A training program for anthropometric measurements by a dedicated nutrition support team improves nutritional status assessment of the critically ill child

Autor: Frederic V. Valla, Rosan Meyer, Christine Dupenloup, Carole Ford-Chessel, Noël Peretti, Etienne Javouhey, Julien Berthiller, Anna Hubert, Nathalie Follin-Arbelet
Přispěvatelé: Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hospices Civils de Lyon (HCL), Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National de la Recherche Agronomique (INRA)
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Gerontology
Male
Head/physiology
030309 nutrition & dietetics
[SDV]Life Sciences [q-bio]
Body Height/physiology
Nursing Staff
Hospital
Critical Care and Intensive Care Medicine
0302 clinical medicine
Nutritional Status/*physiology
Nutritional Indices
Medical Staff
030212 general & internal medicine
Prospective Studies
Child
Hospital/*education
Nutritional Support/*standards
2. Zero hunger
Pediatric
0303 health sciences
Nutritional Support
Nutritional status
Middle Aged
3. Good health
Intensive Care Units
Child
Preschool
Practice Guidelines as Topic
Arm
Nutrition support
Female
France
Training program
Adult
medicine.medical_specialty
Critical Illness
Nutritional Status
Arm/physiology
Intensive Care Units
Pediatric
03 medical and health sciences
Medical Staff
Hospital
medicine
Humans
Intensive care medicine
Preschool
Program Evaluation/*standards
Nutrition assessment
Critically ill
business.industry
Body Weight
Infant
Newborn
Infant
Anthropometry
Newborn
Body Height
Nutrition Assessment
Optimal nutrition
Body Weight/physiology
Critical Illness/*nursing/therapy
Pediatrics
Perinatology and Child Health
Nursing Staff
business
Head
Program Evaluation
Follow-Up Studies
Zdroj: Pediatric Critical Care Medicine
Pediatric Critical Care Medicine, Lippincott, Williams & Wilkins, 2015, 16 (3), pp.e82-8. ⟨10.1097/PCC.0000000000000363⟩
ISSN: 1529-7535
DOI: 10.1097/PCC.0000000000000363⟩
Popis: International audience; OBJECTIVES: The cornerstone of an optimal nutrition approach in PICUs is to evaluate the nutritional status of any patient. Anthropometric measurements and nutritional indices calculation allow for nutritional status assessment, which is not often part of routine management, as it is considered difficult to perform in this setting. We designed a study to evaluate the impact of a training program by the PICU nutritional support team on the implementation of routine anthropometric measurements on our PICU. DESIGN: A prospective study was performed over a 2-year period, which included: a baseline evaluation of nutritional assessment, knowledge, anthropometric measurements (weight, height, and head and mid upper arm circumferences), and nutritional indices calculation in patient files. This was followed by a training program to implement the newly developed nutrition assessment guidelines, which included anthropometrical measurements and also the interpretation of these. The impact of this nutritional assessment program was reviewed annually for 2 years after the implementation. SETTING: PICU-Lyon, France. PATIENTS AND SUBJECTS: PICU nursing and medical staff, and patients admitted in February 2011, 2012, and 2013. INTERVENTIONS: Training program. MEASUREMENTS AND MAIN RESULTS: Ninety-nine percent of staff (n = 145) attended the individual teaching. We found significant progress in nutritional awareness and confidence about nutritional assessment following the teaching program. In addition, an improvement in staff knowledge about undernutrition and its consequences were found. We enrolled 41, 55, and 91 patients in 2011, 2012, and 2013, respectively. There was a significant increase in anthropometric measurements during this time: 32%, 65% (p = 0.002), and 96% in 2013 (p \textless 0.001). Nutritional indices were calculated in 20%, 74% (p \textless 0.001), and 96% (p \textless 0.001) of cases. CONCLUSIONS: This is the first study, showing that a targeted nutritional assessment teaching program that highlights both the importance and techniques of anthropometrical measurements has successfully been implemented in a PICU. It managed to improve staff knowledge and nutritional practice.
Databáze: OpenAIRE
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