Özet:

Objective: Many scoring systems are used in determining the mortality in child intensive care units and protein energy malnutrition is not included in the evaluation criteria. Because of this, protein energy malnutrition is often not well assessed and can lead to increased mortality and morbidity. In our study, we aimed to evaluate the incidence of protein energy malnutrition and its effect on mortality and morbidity during the first admission. Material and Methods: Patients admitted to the pediatric intensive care unit and hospitalized for at least 24 hours were examined prospectively. Demographic data, age, gender, the incidence and duration of mechanical ventilation, etiology and duration of admission to intensive care unit, PRISM III and PELOD scores, and mortality rates were evaluated. According to National Neyzi Standards (2008) for malnutrition, weight by age, weight by height and height by age percentages and z-scores were calculated, and values <-2 SD were defined as protein energy malnutrition.Results: One hundred twenty-six patients were analyzed. Fifty-two (41.3%) patients had malnutrition. The average age was 12 months (7-30 months) and was significantly higher in patients with protein energy malnutrition (p=0.001). PRISM score was 17 and PELOD score was 20, which was statistically significant (p=0.01, p<0.001). Respiratory insufficiency (29%) was the most frequent cause of hospitalization in patients with protein energy malnutrition. The

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