Classification and Nutrition Management of Acute Pancreatitis in the Pediatric Intensive Care Unit

The aims of this retrospective cohort study were to classify the severity of patients admitted to the PICU with acute pancreatitis (AP) and to identify how many patients received appropriate nutritional management in accordance with more recent guidelines and the outcomes of those patients. Of the 54 children with AP, 12 (22.2%) had a primary diagnosis of AP (50% severe, 17% moderate) while 42 (77.8%) had a secondary diagnosis of AP (81% severe, 11.9% moderate). Just under half of the patients (48.1%) had enteral nutrition commenced before the third day of admission (50% with primary AP, 47.6% with secondary AP). The average time to initiation of enteral feeds was 2.3 days for those that received enteral nutrition. 51.8% of patients received parenteral nutrition (PN) (25% with primary AP, 59.5% with secondary AP). Most patients received enteral nutrition late and PN was overused in patients with AP admitted to the PICU. Address correspondence and reprint requests to Praveen S. Goday, MBBS, CNSC, Professor of Pediatrics, Pediatric Gastroenterology and Nutrition, Medical College of Wisconsin, 8701 Watertown Plank Road Milwaukee, WI 53226 (e-mail: pgoday@mcw.edu). Received 29 May, 2018 Accepted 20 August, 2018 Source of funding: None Declared. Authorship requirements: SC: Contributed to the design of the work, collected data, wrote the first draft and approved the final manuscript. MW: Contributed to the design of the work, helped with manuscript re-drafting and approved the final manuscript. SW: Contributed to the design of the work, helped with manuscript redrafting and approved the final manuscript. PSG: Contributed to the design of the work, interpretation of the data, helped with manuscript redrafting and approved the final manuscript. Conflicts of interests: PSG - Consultant for Nutricia, Member of Data and Safety Monitoring board, Shire Pharmaceuticals. © 2018 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,

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