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Comparison of total and partial parenteral nutrition to achieve calorie target among treated children in the intensive care unit Widyastuti, Syafrida; Trisnawati, Yunnie; Supriatmo, Supriatmo
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.766

Abstract

The achievement of recommended calorie targets for parenteral nutrition in pediatric patients receiving treatment in the pediatric intensive care unit (PICU) in Indonesia remains suboptimal, necessitating cautious implementation of this nutritional intervention alone. The aim of this study was to compare the effectiveness of total parenteral nutrition (TPN) and partial parenteral nutrition (PPN) in achieving the calorie requirements of pediatric patients receiving treatments in the PICU. A cross-sectional study was conducted in the PICU at H. Adam Malik General Hospital, Medan, Indonesia, among patients aged between 28 days to 18 years. The consecutive sampling method was employed to collect samples based on predetermined inclusion and exclusion criteria. The assessments of recommended calorie achievement targets were conducted up to 240 hours after initial nutrition treatment. Other possible factors associated with the achievement of the nutrition target were also assessed between groups, such as demographic data, length of treatment, nutritional status, and underlying diseases. A total of 30 patients were included in each group (TPN and PPN). There were no significant differences in age, weight, height, sex, or underlying diseases between groups. All patients in both groups achieved the target calorie requirements after 168 hours. Our data indicated that the percentage of patients who met the target calorie requirements was significantly different at initial treatment, 72 hours, and 120 hours post-treatment between groups (all had p<0.001). The percentages of patients who met the nutritional requirements (carbohydrate and protein) were also significantly different between the TPN and PPN groups (all had p<0.001). This study highlights that the administration of PPN to children resulted in faster achievement of calorie targets compared to TPN.
Factors associated with clinical outcomes among children with delayed diagnosis of critical congenital heart disease: A cross-sectional study Fachrozi, Muhammad R.; Adriansyah, Rizky; Pratita, Winra; Wahyuni, Arlinda S.; Tobing, Tina CL.; Trisnawati, Yunnie
Narra X Vol. 3 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v3i2.191

Abstract

Delayed detection of critical congenital heart disease (CHD) is associated with increased morbidity and mortality. Currently, there is a paucity of data on children with critical CHD in Indonesia. The aim of this study was to investigate the factors contributing to delayed diagnosis of critical CHD and its association with clinical outcomes such as mortality, heart failure, intensive care unit (ICU) admission, and ventilator use. A cross-sectional study was conducted using medical records from Haji Adam Malik Medan General Hospital. The study included all children aged 0 to 18 years diagnosed with critical CHD. The statistical analysis was performed by utilizing SPSS version 25.0. A total of 59 subjects were analyzed. The findings revealed a significant relationship between factors such as age, sex, respiratory tract infections, type of CHD, surgical interventions, and underlying syndromic abnormalities with various clinical outcomes. Delayed diagnosis of critical CHD was associated with increased mortality, heart failure, ICU admission, and ventilator use, with these outcomes influenced by the aforementioned factors.