Calories achievement as risk factor of mortality in PICU patient

Rosalia Desi Susanto*, Yusrina Istanti*, M Supriatna*, Rina Pratiwi**

* Department of Child Health, Division of Pediatric and Intensive Care Unit
** Department of Child Health, Division of Nutrition and Metabolic Disease
Faculty of Medicine Diponegoro University/Dr.Kariadi Hospital
Semarang Indonesia

Abstract
Background
Provision of optimal nutrition in children in critical care is often challenging. Critically ill
patients are typically unable to maintain adequate nutritional intake to meet their
metabolic demands. Additionally, patients admitted to a pediatric intensive care unit
(PICU) often have preexisting nutritional deficits.
Objective
To determine calories achievement as risk factor of mortality in PICU patient
Methods
The study was a case control with consecutive sampling in PICU patient at RSUP dr.
Kariadi Semarang who fulfilled inclusion criteria. Calories and protein achievement was
determined at day 5 of admission. Calories intake was calculated using Schofield method.
Statistical analysis used was chi square and Mantel-Haenzel test to calculate the odds
ratio (OR).
Results

There were 80 PICU patients being analyzed, consist of 45 (56.3%) boys, 35

(43.7%) girls. Mean of age was 33.1643.38 months, body weight was
12.5612.21 kg, length of stay was 17.139.11 days. Calories achievement less
than 80% of BMR on the fifth day increase mortality with OR 4.40 (95%
CI=1.19-15.40, p=0.036).
Conclusion
Calories achievement less than 80% at day 5 as risk factor of mortality in PICU patient
Key words :calories achievement, mortality, PICU