Perbandingan Pencapaian Target Kalori dengan Pemberian Nutrisi Total Parenteral dan Parsial Parenteral terhadap Target Kebutuhan Kalori pada Anak Sakit Rawatan Instalasi Perawatan Intensif Anak di RSUP H. Adam Malik Medan

Abstract

Background. Achievement of parenteral nutrition calorie targets in children treated by IPIA HAM Hospital Medan is still low, so the provision of this nutrition must be done carefully. Objective. Analyzing the comparison of achieving calorie targets by providing total parenteral (TPN) and partial parenteral (PPN) nutrition to the target calorie needs in sick children treated by IPIA at H. Adam Malik General Hospital, Medan. Method. Cross-sectional study by taking data from medical records of patients aged >28 days to 18 years, 30 patients each in the TPN and PPN groups. Samples were taken using the consecutive sampling method that met the inclusion and exclusion criteria at IPIA RSUP H. Adam Malik Medan from the beginning of the treatment period up to 240 hours of treatment. Results. Several factors such as gender, age, weight, height, length of treatment, nutritional status (good, poor and poor nutrition) and underlying diseases were compared between the TPN group and the PPN group towards achieving the calorie target. There were 30 patients in each group with an average length of stay of 12.43 days in the TPN group and 10.9 days in the PPN group. There were no significant differences in mean and median age, weight, height, as well as gender and underlying disease. There is a statistically significant difference based on nutritional status compared to other factors (p = <0.001) Conclusion. Achieving the calorie target by giving PPN to IPIA treated children is faster than by giving TPN. There is a significant relationship between length of stay and achieving calorie targets in IPIA treatment.