重症儿童肠内喂养不耐受的测量方法:范围综述。

IF 2.1 3区 医学 Q2 PEDIATRICS
Frontiers in Pediatrics Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI:10.3389/fped.2024.1441171
Yan Li, Cong-Hui Fu, Min-Jie Ju, Ji Liu, Xiao-Ya Yang, Ting-Ting Xu
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引用次数: 0

摘要

目的:研究危重症儿童肠内喂养不耐受(EFI)的测量方法:研究重症儿童肠内喂养不耐受(EFI)的测量方法:采用乔安娜-布里格斯研究所(Joanna Briggs Institute)的方法进行范围审查。确定了自 2004 年以来发表的评估危重症儿童肠内喂养不耐受的文章。我们在七个英文数据库(MEDLINE、EMBASE、PubMed、Web of Science、Cochrane Central Register of Controlled Trials、JBI EBP、CINAHL)和四个中文数据库(CNKI、VIP、万方、中国医药网)中执行了全面检索策略。两名审稿人根据纳入和排除标准筛选记录,并对所选文章进行全文审阅。对所有入选研究的参考文献目录进行了筛选,以寻找更多来源。使用研究人员开发的工具提取相关数据:在确定的 627 篇文章中,有 32 篇被纳入此次范围界定综述。大多数文章侧重于高胃剩余容积的测量(22 篇),其次是腹泻(20 篇)和呕吐(9 篇)。大多数研究采用观察-分析设计(13/32)和实验设计(8/32):本次范围界定综述探讨了 EFI 测量的复杂性和多样性。鉴于肠内营养摄入充足性的重要性,我们强调有必要在考虑儿童年龄和疾病状况的基础上,制定个性化的肠内营养摄入量(EFI)测量方法。进一步的研究还可以对 EFI 进行准确、客观的生理学测量,以促进肠内营养的摄入并改善危重症儿童的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measurements of enteral feeding intolerance in critically ill children: a scoping review.

Objective: To examine the measurements on enteral feeding intolerance (EFI) in critically ill children.

Methods: The Joanna Briggs Institute methods for conducting a scoping review were followed. Articles published since 2004 which assessed EFI in critically ill children were identified. A full search strategy was executed in seven English databases (MEDLINE, EMBASE, PubMed, Web of Science, Cochrane Central Register of Controlled Trials, JBI EBP, CINAHL) and four Chinese databases (CNKI, VIP, Wanfang, Sinomed). Two reviewers screened records according to our inclusion and exclusion criteria, and conducted a full-text review of selected articles. The reference lists of all studied selected were screened for additional sources. Relevant data was extracted using a researcher-developed tool.

Results: Of the 627 articles identified, 32 were included in this scoping review. Most articles focused on the measurement of high gastric residual volume (n = 22), followed by diarrhea (n = 20), and vomiting (n = 9). Most of the studies were of observational-analytic design (13/32) and experimental design (8/32).

Conclusion: This scoping review addressed the complexity and diversity of EFI measurements. Given the importance of adequacy of enteral nutrient intake, we highlighted the necessary to develop individual measurements of EFI, taking the age of children and disease condition into consideration. Further studies can also investigate accurate and objective physiological measurements of EFI to advance EN and improve outcomes in critically ill children.

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来源期刊
Frontiers in Pediatrics
Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
3.60
自引率
7.70%
发文量
2132
审稿时长
14 weeks
期刊介绍: Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.
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