Stratégies de dépistage de la dénutrition chez l''enfant hospitalisé |
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Authors: | Virginie Colomb |
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Affiliation: | Unité de gastroentérologie et nutrition de l'enfant, fédération de pédiatrie, hôpital Necker–Enfants-Malades, 149, rue de Sèvres, 75743 Paris cedex 15, France |
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Abstract: | Metabolic stress modifies homeostasis, therefore nutrient's metabolism and nutritional needs. Stress is a risk factor of malnutrition, which increases morbidity and short-term mortality, and, in the child, can threaten long-term growth. Nutritional assessment is difficult in critically ill children. Nutritional support must be undertaken early as possible, especially in malnourished children and with severe agression. Enteral nutrition must be privileged. Parenteral nutrition is indicated when enteral nutrition is impossible, badly supported or insufficient to satisfy needs. Monitoring must be rigorous because aggression increases the risk of metabolic complications. |
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Keywords: | Mots clés: Enfant Hôpital Dénutrition Nutrition Risque nutritionnel DépistageChildren hospital Malnutrition Nutritional support Nutritional risk Screening |
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