Nutrition management for critically ill pediatric patients with mechanical ventilation in PICU based on JCI standards

Objective To observe the effect of the nutrition management according to the JCI(Joint Commission on Accreditation of Healthcare Organizations) management standard for critically ill pediatric patients with mechanical ventilation. Methods A total of 330 cases with mechanical ventilation were enrolled in the control group from Hunan Province Children's Hospital PICU between Jan.2012 and Dec.2012, and these pediatric patients were managed with the conventional nutrient management.A total of 359 pediatric patients with mechanical ventilation were admitted to the experimental group from Jan.2013 to Dec.2013 and these patients were managed with nutrient management based on JCI standards.The length of mechanical ventilation, stay in ICU, stay in hospital were compared between two groups, and the incidence of ventilator-associated pneumonia, abandonment rate and mortality were also compared between experimental group and control group. Results The length of mechanical ventilation in control group[(8.39±1.34) days] was longer than that of experimental group[(5.69±1.12) days]. The length of stay in PICU for control group[(12.32±1.37) days] was more than that in experimental group[(9.42±1.53) days]. The length of stay in hospital for control group[(15.37±2.16) days] was higher than that of experimental group[(12.63±2.29) days]. The incidence of ventilator-associated pneumonia(9.7%) in control group was higher than that of experimental group, and the giving up or mortality rate in control group(8.48%) was higher than that of experimental group(4.35%). And there were significant differences by statistical analysis(P<0.01, respectively). Conclusion According to the nutritional management in JCI standard, the length of mechanical ventilation, stay in PICU and stay in hospital time, the incidence of ventilator-associated pneumonia, and the abandoned or mortality rate were reduced for critically ill pediatric patients with mechanical ventilation. Key words: JCI standards; Nutrition management; Mechanical ventilation