P1018 - CHANGES IN THE NUTRITIONAL STATUS OF CHILDREN ADMITTED TO CRITICAL CARE UNITS OF A PRIVATE HOSPITAL

P1018

CHANGES IN THE NUTRITIONAL STATUS OF CHILDREN ADMITTED TO CRITICAL CARE UNITS OF A PRIVATE HOSPITAL

M. F. J. Kok^1,*, M. C. Bailer¹, I. H. D. S. Buonso¹, P. R. Dearo¹, P. A. D. Silva¹, A. R. dos Santos¹

¹NUTRIÇÃO, HOSPITAL SAMARITANO HIGIENÓPOLIS, SÃO PAULO, Brazil

Rationale: To analyze changes in the nutritional status of children admitted to ICU and semi-intensive care units, comparing their nutritional status at admission and discharge.

Methods: A retrospective study involving 155 pediatric patients, conducted from August to December 2024. Nutritional assessments were carried out within 24 hours of admission and every 7 days thereafter. Nutritional status (NS) was classified according to the World Health Organization (WHO) growth curves and categorized by medical specialty: Intestinal Rehabilitation, Hepatology, Nephrology, Neurology, Oncology, Orthopedics, Pulmonology, Cardiology, and Others.

Results: The average age and length of stay were 4.7 years and 18.3 days, respectively. Regarding NS: 143 patients (92.2%) maintained their status throughout hospitalization; 4 patients (2.5%) showed improvement, of whom 1 (25%) was enrolled in the intestinal rehabilitation program, 1 (25%) had a diagnosis of an eating disorder, and 2 (50%) were being monitored for respiratory conditions; 8 (5.1%) experienced a decline in nutritional status, belonging to the specialties of Pulmonology, Hepatology, Nephrology, and Cardiology.

Conclusion: The majority of the sample maintained their NS, indicating the effectiveness of the nutritional strategies implemented and underscoring the importance of early assessment and systematic monitoring during hospitalization, particularly in institutions with structured nutritional care protocols. Individualized management was crucial for the nutritional recovery of patients in intestinal rehabilitation, as well as those with eating disorders or respiratory conditions. Patients at higher nutritional risk, such as those in nephrology, cardiology, and hepatology, were identified as a risk group requiring enhanced management.

Disclosure of Interest: None declared