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Risks of undernutrition and malnutrition in hospitalized pediatric patients with spinal cord injury

Y-J Wang1,2, H-J Zhou1, P-J Liu3

  • 1Department of Spinal Cord Injury Rehabilitation, China Rehabilitation Research Center, Beijing, China.

Spinal Cord
|August 10, 2016
PubMed

Insights

Over half of Chinese children with spinal cord injury (SCI) face malnutrition risks. Nutritional status, particularly appetite, is linked to undernutrition, highlighting the need for regular screening using tools like the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP).

Area of Science:

  • Pediatric Rehabilitation
  • Nutritional Science
  • Clinical Research

Background:

  • Spinal cord injury (SCI) in children can significantly impact nutritional status.
  • Early identification of nutritional risks is crucial for effective management and improved outcomes in pediatric SCI patients.

Purpose of the Study:

  • To assess the nutritional risk and status of pediatric patients with SCI in China upon admission.
  • To investigate the correlation between nutritional status and demographic/SCI characteristics in this population.

Main Methods:

  • A prospective study was conducted at the China Rehabilitation Research Center involving 45 pediatric SCI patients.
  • Data collected included clinical information, appetite, anthropometric measurements, and the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) scores.
  • Statistical analyses assessed relationships between demographic/SCI factors, STAMP scores, and anthropometric z-scores (WAZ, HAZ, BAZ).

Main Results:

  • 51.1% of children were at risk of undernutrition and 55.6% had malnutrition, based on STAMP and nutritional status, respectively.
  • Undernutrition risk correlated significantly with weight-for-age (WAZ), height-for-age (HAZ), body mass index-for-age (BAZ), and appetite levels.
  • The STAMP tool demonstrated high sensitivity (100%) and good overall agreement (82.2%) for assessing nutritional status compared to actual measurements.

Conclusions:

  • Periodic nutritional screening is recommended for all pediatric SCI patients.
  • Declines in nutritional status and appetite post-SCI warrant close monitoring and intervention.
  • The STAMP tool shows promise as an effective method for nutritional assessment in Chinese pediatric SCI patients.
Abstract

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