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journal article Dec 26, 2018

Priorities for Nutrition Research in Pediatric Critical Care

Lyvonne N. Tume ORCID Frederic V. Valla ORCID Alejandro A. Floh Praveen Goday Corinne Jotterand Chaparro ORCID Bodil Larsen ORCID Jan Hau Lee Yara M. F. Moreno Nazima Pathan Sascha Verbruggen Nilesh M. Mehta ORCID
Journal of Parenteral and Enteral Nutrition Vol. 43 No. 7 pp. 853-862 · Wiley
View at Publisher Save 10.1002/jpen.1498
Abstract
AbstractBackgroundWidespread variation exists in pediatric critical care nutrition practices, largely because of the scarcity of evidence to guide best practice recommendations.ObjectiveThe objective of this paper was to develop a list of topics to be prioritized for nutrition research in pediatric critical care in the next 10 years.MethodsA modified 3‐round Delphi process was undertaken by a newly established multidisciplinary group comprising 11 international researchers in the field of pediatric critical care nutrition. Items were ranked on a 5‐point Likert scale.ResultsForty‐five research topics (with a mean priority score >3(0‐5) were identified within the following 10 domains: the pathophysiology and impact of malnutrition in critical illness; nutrition assessment: nutrition risk assessment and biomarkers; accurate assessment of energy requirements in all phases of critical illness; the role of protein intake; the role of pharmaco‐nutrition; effective and safe delivery of enteral nutrition; enteral feeding intolerance: assessment and management; the role of parenteral nutrition; the impact of nutrition status and nutrition therapies on long‐term patient outcomes; and nutrition therapies for specific populations. Ten top research topics (that received a mean score >4(0‐5) were identified as the highest priority for research.ConclusionsThis paper has identified important consensus‐derived priorities for clinical research in pediatric critical care nutrition. Future studies should determine topics that are a priority for patients and parents. Research funding should target these priority areas and promote an international collaborative approach to research in this field, with a focus on improving relevant patient outcomes.
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References
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Nilesh M Mehta, Lori J Bechard, DAVID ZURAKOWSKI et al.

The American Journal of Clinical Nutrition 10.3945/ajcn.114.104893
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Metrics
32
Citations
50
References
Details
Published
Dec 26, 2018
Vol/Issue
43(7)
Pages
853-862
License
View
Authors
L
Lyvonne N. Tume

Faculty of Health & Applied Sciences University of the West of England Bristol UK

F
Frederic V. Valla

Pediatric Intensive Care Unit Hôpital Femme Mère Enfant Hospices Civils de Lyon Lyon‐Bron France

A
Alejandro A. Floh

Department of Pediatrics University of Toronto Toronto Canada; Cardiac Critical Care Unit Department of Critical Care The Hospital for Sick Children Toronto Canada

P
Praveen Goday

Pediatric Gastroenterology Nutrition Medical College of Wisconsin Milwaukee Wisconsin USA

C
Corinne Jotterand Chaparro

Department of Nutrition and Dietetics University of Applied Sciences Western Switzerland (HES‐SO) Geneva Switzerland; Pediatric Intensive Care Unit Medico‐Surgical Department of Pediatrics University Hospital of Lausanne Lausanne Switzerland

B
Bodil Larsen

Department of ALES (Human Nutrition) University of Alberta Edmonton Canada

J
Jan Hau Lee

Children's Intensive Care Unit KK Women's and Children's Hospital Singapore Singapore; Duke‐NUS Medical School Singapore Singapore

Y
Yara M. F. Moreno

Department of Nutrition and Postgraduate Program in Nutrition Santa Catarina Federal University Health Sciences Centre Florianópolis Santa Catarina Brazil

N
Nazima Pathan

Addenbrooke's Hospital University of Cambridge Cambridge England

S
Sascha Verbruggen

Pediatric Intensive Care Unit Erasmus MC ‐ Sophia Children's Hospital Rotterdam the Netherlands

N
Nilesh M. Mehta

Department of Anesthesiology Critical Care and Pain Medicine Boston Children's Hospital Harvard Medical School Boston Massachusetts USA

Cite This Article
Lyvonne N. Tume, Frederic V. Valla, Alejandro A. Floh, et al. (2018). Priorities for Nutrition Research in Pediatric Critical Care. Journal of Parenteral and Enteral Nutrition, 43(7), 853-862. https://doi.org/10.1002/jpen.1498
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