Influence of nutritional status on clinical outcomes in hospitalised children

Autor: Jimena Pérez Moreno, Sara de la Mata Navazo, Estíbaliz López-Herce Arteta, Mar Tolín Hernani, Felipe González Martínez, M. Isabel González Sánchez, Rosa Rodríguez Fernández
Jazyk: Spanish; Castilian
Rok vydání: 2019
Předmět:
Zdroj: Anales de Pediatría (English Edition), Vol 91, Iss 5, Pp 328-335 (2019)
Druh dokumentu: article
ISSN: 2341-2879
DOI: 10.1016/j.anpede.2019.09.003
Popis: Introduction: Paediatric malnutrition during hospital admission is a prevalent comorbidity, which is estimated around 31.4% in our environment, and could influence the clinical outcomes of paediatric patients. Objective: The aim of this study was to describe the malnutrition risk in hospitalised children using STAMP (Screening Tool for the Assessment of Malnutrition in Paediatrics), and to study its relationship with clinical outcomes. Methods: A single-centre, analytical and prospective study was conducted on children aged 1 month to 15 years hospitalised in a tertiary hospital between October and December 2017. An analysis was made of the clinical data and anthropometric measurements (weight, height, Waterlow weight classification). Patients were classified according to STAMP, which is a validated screening tool used to classify the risk of paediatric malnutrition during hospital admission. Multivariate statistical analysis was used to identify predictive variables of illness severity. Results: An analysis was made on a total of 200 patients (55% male), with a median age of 15.8 months (IQR 2.5–42.8), and a median length of stay of 3 days (IQR 1–18 days). Almost half (48.3%) of them had high risk of malnutrition at admission (STAMP ≥4), and 48.2% showed medium risk (STAMP 2–3). A higher STAMP score was associated with longer length of hospital stay (P
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