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Classification and Nutrition Management of Acute Pancreatitis in the Pediatric Intensive Care Unit. J Pediatr Gastroenterol Nutr 2018 12;67(6):755-759

Date

09/14/2018

Pubmed ID

30211843

DOI

10.1097/MPG.0000000000002147

Scopus ID

2-s2.0-85056802710   6 Citations

Abstract

The aims of this retrospective cohort study were to classify the severity of patients admitted to the pediatric intensive care unit (PICU) with acute pancreatitis (AP) and to identify how many patients received appropriate nutritional management in accordance with more recent guidelines and the outcomes of those patients. Of the 54 children with AP, 12 (22.2%) had a primary diagnosis of AP (50% severe, 17% moderate) whereas 42 (77.8%) had a secondary diagnosis of AP (81% severe, 11.9% moderate). Just under half of the patients (48.1%) had enteral nutrition commenced before the third day of admission (50% with primary AP, 47.6% with secondary AP). The average time to initiation of enteral feeds was 2.3 days for those that received enteral nutrition. 51.8% of patients received parenteral nutrition (25% with primary AP, 59.5% with secondary AP). Most patients received enteral nutrition late and parenteral nutrition was overused in patients with AP admitted to the PICU.

Author List

Cole S, Wakeham M, Werlin S, Goday PS

Author

Martin K. Wakeham MD Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Acute Disease
Child
Enteral Nutrition
Female
Hospitalization
Humans
Intensive Care Units, Pediatric
Male
Pancreatitis
Parenteral Nutrition
Retrospective Studies
Time Factors