scholarly journals Nutritional Status Based on Body Mass Index Is Associated With Morbidity and Mortality in Mechanically Ventilated Critically Ill Children in the PICU*

2016 ◽  
Vol 44 (8) ◽  
pp. 1530-1537 ◽  
Author(s):  
Lori J. Bechard ◽  
Christopher Duggan ◽  
Riva Touger-Decker ◽  
J. Scott Parrott ◽  
Pamela Rothpletz-Puglia ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Critically Ill ◽  
Body Mass ◽  
Morbidity And Mortality ◽  
Critically Ill Children ◽  
Mechanically Ventilated

scholarly journals The impact of nutritional status on morbidities in mechanically ventilated critically ill children in PICUs (1024.8)

2014 ◽  
Vol 28 (S1) ◽  
Author(s):  
Lori Bechard ◽  
Christopher Duggan ◽  
Riva Touger‐Decker ◽  
J Parrott ◽  
Pamela Rothpletz‐Puglia ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Critically Ill ◽  
Critically Ill Children ◽  
Mechanically Ventilated ◽  
The Impact

Assessing Nutritional Status in Chronically Critically Ill Adult Patients

2006 ◽  
Vol 15 (2) ◽  
pp. 166-176 ◽  
Author(s):  
Patricia A. Higgins ◽  
Barbara J. Daly ◽  
Amy R. Lipson ◽  
Su-Er Guo
Keyword(s):  
Body Mass Index ◽  
Mechanical Ventilation ◽  
Nutritional Status ◽  
Critically Ill ◽  
Body Mass ◽  
Critically Ill Patients ◽  
Longitudinal Design ◽  
Adult Patients ◽  
Nutritional Adequacy ◽  
Chronically Critically Ill

• Background Numerous methods are used to measure and assess nutritional status of chronically critically ill patients.• Objectives To discuss the multiple methods used to assess nutritional status in chronically critically ill patients, describe the nutritional status of chronically critically ill patients, and assess the relationship between nutritional indicators and outcomes of mechanical ventilation.• Methods A descriptive, longitudinal design was used to collect weekly data on 360 adult patients who required more than 72 hours of mechanical ventilation and had a hospital stay of 7 days or more. Data on body mass index and biochemical markers of nutritional status were collected. Patients’ nutritional intake compared with physicians’ orders, dieticians’ recommendations, and indirect calorimetry and physicians’ orders compared with dieticians’ recommendations were used to assess nutritional status. Relationships between nutritional indicators and variables of mechanical ventilation were determined.• ResultsInconsistencies among nurses’ implementation, physicians’ orders, and dieticians’ recommendations resulted in wide variations in patients’ calculated nutritional adequacy. Patients received a mean of 83% of the energy intake ordered by their physicians (SD 33%, range 0%–200%). Patients who required partial or total ventilator support upon discharge had a lower body mass index at admission than did patients with spontaneous respirations (Mann-Whitney U = 8441, P = .001).• Conclusions In this sample, the variability in weaning progression and outcomes most likely reflects illness severity and complexity rather than nutritional status or nutritional therapies. Further studies are needed to determine the best methods to define nutritional adequacy and to evaluate nutritional status.

Association between admission body mass index and outcomes in critically ill children: A systematic review and meta-analysis

2021 ◽  
Author(s):  
Samantha Toh ◽  
Chengsi Ong ◽  
Rehena Sultana ◽  
Angela Hui Ping Kirk ◽  
Janine Cynthia Koh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Body Mass Index ◽  
Critically Ill ◽  
Body Mass ◽  
Meta Analysis ◽  
Critically Ill Children

scholarly journals Prevalence of Thinness among Santal Preschool Children Using New Body Mass Index Cut-Off Points

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Subal Das ◽  
Kaushik Bose
Keyword(s):  
Body Mass Index ◽  
Preschool Children ◽  
Nutritional Status ◽  
Body Mass ◽  
Cross Sectional Study ◽  
High Rate ◽  
Tribal Community ◽  
Community Based ◽  
Cross Sectional ◽  
Purulia District

A community-based cross-sectional study was undertaken to determine the prevalence of undernutrition using body mass index (BMI) among 2–6-year Santal preschool children of Purulia District, West Bengal, India. A total of 251 (116 boys and 135 girls) children from 12 villages were measured. Commonly used indicators, that is, weight, height, and BMI, were used to evaluate the nutritional status. More boys (59.5%) than girls (53.3%), based on BMI, were undernourished. Significant age differences in weight (F=44.29∗∗∗; df=3), height (F=58.48∗∗∗; df=3), and BMI (F=3.52∗∗∗; df=3) among boys were observed. Similarly, significant differences between ages in mean weight (F=56.27∗∗∗; df=3), height (F=64.76∗∗∗; df=3), and BMI (F=2.62∗∗∗; df=3) were observed among the girls. The present study revealed that the nutritional status of the preschool children of Santal tribal community of these villages was poor with very high rate of thinness in boys and girls (59.5% and 53.3%, resp.).

scholarly journals Grade of esophageal cancer and nutritional status impact on postsurgery outcomes

2010 ◽  
Vol 47 (4) ◽  
pp. 348-353 ◽  
Author(s):  
Flávia Andréia Marin ◽  
Vânia Cristina Lamônica-Garcia ◽  
Maria Aparecida Coelho de Arruda Henry ◽  
Roberto Carlos Burini
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Disease Severity ◽  
Body Mass ◽  
Disease Onset ◽  
Body Weight Loss ◽  
Blood Chemistry ◽  
Palliative Surgery ◽  
Postsurgical Complications ◽  
Complications And Mortality

CONTEXT: Undernutrition is a well known underlying cause in both disease onset and outcome. OBJECTIVE: To associate disease severity with pre surgical nutritional status, the main postsurgical complications, and mortality in esophagus cancer patients. METHOD: Retrospective data from 100 patients (38-81 years old, 85% males) who had undergone esophagectomy (G1/n = 25) or gastro/jejunostomy (G2/n = 75) between 1995 and 2004. Data included clinical, endoscopic, histological (TNM-UICC), dietary, anthropometric, blood chemistry, and postsurgical (>30 days) complications and mortality. Surgical groups were compared by Student's test and existing associations between variables by either c² or Fisher exact tests with P = 0.05. RESULTS: The studied sample was predominantly male (85%), white (80%), smokers and alcoholics (95%), dysphagics (95%) mostly presenting body weight loss before cancer diagnosis (78%). TNM III and IV predominated over I and II, associated (P<0.005) with higher body mass index and hypoalbuminemia (<3.5 mg/dL) frequency. Esophagic obstructions (n = 77) were associated (P = 0.002) with lower body mass index (kg/m²). Postsurgical complications were more common in G1 (69.2%) than G2, predominantly with infections in G2 (80%) and pleura-pulmonary in G1 (61%). Body mass index and lower lymphocyte counts were associated with early infections and postsurgical complications in G2. Plasma albumin levels were lower in this group than G1, and were associated with postsurgical complications and mortality whereas lower lymphocyte counts was associated with mortality in G1. CONCLUSIONS: Disease severity (or late diagnosis) is associated with poor nutritional status and palliative surgery which lead to more complicated postsurgery outcome and mortality. Early diagnosis and nutritional intervention are the recommended actions.

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