Table 2.
ICU interventions by nutrition status in children with severe sepsis.
| ← Undernutrition → | Normal | ← Overnutrition → | ||||||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| BMI z-scores | Severe z ≤ −3 |
Moderate −3 < z ≤ −2 |
Mild −2 < z ≤ −1 |
Normal −1 < z < +1 |
Mild +1 ≤ z < +2 |
Moderate +2 ≤ z < +3 |
Severe z ≥ +3 |
p-value |
| N = 417 (%) | 40 (10) | 34 (8) | 52(13) | 138 (33) | 74 (18) | 31 (7) | 48 (12) | |
|
| ||||||||
| Mechanical ventilation (%) | 30 (75) | 26 (77) | 32 (62) | 96 (70) | 52 (70) | 25 (81) | 35 (73) | 0.58 |
|
| ||||||||
| Steroids (%) | 14 (35) | 11 (32) | 13 (25) | 62 (45) | 38 (51) | 14 (45) | 27 (56) | 0.02 |
|
| ||||||||
| GI prophylaxis (%) | 29 (73) | 23 (68) | 42 (81) | 113 (82) | 55 (74) | 26 (84) | 41 (85) | 0.32 |
|
| ||||||||
| Nutrition support (%) | 0.50 | |||||||
| None | 4 (10) | 2 (6) | 8 (15) | 28 (20) | 11 (15) | 9 (29) | 8 (17) | |
| EN only | 21 (53) | 17 (50) | 26 (50) | 55 (40) | 32 (43) | 12 (39) | 19 (40) | |
| PN only | 9 (23) | 13 (38) | 12 (23) | 36 (26) | 24 (32) | 5 (16) | 13 (27) | |
| EN and PN | 6 (15) | 2 (5.9) | 6 (12) | 19 (14) | 7 (10) | 5 (16) | 8 (17) | |
|
| ||||||||
| Vasoactive infusions (%) | 0.82 | |||||||
| None | 14 (35) | 14 (41) | 27 (52) | 66 (48) | 33 (45) | 16 (52) | 20 (42) | |
| 1 | 9 (23) | 9 (27) | 11 (21) | 30 (22) | 20 (27) | 9 (29) | 14 (29) | |
| 2 | 11 (28) | 6 (18) | 7 (14) | 22 (16) | 8 (11) | 5 (16) | 9 (19) | |
| ≥ 3 | 6 (15) | 5 (15) | 7 (14) | 20 (15) | 13 (18) | 1 (3) | 5 (10) | |
ICU = intensive care unit; BMI = body mass index; GI = gastrointestinal; EN = enteral nutrition; PN = parenteral nutrition
Percentages are calculated per nutrition status in columns (column sums to 100%)