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Preoperative bioelectrical impedance predicts intensive care length of stay in children following cardiac surgery

Published online by Cambridge University Press:  01 March 2018

Luise V. Marino*
Affiliation:
Department of Dietetics/SLT, University Hospital Southampton NHS Foundation Trust, Southampton, UK
Michael J. Griksaitis
Affiliation:
Faculty of Medicine, University of Southampton, Southampton, UK Paediatric Intensive Care Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK
John V. Pappachan
Affiliation:
Faculty of Medicine, University of Southampton, Southampton, UK Paediatric Intensive Care Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK
*
Author for correspondence: L. V. Marino, University Hospital Southampton NHS Foundation Trust, Southampton, S016 6YD, UK. Tel: +44 (0) 23 8079 6000; Fax: +44 (0) 23 8120 3088; E-mail: [email protected]

Abstract

We have previously shown that children with a bioelectrical impedance spectroscopy phase angle at 50° (PA 50°) of <2.7 on postoperative day 2 had a four-fold increase in the risk of prolonged paediatric intensive care length of stay. In this study, we demonstrate a relationship between a baseline measure of phase angle 200/5° and postoperative length of stay.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

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References

1. Marino, LV, Magee, A. A cross-sectional audit of the prevalence of stunting in children attending a regional paediatric cardiology service. Cardiol Young 2016; 26: 787789.Google Scholar
2. Price, PML, Macrae, D, Shastri, N, Meyer, R, Pathan, N. Nutritional status and clinical outcome in post-term neonates undergoing surgery for congenital heart disease. Pediatr Crit Care Med 2015; 16: 448452.Google Scholar
3. Polito, A, Patorno, E, Costello, JM, et al. Perioperative factors associated with prolonged mechanical ventilation after complex congenital heart surgery. Pediatr Crit Care Med 2011; 12: e122e126.Google Scholar
4. Sampaio, TZ, O’Hearn, K, Reddy, D, Menon, K. The influence of fluid overload on the length of mechanical ventilation in pediatric congenital heart surgery. Pediatr Cardiol 2015; 36: 16921699.Google Scholar
5. Marino, LV, Meyer, R, Johnson, M, et al. Bioimpedance spectroscopy measurements of phase angle and height for age are predictive of outcome in children following surgery for congenital heart disease. Clin Nutr 2017 June 28. doi: http://10.1016/j.clnu.2017.06.020. [Epub ahead of print].Google Scholar
6. Azevedo, ZM, Moore, DC, de Matos, FA, et al. Bioelectrical impedance parameters in critically ill children: importance of reactance and resistance. Clin Nutr 2013; 32: 824829.CrossRefGoogle ScholarPubMed
7. PICANET. PICANET annual report 2015, 11 December 2015. Retrieved October 31, 2017, from http://www.picanet.org.uk/Audit/Annual-Reporting/PICANet_2015_Annual_Report_Summary.pdf.Google Scholar
8. Shime, N, Ashida, H, Chihara, E, et al. Bioelectrical impedance analysis for assessment of severity of illness in pediatric patients after heart surgery. Crit Care Med 2002; 30: 518520.Google Scholar
9. da Silva, TK, Berbigier, MC, Rubin Bde, A, Moraes, RB, Correa Souza, G, Schweigert Perry, ID. Phase angle as a prognostic marker in patients with critical illness. Nutr Clin Pract 2015; 30: 261265.Google Scholar
10. Research IoMUCoMN. Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability. Washington, DC: National Academies Press, 1997. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK233766/.Google Scholar
11. Thomas, BJ, Ward, LC, Cornish, BH. Bioimpedance spectrometry in the determination of body water compartments: accuracy and clinical significance. Appl Radiat Isot 1998; 49: 447455.Google Scholar
12. Kuchnia, A, Earthman, C, Teigen, L, et al. Evaluation of bioelectrical impedance analysis in critically ill patients: results of a multicenter prospective study. J Parenter Enteral Nutr 2017; 41: 11311138.Google Scholar