An Assessment of Intermittent and Continuous Enteral Feeding in Critically Ill Children

被引：0

作者：

Misirlioglu, Merve ^{[1
]}

Yildizdas, Dincer ^{[2
]}

Ekinci, Faruk ^{[2
]}

Akcay, Nihal ^{[3
]}

Bingol, Ilyas ^{[3
]}

Sahin, Ebru ^{[4
]}

Varol, Fatih ^{[4
]}

Duyu, Muhterem ^{[5
]}

Asik, Ayse ^{[5
]}

Durak, Fatih ^{[6
]}

Atman, Leyla ^{[6
]}

Bayraktar, Suleyman ^{[7
]}

Alakaya, Mehmet ^{[1
]}

Arslankoylu, Ali Ertug ^{[1
]}

Bozan, Gurkan ^{[8
]}

Kiral, Eylem ^{[8
]}

Ozgur Horoz, Ozden ^{[2
]}

Telefon, Hasan Ali ^{[2
]}

Akkus, Abdullah ^{[9
]}

Yazar, Abdullah ^{[9
]}

Sandal, Ozlem ^{[10
]}

Agin, Hasan ^{[10
]}

Koker, Alper ^{[11
]}

Ulgen Tekerek, Nazan ^{[11
]}

Kutlu, Nurettin Onur ^{[12
]}

Kilinc, Mehmet Arda ^{[12
]}

Korulmaz, Ali ^{[13
]}

Feray Ari, Hatice ^{[14
]}

Uysal Yazici, Mutlu ^{[15
]}

Sevketoglu, Esra ^{[12
]}

Menentoglu, Mehmet Emin ^{[16
]}

Kacmaz, Ebru ^{[17
]}

Talay, Mehmet Nur ^{[18
]}

Orhan, Ozhan ^{[18
]}

Egehan Oruncu, Berna ^{[19
]}

Kesici, Selman ^{[19
]}

Odek, Caglar ^{[20
]}

Arslan, Didar ^{[20
]}

Hepduman, Pinar ^{[21
]}

Evren, Gultac ^{[22
]}

Kinik Kaya, Hatice Elif ^{[23
]}

Yener, Nazik ^{[23
]}

Gun, Emrah ^{[24
]}

Gardiyanoglu, Ilkem ^{[24
]}

Udurgucu, Muhammed ^{[25
]}

Yavuz, Sinan ^{[26
]}

Avci, Ali ^{[26
]}

Ozkale, Murat ^{[27
]}

Ozkale, Yasemin ^{[27
]}

Yavas Kocaoglu, Damla Pinar ^{[28
]}

机构：

[1] Mersin Univ, Fac Med, Dept Pediat Intens Care, TR-33079 Mersin, Turkiye

[2] Cukurova Univ, Fac Med, Dept Pediat Intens Care, TR-01790 Adana, Turkiye

[3] Kanuni Sultan Suleyman Training & Res Hosp, Dept Pediat Intens Care, TR-34303 Istanbul, Turkiye

[4] Sancaktepe Prof Dr Ilhan Varank Training & Res Hos, Dept Pediat Intens Care, TR-34785 Istanbul, Turkiye

[5] Medeniyet Univ Prof Dr, Suleyman Yalcin City Hosp, Dept Pediat Intens Care, TR-34722 Istanbul, Turkiye

[6] Izmir City Hosp, Dept Pediat Intens Care, TR-35540 Izmir, Turkiye

[7] Sultangazi Haseki Training & Res Hosp, Dept Pediat Intens Care, TR-34260 Istanbul, Turkiye

[8] Eskisehir Osmangazi Univ, Fac Med, Dept Pediat Intens Care, TR-26480 Eskisehir, Turkiye

[9] Necmettin Erbakan Univ, Fac Med, Dept Pediat Intens Care, TR-42090 Konya, Turkiye

[10] Univ Hlth Sci, Dept Pediat Intens Care, Izmir Dr Behcet Uz Child Dis & Surg Training & Res, TR-35210 Izmir, Turkiye

