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首页> 外文期刊>International journal of health care quality assurance >Improving the quality of nutrition in pediatric trauma
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Improving the quality of nutrition in pediatric trauma

机译：改善小儿创伤的营养质量

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Purpose - Nutrition plays a key role in the recovery of pediatric trauma patients. A catabolic state in trauma patients may hinder recovery and inadequate nutrition may increase morbidity, mortality and length of hospital stay. The purpose of this paper is to review the current nutrition support practices for pediatric trauma patients at McMaster Children's Hospital (MCH), describe patient demographics and identify areas to improve the quality of patient care. Design/methodology/approach - A retrospective chart review was conducted on pediatric trauma patients (age < 18 years) identified through the trauma registry of MCH. Pediatric trauma patients admitted from January 2010 to March 2014 with an Injury Severity Score (ISS) = 12 and a hospitalization of = 24 hours were included. Findings - In total, 130 patients were included in this study, 61.1 percent male, median age ten years (range: 0-17 years) and median ISS of 17 (range: 12-50). Blunt trauma accounted for 97.7 percent of patients admitted and 73.3 percent had trauma team activation. In total, 93 patients (71.5 percent) had ICU stays. The median time to feed was 29 hours (interquartile range: 12.5-43 hours) from the time of admission. An increased hospital length of stay was associated with longer time to initiation of nutrition support, a higher ISS and greater number of surgeries (p < 0.05). Originality/value - Local nutritional support practices for pediatric trauma patients correspond with recommended principles of early feeding and preferential enteral nutrition. Harmonization of paper-based and electronic data collection is recommended to ensure that prescribed nutritional support is being delivered and nutritional needs of pediatric trauma patients are being met.
机译：目的-营养在小儿创伤患者的康复中起关键作用。创伤患者的分解代谢状态可能会阻碍恢复，营养不足可能会增加发病率，死亡率和住院时间。本文的目的是回顾麦克马斯特儿童医院（MCH）针对小儿创伤患者的当前营养支持做法，描述患者的人口统计资料，并确定可提高患者护理质量的领域。设计/方法/方法-对通过MCH创伤登记处确定的小儿创伤患者（年龄<18岁）进行回顾性图表审查。纳入2010年1月至2014年3月收治的创伤严重程度评分（ISS）= 12且住院= 24小时的小儿创伤患者。研究结果-本研究共纳入130名患者，男性占61.1％，中位年龄10岁（范围：0-17岁），ISS中位数为17（范围：12-50）。钝性创伤占入院患者的97.7％，创伤团队激活占73.3％。共有93例患者（71.5％）留在了ICU。从入院时间开始，平均进食时间为29小时（四分位数范围：12.5-43小时）。住院时间的增加与营养支持开始时间的延长，ISS的增加和手术次数的增加有关（p <0.05）。原创性/价值-小儿创伤患者的当地营养支持做法符合建议的早期喂养原则和优先肠内营养。建议统一纸质和电子数据收集，以确保提供规定的营养支持并满足小儿创伤患者的营养需求。

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