Enteral Nutrition in Critically Ill Children with Shock
Author Information
Author(s): López-Herce Jesús, Mencía Santiago, Sánchez César, Santiago Maria J, Bustinza Amaya, Vigil Dolores
Primary Institution: Hospital General Universitario Gregorio Marañón, Madrid, Spain
Hypothesis
Can critically ill children with shock tolerate postpyloric enteral nutrition?
Conclusion
Most critically ill children with shock can tolerate postpyloric enteral nutrition, but they experience a higher incidence of gastrointestinal complications compared to other critically ill children.
Supporting Evidence
- 75.4% of patients with shock received postpyloric enteral nutrition exclusively.
- 30.7% of patients with shock experienced gastrointestinal complications.
- The mortality rate among patients with shock was 27.7%.
Takeaway
This study shows that kids who are very sick and in shock can still eat through a special tube, but they might have more tummy problems than other kids who are sick.
Methodology
A prospective observational study comparing 65 critically ill children with shock receiving postpyloric enteral nutrition to 461 non-shocked critically ill children.
Potential Biases
Potential bias due to the observational nature of the study and the varied clinical conditions of the participants.
Limitations
The study population was heterogeneous with a wide age range and diverse diagnoses, complicating the analysis of results.
Participant Demographics
65 children with shock, aged 21 days to 22 years, 67.6% male.
Statistical Information
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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