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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorZAMBERLAN, P.
dc.contributor.authorCARVALHO, W.B. de
dc.contributor.authorDELGADO, A.F.
dc.date.accessioned2020-04-03T16:22:38Z
dc.date.available2020-04-03T16:22:38Z
dc.date.issued2019
dc.identifier.citationCURRENT TREATMENT OPTIONS IN PEDIATRICS, v.5, n.3, p.301-313, 2019
dc.identifier.issn2198-6088
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/35751
dc.description.abstractPurpose of review: Malnutrition is very common in critically ill patients, mainly children and adolescents, and it increases morbidity, length of stay, medical costs, and mortality. Anthropometric and body composition assessment are basic components for monitoring nutritional status. In addition, it appears to be able to predict several clinical outcomes in these patients. This review describes studies evaluating usefulness of nutritional and prognostic assessment tools in critically ill patients. Recent findings: Although anthropometry is difficult to interpret in critically ill patients, it is very useful for classifying nutrition status, as well as for planning nutritional therapy (NT) and nutrition monitoring. Several traditional nutritional markers (zinc, selenium, prealbumin, and HDL) have been used as inflammatory and, consequently, prognostic indicators. Body composition indicators as phase angle obtained by bioelectrical impedance and arm circumference have shown a strong ability to predict outcomes in a wide variety of clinical situations, including critically ill children and adolescents. Summary: Early intervention targeting nutrition assessment can prevent or minimize the complications of undernutrition in the intensive care unit. Thus, improving the accuracy of nutritional and prognostic evaluation is of paramount importance in the clinical management of critically ill patients. © 2019, Springer Nature Switzerland AG.eng
dc.language.isoeng
dc.publisherSPRINGER INTERNATIONAL PUBLISHINGeng
dc.relation.ispartofCurrent Treatment Options in Pediatrics
dc.rightsrestrictedAccesseng
dc.subjectBody compositioneng
dc.subjectIntensive care unitseng
dc.subjectMortalityeng
dc.subjectNutritional assessmenteng
dc.subjectPediatriceng
dc.subjectPrognosiseng
dc.subject.otherhigh density lipoproteineng
dc.subject.otherseleniumeng
dc.subject.othertransthyretineng
dc.subject.otherzinceng
dc.subject.otheranthropometryeng
dc.subject.otherarm circumferenceeng
dc.subject.otherbody compositioneng
dc.subject.othercritically ill patienteng
dc.subject.otherdiet therapyeng
dc.subject.otherhumaneng
dc.subject.othernutritional assessmenteng
dc.subject.othernutritional statuseng
dc.subject.otherprognostic assessmenteng
dc.subject.otherrevieweng
dc.titleNutritional Assessment and Body Composition in Critically Ill Children as Prognostic Indicatorseng
dc.typearticleeng
dc.rights.holderCopyright SPRINGER INTERNATIONAL PUBLISHINGeng
dc.identifier.doi10.1007/s40746-019-00169-0
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
hcfmusp.description.beginpage301
hcfmusp.description.endpage313
hcfmusp.description.issue3
hcfmusp.description.volume5
hcfmusp.origemSCOPUS
hcfmusp.origem.id2-s2.0-85079020414
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