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Nutrition Interventions to Optimize Pediatric Wound Healing
Author(s) -
Thompson Kirsten L.,
Leu Michael G.,
Drummond Kathryn L.,
Popalisky Jean,
Spencer Suzanne M.,
Lenssen Polly M.
Publication year - 2014
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533614533350
Subject(s) - medicine , micronutrient , intensive care medicine , psychological intervention , wound care , clinical practice , clinical nutrition , medline , physical therapy , nursing , pathology , political science , law
Background and Objective : There is no accepted nutrition approach for wound healing in children. Our aims were to determine optimal nutrition support for pediatric wound healing. Methods : We applied local methods to create evidence‐ and consensus‐based recommendations, supported by implementation tools, including algorithms, clinical decision supports, and measures. We applied these recommendations to the care of 49 patients from December 5, 2011, to December 5, 2012. Results : Six articles were found that addressed our clinical questions, and we formulated 5 clinical recommendations. Evidence supported evaluating patients for vitamin C, zinc, and protein deficiency. Of the patients where laboratory values were checked, 9 patients were zinc deficient (33%) and 12 patients were vitamin C deficient (48%). Discussion and Practical Application : The implementation of our recommendations has led to increased identification of micronutrient deficiencies and closer monitoring of nutrition status and intake. Online clinical decision supports can accelerate the adoption of clinical recommendations and reduce provider practice variation.