الفهرس 
Nutritional Assessment and Screening of Critically Ill Patient
Importance of Nutrition in the Critically Ill ChildOnly 14 pages are availabe for public view
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Abstract
Malnutrition affects 50% if hospitalized children and
25-70% of critically ill children.
Enteral tube feeding is generally considered the
preferred modality for critically ill pediatric patients until
there’s no contraindication.
Early enteral feeding improves the caloric intake and
the protein balance and decreases the mortality when
compared with delayed feeding (more than 48 hours) after
admission.
The aim of the current study to compare the effect of
medium chain triglyceride formula enteral feeding versus
standard formula on the outcome of pediatric ICU patients.
This study was conducted on 60 critically ill patients:
- group I: 30 patients received standard formula
- group II: 30 patients received medium chain
triglyceride formula.
All patients included in this study were subjected to:
a) Full medical history (information on demographic
variables including patient age and gender),
anthropometric measures (weight – height – Mid armcircumference – skin fold thickness) at time of
admission.
b) Pediatric subjective global nutritional assessment was
done to all patients.
c) PRISM score was calculated for all patients in this
study.
d) Calculation of resting energy expenditure (kcal)
according to schofield based on age and weight.
e) Calculation of nutritional needs of the patients.
f) Gastroinestinal tract tolerance symptoms was observed
during feeding.
g) Outcome measures was observed: weight at discharge,
length of ICU state, days of mechanical ventilation, days
of sepsis, gastrointestinal tract tolerance and mid arm
circumference at discharge.
Our results revealed that:
Medium chain triglyceride formula enteral feeding is
better than standard formula enteral in critically ill pediatric
patients as regards gastrointestinal tract tolerance also it
decreases days of sepsis and improves weight gain during
admission in ICU.
Early enteral feeding decreases days of sepsis, days
of mechanical ventilation and length of stay in the ICU.