| Autor: |
Ndhlovu, Lesego, De Maayer, Tim |
| Zdroj: |
South African Journal of Clinical Nutrition; Jun2022, Vol. 35 Issue 2, p44-50, 7p |
| Abstrakt: |
Nutritional screening facilitates the early identification of hospitalised children at risk of malnutrition. Screening tools have scarcely been evaluated in the developing world where the burden of malnutrition is greatest. A retrospective study was undertaken of 113 patients admitted to the general paediatric wards at Rahima Moosa Mother and Child Hospital in Johannesburg, South Africa. Children 6 months to 14 years old were screened for malnutrition using anthropometry and correlating WHO z-scores, and retrospectively assessed for nutritional risk using a modified STAMP (mSTAMP). The mSTAMP identified additional patients at nutritional risk. The majority (87%) of children with normal anthropometry scored as medium and high risk using the mSTAMP. Weight loss and length of hospital stay (LOS) were higher in medium and high risk groups: One (5%) low risk child lost weight, compared with 8 (38%) medium and 12 (57%) high risk children (p = 0.021). Low risk children had a median LOS of two and half days (IQR 1–8) compared with medium and high risk groups, with medians of three (IQR 3–8) and six (IQR 4–9) days respectively (p = 0.04). The mSTAMP identified more children at risk of malnutrition who may not have been considered for nutritional therapy during the hospital stay using anthropometry screening alone. There is a place for nutritional risk screening in developing world settings, but tools may need to be modified locally. Further studies and validation of these tools in sub-Saharan Africa seem prudent and may result in improved nutrition and outcomes of hospitalised children. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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