[11] Akdeniz Univ, Fac Med, Dept Pediat Intens Care, TR-07070 Antalya, Turkiye

[12] Basaksehir Cam & Sakura City Hosp, Dept Pediat Intens Care, TR-34480 Istanbul, Turkiye

[13] Kocaeli City Hosp, Dept Pediat Intens Care, TR-41060 Kocaeli, Turkiye

[14] Adnan Menderes Univ, Fac Med, Dept Pediat Intens Care, TR-09010 Aydin, Turkiye

[15] Gazi Univ, Fac Med, Dept Pediat Intens Care, TR-06560 Ankara, Turkiye

[16] Univ Hlth Sci, Bakirkoy Dr Sadi Konuk Training & Res Hosp, Dept Pediat Intens Care, TR-34147 Istanbul, Turkiye

[17] Bursa Dortcelik Children Hosp, Dept Pediat Intens Care, TR-16120 Bursa, Turkiye

[18] Mardin Artuklu Univ, Mardin Training & Res Hosp, Dept Pediat Intens Care, TR-47100 Mardin, Turkiye

[19] Hacettepe Univ, Fac Med, Life Support Ctr, Dept Pediat Intens Care, TR-06230 Ankara, Turkiye

[20] Bursa Uludag Univ, Fac Med, Dept Pediat Intens Care, TR-16285 Bursa, Turkiye

[21] Erzurum City Hosp, Dept Pediat Intens Care, TR-25240 Erzurum, Turkiye

[22] Manisa City Hosp, Dept Pediat Intens Care, TR-45040 Manisa, Turkiye

[23] Ondokuz Mayis Univ, Fac Med, Dept Pediat Intens Care, TR-55270 Samsun, Turkiye

[24] Ankara Etlik City Hosp, Dept Pediat Intens Care, TR-06170 Ankara, Turkiye

[25] Samsun Training & Res Hosp, Dept Pediat Intens Care, TR-55090 Samsun, Turkiye

[26] Batman Training & Res Hosp, Dept Pediat Intens Care, TR-72070 Batman, Turkiye

[27] Baskent Univ, Fac Med, Adana Dr Turgut Noyan Teaching & Med Res Ctr, Dept Pediat Intens Care, TR-01250 Adana, Turkiye

[28] Hlth Sci Univ Gulhane Training & Res Hosp, Dept Pediat Intens Care, TR-06018 Ankara, Turkiye

[29] Mugla Sitki Kocman Univ, Fac Med, Dept Pediat Intens Care, TR-48000 Mugla, Turkiye

来源：

NUTRIENTS | 2025年 / 17卷 / 02期

关键词：

continuous feeding; enteral nutrition; intermittent feeding; pediatric; NUTRITION; INDEX;

D O I：

10.3390/nu17020301

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Background: The inability to ensure adequate nutrition for patients, and failure to provide adequate calorie and protein intake, result in malnutrition, leading to increased morbidity and mortality. The present study assesses the two approaches to enteral nutrition-intermittent and continuous enteral feeding-in critically ill pediatric patients in T & uuml;rkiye to determine the superiority of one method over the other. Methods: Included in this multicenter prospective study were patients receiving enteral nutrition via a tube who were followed up over a 3-month period. Anthropometric data, calorie and protein intake, and signs of feeding intolerance were evaluated in a comparison of the different feeding methods. Results: A total of 510 patients were examined. In the continuous enteral feeding (CEF) group, 20.2% of patients developed metabolic abnormalities, and 49.5% experienced enteral nutrition intolerance, both of which were higher than in the intermittent enteral feeding (IEF) group, and the differences were statistically significant. No significant differences were observed between the two feeding methods in terms of reaching the target calorie intake on days 2 and 7 (p > 0.05). On day 7, there were significant differences between the two feeding methods in terms of calorie and protein intake (p = 0.023 and 0.014, respectively). Conclusions: In the present study, assessing the IEF and CEF approaches to enteral nutrition, critically ill pediatric patients receiving intermittent feeding exhibited lower rates of enteral nutrition intolerance and metabolic abnormalities. Furthermore, the calorie and protein intake on day 7 were noted to be higher in the IEF group than in the CEF group. Further randomized controlled trials are needed to confirm the findings of the present study.

引用

页数：16

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