Effect of early nutritional support on intensive care unit length of stay and neurological status at discharge in children with severe traumatic brain injury

Asma Taha, Lina Badr, Cheryl Westlake, Vivien Dee, Mathur Mudit, Kathyrne L. Tiras

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Pediatric severe traumatic brain injury treatment guidelines for nutrition indicate that "there are insufficient data to support a treatment guideline for this topic" (P. D. Adelson et al., 2003). Based on adult studies, the guideline provided an option for practitioners to start nutritional support within 72 hours of admission and full replacement by day 7. This retrospective, descriptive correlation study examined the timing of nutritional supplement initiation and the timing of achieving full caloric intake in relation to length of stay (LOS) in the intensive care unit (ICU) and patient disposition status at discharge from hospital in children 8Y18 years old. Median time to initiation of nutrition was 1.5 days (0.02Y11.9 days), and full caloric goals were achieved in 3.4 days (0.5Y19.6 days). Median ICU LOS was 2.1 days (0.01Y97.9 days). Overall, 48% of patients were discharged home; 28% experienced mild, moderate, or severe disability; and 24% either died or survived in a vegetative state. Early initiation and achieving full caloric intake were both positively correlated with shorter LOS in the ICU (p G .01, Spearman's rho correlational matrix) and better disposition status at discharge from the hospital (p G .05, KruskalYWallis test).

Original languageEnglish (US)
Pages (from-to)291-297
Number of pages7
JournalJournal of Neuroscience Nursing
Volume43
Issue number6
DOIs
StatePublished - Dec 2011
Externally publishedYes

Fingerprint

Nutritional Support
Intensive Care Units
Length of Stay
Energy Intake
Guidelines
Persistent Vegetative State
Nutrition Policy
Pediatrics
Therapeutics
Traumatic Brain Injury

ASJC Scopus subject areas

  • Clinical Neurology
  • Endocrine and Autonomic Systems
  • Medical–Surgical
  • Surgery

Cite this

Effect of early nutritional support on intensive care unit length of stay and neurological status at discharge in children with severe traumatic brain injury. / Taha, Asma; Badr, Lina; Westlake, Cheryl; Dee, Vivien; Mudit, Mathur; Tiras, Kathyrne L.

In: Journal of Neuroscience Nursing, Vol. 43, No. 6, 12.2011, p. 291-297.

Research output: Contribution to journalArticle

@article{12f31128b025448b9a2d48b5d336986f,
title = "Effect of early nutritional support on intensive care unit length of stay and neurological status at discharge in children with severe traumatic brain injury",
abstract = "Pediatric severe traumatic brain injury treatment guidelines for nutrition indicate that {"}there are insufficient data to support a treatment guideline for this topic{"} (P. D. Adelson et al., 2003). Based on adult studies, the guideline provided an option for practitioners to start nutritional support within 72 hours of admission and full replacement by day 7. This retrospective, descriptive correlation study examined the timing of nutritional supplement initiation and the timing of achieving full caloric intake in relation to length of stay (LOS) in the intensive care unit (ICU) and patient disposition status at discharge from hospital in children 8Y18 years old. Median time to initiation of nutrition was 1.5 days (0.02Y11.9 days), and full caloric goals were achieved in 3.4 days (0.5Y19.6 days). Median ICU LOS was 2.1 days (0.01Y97.9 days). Overall, 48{\%} of patients were discharged home; 28{\%} experienced mild, moderate, or severe disability; and 24{\%} either died or survived in a vegetative state. Early initiation and achieving full caloric intake were both positively correlated with shorter LOS in the ICU (p G .01, Spearman's rho correlational matrix) and better disposition status at discharge from the hospital (p G .05, KruskalYWallis test).",
author = "Asma Taha and Lina Badr and Cheryl Westlake and Vivien Dee and Mathur Mudit and Tiras, {Kathyrne L.}",
year = "2011",
month = "12",
doi = "10.1097/JNN.0b013e318234e9b2",
language = "English (US)",
volume = "43",
pages = "291--297",
journal = "Journal of Neuroscience Nursing",
issn = "0888-0395",
publisher = "American Association of Neuroscience Nurses",
number = "6",

}

TY - JOUR

T1 - Effect of early nutritional support on intensive care unit length of stay and neurological status at discharge in children with severe traumatic brain injury

AU - Taha, Asma

AU - Badr, Lina

AU - Westlake, Cheryl

AU - Dee, Vivien

AU - Mudit, Mathur

AU - Tiras, Kathyrne L.

PY - 2011/12

Y1 - 2011/12

N2 - Pediatric severe traumatic brain injury treatment guidelines for nutrition indicate that "there are insufficient data to support a treatment guideline for this topic" (P. D. Adelson et al., 2003). Based on adult studies, the guideline provided an option for practitioners to start nutritional support within 72 hours of admission and full replacement by day 7. This retrospective, descriptive correlation study examined the timing of nutritional supplement initiation and the timing of achieving full caloric intake in relation to length of stay (LOS) in the intensive care unit (ICU) and patient disposition status at discharge from hospital in children 8Y18 years old. Median time to initiation of nutrition was 1.5 days (0.02Y11.9 days), and full caloric goals were achieved in 3.4 days (0.5Y19.6 days). Median ICU LOS was 2.1 days (0.01Y97.9 days). Overall, 48% of patients were discharged home; 28% experienced mild, moderate, or severe disability; and 24% either died or survived in a vegetative state. Early initiation and achieving full caloric intake were both positively correlated with shorter LOS in the ICU (p G .01, Spearman's rho correlational matrix) and better disposition status at discharge from the hospital (p G .05, KruskalYWallis test).

AB - Pediatric severe traumatic brain injury treatment guidelines for nutrition indicate that "there are insufficient data to support a treatment guideline for this topic" (P. D. Adelson et al., 2003). Based on adult studies, the guideline provided an option for practitioners to start nutritional support within 72 hours of admission and full replacement by day 7. This retrospective, descriptive correlation study examined the timing of nutritional supplement initiation and the timing of achieving full caloric intake in relation to length of stay (LOS) in the intensive care unit (ICU) and patient disposition status at discharge from hospital in children 8Y18 years old. Median time to initiation of nutrition was 1.5 days (0.02Y11.9 days), and full caloric goals were achieved in 3.4 days (0.5Y19.6 days). Median ICU LOS was 2.1 days (0.01Y97.9 days). Overall, 48% of patients were discharged home; 28% experienced mild, moderate, or severe disability; and 24% either died or survived in a vegetative state. Early initiation and achieving full caloric intake were both positively correlated with shorter LOS in the ICU (p G .01, Spearman's rho correlational matrix) and better disposition status at discharge from the hospital (p G .05, KruskalYWallis test).

UR - http://www.scopus.com/inward/record.url?scp=84856375117&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84856375117&partnerID=8YFLogxK

U2 - 10.1097/JNN.0b013e318234e9b2

DO - 10.1097/JNN.0b013e318234e9b2

M3 - Article

C2 - 22089405

AN - SCOPUS:84856375117

VL - 43

SP - 291

EP - 297

JO - Journal of Neuroscience Nursing

JF - Journal of Neuroscience Nursing

SN - 0888-0395

IS - 6

ER -