77 / 208
Use of indirect calorimetry to detect overfeeding
75
4
Table 2.
Clinical and nutritional characteristics of the patients
N = 78
Male sex
N (%)
51 (54%)
Age
Months
Age < 1 year
Median (IQR)
N (%)
6.3 (1.5-29.3)
46 (59)
Weight (kg)
Median (IQR)
6.4 (3.9-12.6)
SD-score WFA
< -2
Mean (±SD)
N (%)
-1.3 (±1.8)
23 (30)
Diagnosis
Medical
Surgery
N (%)
60 (77)
18 (23)
PICU length of stay (days)
Median (IQR)
8 (5-13.5)
Mortality
N (%)
3 (7)
PRISM score
Median (IQR)
10 (5-16)
mREE
Total
Per kg
Median (IQR)
Mean (±SD)
312 (217-640)
48 (±9.6)
RQ
Measured
RQ > 1
Macronutrients
Mean (±SD)
N (%)
Median (IQR)
0.88 (± 0.08)
5 (6.4)
0.90 (0.86-0.96)
Body temperature
Temp ≥ 38.5ºC
Mean (±SD)
N (%)
37.5 (± 0.6)
7 (9)
Day of measurement
Day > 7
Median (IQR)
N (%)
1 (1-3)
8 (10)
Route of nutrition
Exclusive EN
Exclusive PN
EN and PN combined
Glucose only
N (%)
44 (57)
12 (15)
14 (18)
8 (10)
Intake
Kcal/kg/day
Caloric intake>mREE
Protein (g) per kg
Fat (g) per kg
Carbohydrates mg/kg/min
Mean (±SD)
N (%)
Median (IQR)
Median (IQR)
Mean (±SD)
52 (±29)
45 (58)
1.1 (0.5-2.1)
1.3 (0.4-2.7)
5.4 (±2.8)
IQR = Interquartile Range, SD = Standard Deviation, WFA =Weight for Age, PICU = Pediatric Intensive Care
Unit, PRISM= Pediatric Risk of Mortality score (maximum total score 74), mREE =measured Resting Energy
Expenditure, RQ = Respiratory Quotient, EN = Enteral Nutrition, PN = Parenteral Nutrition
Energy overfeeding
Table 3 shows patient demographics and nutritional characteristics in relation to the different
definitions of energy overfeeding studied.