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[Nutrition status on pediatric admissions in Spanish hospitals; DHOSPE study]
José Manuel Moreno Villares1, Vicente Varea Calderón, Carlos Bousoño García
1Hospital Universitario 12 de Octubre, Madrid, España. Jmoreno.hdoc@salud.madrid.org
Insights
Pediatric malnutrition affects nearly 8% of hospitalized children, with higher rates of overweight-obesity. This nationwide study highlights the need for effective nutrition screening tools in pediatric care.
Area of Science:
- Pediatric Nutrition
- Clinical Malnutrition
- Hospitalized Patients
Context:
- Malnutrition in hospitalized patients leads to adverse outcomes, including impaired immunity and increased mortality.
- Pediatric patients are at high risk of malnutrition during hospital stays.
- Existing studies show varying rates of malnutrition in hospitalized children.
Purpose:
- To determine the prevalence of malnutrition upon admission in pediatric patients nationwide.
- To evaluate the effectiveness of the Screening Tool for the Assessment of Malnutrition in the Pediatric population (STAMP) in a real-world setting.
Summary:
- A multicenter study in 32 Spanish hospitals included 991 pediatric patients under 17.
- Prevalence of moderate to severe malnutrition was 7.8%, while overweight-obesity affected 37.9%.
- Nutritional status correlated with disease type but not age or albumin levels.
Impact:
- This is the first nationwide study on pediatric malnutrition prevalence at admission.
- Findings suggest a prevalence of around 8%, slightly lower than other reports.
- The study design reflects real-life conditions across various hospital types.
Unlabelled:
Malnutrition among hospitalized patients has clinical implications and is associated with adverse outcomes: depression of the immune system, impaired wound healing, muscle wasting, longer length of stay, higher costs and increased mortality. Although the rate of malnutrition in hospitalized children varies in different studies, it seems to be lower than in adult population. Nevertheless, this is a population that has a higher risk of developing malnutrition during hospital stay. There is a need to find the most suitable nutrition screening tool for pediatric patients.
Aim:
As a first step, we have performed a nationwide study on the prevalence of malnutrition on admission, in order to further evaluate the results of employing a screening tool (STAMP).
Material And Methods:
The study is a multicenter, transversal study performed in 32 Spanish hospital between June and September 2011 in patients under 17 admitted to a the hospital longer than 48 hours. Weight, height and STAMP questionnaire were done on admission and repeated at day 7, 14 or at discharge. Nutritional status was classified according to Waterlow index for height and for weight. The study was approved by the Ethics Research Committee in each hospital and informed consent obtained prior to be included in the study.
Results:
991 patients were finally included. Mean age was 5.0 years (SD: 4.6), distributed uniformly among ages. Moderate to severe malnutrition was present in 7.8%, and overweight-obesity in 37.9%. We found a significant correlation between nutritional status and type of disease. There were no correlationship with age, or with plasmatic albumin levels. comments: This is the first nationwide study on the prevalence of malnutrition on admission in pediatric patients. Malnutrition in pediatric patients was present in around 8% of admissions, slightly inferior to other series. The most likely explanation is that the study included patients from different types of hospitals, mimicking real life conditions.
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