower mean measured REE (1668.1 + 231.7 vs 1512.0 + 177.1 kcal, p<0.001). Results also showed a significant deficiency in the daily (-148.8 + 105.1 vs. -4.99 + 44.0 kcal, p<0.001) and total cumulative energy balances (-1165.3 + 958.1 vs. 46.5 + 369.5 kcal, p<0.001) in the SWB group as compared to the IC group. From the Kaplan-Meier survival analysis, we found that ICU mortality was significantly lower in the IC group with better survival probability compared to the SWB group (log-rank test, p = 0.03). However, both groups showed comparable results in terms of ICU length of stay, duration of mechanical ventilation and incidence of feeding intolerance. In conclusion, this study showed that tightly supervised nutritional therapy based on continuous IC measurement provides significantly less mean daily and cumulative energy deficits as well as significantly reduced ICU mortality rate.

scholarly journals Relationship between energy expenditure, nutritional status and clinical severity before starting enteral nutrition in critically ill children

2011 ◽  
Vol 105 (5) ◽  
pp. 731-737 ◽  
Author(s):  
Marta Botrán ◽  
Jesús López-Herce ◽  
Santiago Mencía ◽  
Javier Urbano ◽  
Maria José Solana ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Nutritional Status ◽  
Critically Ill ◽  
Indirect Calorimetry ◽  
Clinical Severity ◽  
Retinol Binding Protein ◽  
Critically Ill Children ◽  
Biochemical Alterations ◽  
Logistic Organ Dysfunction ◽  
Risk Of Mortality

The objective of the present study was to investigate the relationship between energy expenditure (EE), biochemical and anthropometric nutritional status and severity scales in critically ill children. We performed a prospective observational study in forty-six critically ill children. The following variables were recorded before starting nutrition: age, sex, diagnosis, weight, height, risk of mortality according to the Paediatric Risk Score of Mortality (PRISM), the Revised Paediatric Index of Mortality (PIM2) and the Paediatric Logistic Organ Dysfunction (PELOD) scales, laboratory parameters (albumin, total proteins, prealbumin, transferrin, retinol-binding protein, cholesterol and TAG, and nitrogen balance) and EE measured by indirect calorimetry. The results showed that there was no relationship between EE and clinical severity evaluated using the PRISM, PIM2 and PELOD scales or with the anthropometric nutritional status or biochemical alterations. Finally, it was concluded that neither nutritional status nor clinical severity is related to EE. Therefore, EE must be measured individually in each critically ill child using indirect calorimetry.

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