Determining energy and protein needs in critically ill pediatric patients: A scoping review

Corinne Jotterand Chaparro; Céline Pabion; Lyvonne N. Tume; Nilesh M. Mehta; Frederic V. Valla; Clémence Moullet

doi:10.1002/ncp.11060

journal article Open Access Sep 18, 2023

Determining energy and protein needs in critically ill pediatric patients: A scoping review

Corinne Jotterand Chaparro

Céline Pabion Lyvonne N. Tume

Nilesh M. Mehta

Frederic V. Valla

Clémence Moullet

Nutrition in Clinical Practice Vol. 38 No. S2 · Wiley

View at Publisher Save 10.1002/ncp.11060

Abstract

AbstractIntroductionIn critically ill pediatric patients, optimal energy and protein intakes are associated with a decreased risk of morbidity and mortality. However, the determination of energy and protein needs is complex. The objective of this scoping review was to understand the extent and type of evidence related to the methods used to determine energy and protein needs in critically ill pediatric patients.MethodsAn international expert group composed of dietitians, pediatric intensivists, a nurse, and a methodologist conducted the review, based on the Johanna Briggs Institute methodology. Two researchers searched for studies published between 2008 and 2023 in two electronic databases, screened abstracts and relevant full texts for eligibility, and extracted data.ResultsA total of 39 studies were included, mostly conducted in critically ill children undergoing ventilation, to assess the accuracy of predictive equations for estimating resting energy expenditure (REE) (n = 16, 41%) and the impact of clinical factors (n = 22, 56%). They confirmed the risk of underestimation or overestimation of REE when using predictive equations, of which the Schofield equation was the least inaccurate. Apart from weight and age, which were positively correlated with REE, the impact of other factors was not always consistent. No new indirect calorimeter method used to determine protein needs has been validated.ConclusionThis scoping review highlights the need for scientific data on the methods used to measure energy expenditure and determine protein needs in critically ill children. Studies using a reference method are needed to validate an indirect calorimeter.

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Published: Sep 18, 2023
Vol/Issue: 38(S2)
License: View

Authors

C

Corinne Jotterand Chaparro

Geneva School of Health Sciences HES‐SO University of Applied Sciences and Arts Western Switzerland Geneva Switzerland; Bureau d'Echange des Savoirs pour des praTiques exemplaires de soins (BEST): A JBI Centre of Excellence Lausanne Switzerland

C

Céline Pabion

Geneva School of Health Sciences HES‐SO University of Applied Sciences and Arts Western Switzerland Geneva Switzerland

L

Lyvonne N. Tume

Geneva School of Health Sciences HES‐SO University of Applied Sciences and Arts Western Switzerland Geneva Switzerland; Faculty of Health, Social Care and Medicine Edge Hill University Ormskirk UK

N

Nilesh M. Mehta

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

F

Frederic V. Valla

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

C

Clémence Moullet

Geneva School of Health Sciences HES‐SO University of Applied Sciences and Arts Western Switzerland Geneva Switzerland

Cite This Article

Corinne Jotterand Chaparro, Céline Pabion, Lyvonne N. Tume, et al. (2023). Determining energy and protein needs in critically ill pediatric patients: A scoping review. Nutrition in Clinical Practice, 38(S2). https://doi.org/10.1002/ncp.11060

Determining energy and protein needs in critically ill pediatric patients: A scoping review

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