Jennifer M Perez, Robert J Graham, Nilesh M Mehta, Enid E Martinez
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引用次数: 0
Abstract
Children with medical complexity (CMC) and children with chronic critical illness (CCI) represent growing populations with high healthcare use and dependence on specialized care, both in the hospital and community setting. Nutrition assessment and delivery represent critical components of addressing the short-term and long-term health needs for these populations across the care continuum. This article provides a framework and reviews existing literature for the assessment of nutrition status and subsequent delivery of nutrition prescriptions in CMC and children with CCI. The specific aims are to (1) describe the epidemiology of health services experience for CMC and children with CCI, with a focus on their nutrition outcomes; (2) detail how to assess their nutrition status and energy requirements; (3) review methods of delivery of the nutrient prescription; (4) introduce perioperative considerations; (5) highlight examples of special populations of CMC and children with CCI; and (6) propose future research initiatives to improve nutrition and overall outcomes for these populations.
医疗复杂性儿童(CMC)和慢性危重症儿童(CCI)是越来越多的人群,他们在医院和社区环境中都需要大量的医疗服务并依赖于专业护理。营养评估和营养提供是在整个护理过程中满足这些人群短期和长期健康需求的关键组成部分。本文提供了一个框架,并对现有文献进行了回顾,以评估 CMC 和 CCI 儿童的营养状况,并随后提供营养处方。具体目的是:(1)描述CMC和CCI儿童健康服务经验的流行病学,重点关注他们的营养结果;(2)详细介绍如何评估他们的营养状况和能量需求;(3)回顾营养处方的提供方法;(4)介绍围手术期的注意事项;(5)强调CMC和CCI儿童特殊人群的实例;以及(6)提出未来的研究计划,以改善这些人群的营养状况和整体结果。
期刊介绍:
NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).