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• W4313232816 abstract "Introduction: Acute viral bronchiolitis is a leading cause of hospitalization in children ≤24 months old. However, only 3% of these patients require hospitalization. Those who are hospitalized require supportive care such as oxygen, non-invasive or invasive respiratory support and nutrition. Non-invasive ventilatory (NIV) support includes nasal cannula, high flow nasal cannula (HFNC) and positive pressure modalities. Once NIV is initiated in children with bronchiolitis, the threat of escalating to mechanical ventilation increases. Enteral nutrition is often withheld due to the perceived risk of aspiration. However, literature shows a low incidence of aspiration in term children on HFNC receiving enteral nutrition. Studies of critically ill children show a relationship between achieving >60% of nutrition goal and lower mortality at 60 days. We hypothesized that reaching enteral nutrition goals (> 60% of dietary reference intake-DRI) may be associated with lower rates of mechanical ventilation and aspiration in children with bronchiolitis as compared to patients who do not meet their goals. Methods: We conducted a single center retrospective chart review at a PICU in a tertiary care center. We included critically ill patients with bronchiolitis ≤24 months old admitted to the PICU between November 2017 and March 2020 and managed on NIV (HFNC, CPAP or NIPPV). We excluded patients with a tracheostomy or home ventilatory support, patients intubated within 24 hours of PICU admission and those with unrepaired congenital cardiac disease. We collected demographic data, respiratory support, and nutritional intake for seven days or until discharge. We used chi-square and logistic regression to analyze the data. Results: We identified 272 eligible patients for this study. Of these, 215 met 60% of their feeding goal during their admission. We found that these patients were less likely to need mechanical ventilation than those that did not meet their feeding goal [ψ=0.128, 95% CI (0.05-0.325)] (p-value: < 0.0001, adjusted for severity of illness using PRISM3) and a trend toward a lower rate of aspiration in the patients who met 60% of goal feeds (p-value: 0.3704). Conclusions: Our study supports the practice of enteral nutrition and advancing to >60% goal in patients with acute bronchiolitis requiring NIV." @default.
• W4313232816 created "2023-01-06" @default.
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• W4313232816 date "2022-12-15" @default.
• W4313232816 modified "2023-09-25" @default.
• W4313232816 title "601: ENTERAL NUTRITION IN PATIENTS WITH ACUTE VIRAL BRONCHIOLITIS RECEIVING NONINVASIVE VENTILATION" @default.
• W4313232816 doi "https://doi.org/10.1097/01.ccm.0000908136.90556.f7" @default.
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