Table 4.
Secondary outcomes 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) | |
|
| ||||||||
| ICU LOS in survivors, days* (n=314) | 10 (6, 20) | 21 (9, 42) | 10 (5, 33) | 13 (5, 26) | 14 (5, 31) | 16 (7, 24) | 17 (11, 60) | 0.14 |
|
| ||||||||
| Hospital LOS in survivors, days* (n=314) | 25 (13, 44) | 30 (18, 72) | 23 (12, 44) | 25 (13, 48) | 23 (11, 49) | 25 (17, 72) | 30 (17, 89) | 0.70 |
|
| ||||||||
| NPMODS (%) | 17 (43) | 17 (50) | 14 (27) | 63 (46) | 28 (38) | 15 (48) | 21 (44) | 0.27 |
|
| ||||||||
| Delta POPC Change Score* | ||||||||
| Good at admission | 1.9 ± 2.3 | 2.6 ± 2.3 | 1.8 ± 2.1 | 1.8 ± 2.0 | 1.5 ± 1.9 | 1.4 ± 2.0 | 1.8 ± 1.9 | 0.24 |
| Mild/Mod at admission | 0.3 ± 0.9 | 0.6 ± 0.7 | 0.3 ± 0.7 | 0.4 ± 0.8 | 0.7 ± 0.9 | 0.3 ± 0.8 | 0.5 ± 0.7 | 0.52 |
| Severe/Coma at admission | 0.4 ± 0.2 | -0.1 ± 0.2 | 0.1 ± 0.3 | 0.1 ± 0.2 | 0.1 ± 0.2 | 0.1 ± 0.2 | 0.1 ± 0.2 | 0.21 |
|
| ||||||||
| Delta PCPC Change Score* | ||||||||
| Normal at admission | 1.4 ± 1.8 | 2.1 ± 1.9 | 1.3 ± 1.7 | 1.4 ± 1.7 | 1.2 ± 1.7 | 1.1 ± 1.6 | 1.3 ± 1.6 | 0.30 |
| Mild/Mod at admission | 0.3 ± 0.7 | 0.4 ± 0.7 | 0.4 ± 0.6 | 0.4 ± 0.5 | 0.4 ± 0.7 | 0.3 ± 0.5 | 0.4 ± 0.6 | 0.86 |
| Severe/Coma at admission | 0.2 ± 0.1 | -0.1 ± 0.1 | 0.0 ± 0.2 | 0.1 ± 0.1 | 0.0 ± 0.1 | 0 | 0.0 ± 0.1 | 0.12 |
*
mean, SD
BMI = body mass index; ICU = intensive care unit; LOS = length of stay; NPMODS = new or progressive multiple organ dysfunction syndrome; POPC = pediatric overall performance category; PCPC = pediatric cerebral performance category
Percentages are calculated per nutrition status in columns (column sums to 100%)