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 A.
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
SN - 0888-0395
VL - 43
SP - 291
EP - 297
JO - Journal of Neuroscience Nursing
JF - Journal of Neuroscience Nursing
IS - 6
ER -