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Nutritional risk screening and its clinical significance in hospitalized children

Jia Cao1, Luting Peng1, Rong Li1

  • 1Department of Child Health Care, Nanjing Children's Hospital, Affiliated with Nanjing Medical University, 72 Guangzhou Road, Nanjing 210008, China.

Clinical Nutrition (Edinburgh, Scotland)
|July 23, 2013
PubMed

Insights

Hospitalized children with high or moderate nutritional risk face poorer clinical outcomes. Improved nutritional support and evidence-based guidelines are needed for better patient management.

Area of Science:

  • Pediatric Nutrition
  • Clinical Outcomes Research
  • Hospital Medicine

Background:

  • Nutritional risk is prevalent in hospitalized children.
  • Existing nutritional management may be inadequate.
  • Understanding nutritional risk is crucial for improving patient care.

Purpose of the Study:

  • To analyze nutritional risk in hospitalized children.
  • To examine the relationship between nutritional risk and clinical outcomes.
  • To inform improved nutritional management strategies.

Main Methods:

  • 1325 hospitalized children were assessed using the STRONGkids tool.
  • Nutritional risk levels (high, moderate, low) were determined.
  • Clinical outcomes including complications, length of stay, and weight loss were recorded.

Main Results:

  • 9.1% of children had high nutritional risk, 43.3% moderate, and 47.6% low.
  • High nutritional risk was associated with cardiac, respiratory, or oncologic diseases.
  • Higher complication rates, longer hospital stays, and greater weight loss were linked to high nutritional risk (p < 0.001).

Conclusions:

  • Hospitalized children with high or moderate nutritional risk experience adverse clinical outcomes.
  • Current nutritional support practices are insufficient.
  • Development of evidence-based guidelines is recommended to enhance nutritional management.
Abstract

Keywords:
Clinical outcomesHospitalized childrenNutritional riskSTRONGkids

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