MARC details
| 000 -LEADER |
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| fixed length control field |
03203nam a2200241Ia 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
181030s2016 xx 000 0 und d |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
MANILA TYTANA COLLEGES LIBRARY |
| 100 ## - MAIN ENTRY--PERSONAL NAME |
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| Personal name |
Kyle, Ursula G. |
| 245 #0 - TITLE STATEMENT |
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| Title |
Implementation of nutrition support guidelines may affect energy and protein intake in the pediatric intensive care unit / |
| Statement of responsibility, etc. |
Ursula G. Kyle, Laura A. Lucas, Guisela Mackey, Jaime C. Silva, Jennifer Lusk, Renan Orellana, Lara S. Shekerdemian, Jorge A. Coss-Bu |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) |
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| Date of publication, distribution, etc. |
May 2016 |
| 336 ## - CONTENT TYPE |
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| Content type term |
text |
| 337 ## - MEDIA TYPE |
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| Media type term |
unmediated |
| 338 ## - CARRIER TYPE |
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| Carrier type term |
volume |
| 440 ## - SERIES STATEMENT/ADDED ENTRY--TITLE |
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| Number of part/section of a work |
116 : 5, page 844-851 |
| Title |
Journal of the Academy of Nutrition and Dietetics |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
Background Critically ill children are at risk of developing malnutrition, and undernutrition is a risk factor for morbidity and mortality. Objective The study evaluated changes in the energy and protein intake before and after implementation of nutrition support (NS) guidelines for a pediatric critical care unit (PICU). Design This retrospective study documented energy and protein intake for the first 8 days of PICU stay. Basal metabolic rate and protein needs were estimated by Schofield and American Society for Parenteral and Enteral Nutrition Guidelines, respectively. Participants/setting Three hundred thirty-five children from August to December 2012 (pre-implementation) and 185 from October to December 2013 (post-implementation). Intervention Implementation of NS Guidelines. Main outcome measures Changes in actual energy and protein intake in the post- compared with the pre-Implementation period. Statistical analysis performed Unpaired t tests, Pearson's χ2 (unadjusted analysis) were used. Logistic regressions were used to estimate odds ratios and 95% confidence intervals for protein and energy intake, adjusted for age, sex, and Pediatric Risk of Mortality score. Results After the implementation of guidelines, significant improvements were seen during days 5 through 8 in energy intake among children 2 years of age and older, and in protein intake in both age groups (P<0.05). For the 8-day period, statistically or clinically significant improvements occurred in the cumulative protein deficit/kg/day, as follows: younger than 2-year-olds, −1.5±0.7 g/kg/day vs −1.3±0.8 g/kg/day, P=0.02; 2-year-olds or older, −1.0±0.6 g/kg/day vs −0.7±0.8 g/kg/day, P=0.01; and for the energy deficit/kg/d in 2-year-olds and older, −17.2±13.6 kcal/kg/day vs −13.3±18.1 kcal/kg/day, unpaired t test, P=0.07, in the pre- vs post-implementation period, respectively. Conclusions The implementation of NS guidelines was associated with improvements in total energy in 2-year-olds and older and protein in younger than 2 and 2 years and older children by days 5 through 8, and protein deficits were significantly lower in the post- vs the pre-implementation period. The implementation of NS guidelines may have had a positive effect on improving NS in critically ill children. |
| 521 ## - TARGET AUDIENCE NOTE |
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| Target audience note |
Nutrition. |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name as entry element |
Basal metabolic rate. |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name as entry element |
Enteral feeding. |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name as entry element |
Nutrition risk assessment. |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name as entry element |
Nutrition support. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Library of Congress Classification |
| Koha item type |
Articles |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) |
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| Cataloger's initials, CIN (RLIN) |
83002 |
| First Date, FD (RLIN) |
141365 |
