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[Value of nutritional risk screening in evaluating adverse clinical outcomes in children with severe pneumonia]
Xiao-Hui Guo1, Yan-Feng Sun, Jiang-Bo Wang
1Department of Pediatrics, The People's Hospital of Binzhou, Binzhou, Shandong 256610, China. p197907@163.com.
Insights
Nutritional risk screening in severe pneumonia identifies children with worse outcomes. High nutritional risk is linked to longer hospital stays, more complications, and increased need for intensive care.
Area of Science:
- Pediatric critical care medicine
- Nutritional science
- Clinical epidemiology
Background:
- Severe pneumonia poses significant health risks to children.
- Early identification of nutritional status is crucial for managing pediatric critical illnesses.
- The Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) is a validated tool for nutritional risk assessment.
Purpose of the Study:
- To evaluate nutritional risk in children with severe pneumonia using the STAMP tool.
- To determine the association between nutritional risk and adverse clinical outcomes in this population.
Main Methods:
- 216 children with severe pneumonia were assessed using the STAMP score.
- Participants were categorized into high (HR), moderate (MR), and low (LR) nutritional risk groups.
- Serum biomarkers (IGF-1, adiponectin, leptin, NEFA, albumin, transferrin, prealbumin, RBP) and clinical outcomes were analyzed.
Main Results:
- The HR group exhibited lower levels of IGF-1, leptin, adiponectin, prealbumin, RBP, and higher NEFA compared to MR and LR groups.
- Children in the HR group had higher ICU admission rates and longer mechanical ventilation durations.
- The HR group experienced longer hospital stays and a greater incidence of complications.
Conclusions:
- Nutritional risk screening is valuable for predicting clinical outcomes in pediatric severe pneumonia.
- Higher nutritional risk correlates with increased adverse clinical outcomes, including prolonged hospitalization and complications.
Objective:
To investigate the nutritional risk in children with severe pneumonia using the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) and the association between nutritional risk and adverse clinical outcomes.
Methods:
According to the STAMP score, 216 children with severe pneumonia were classified into high nutritional risk group (HR group; n=98), moderate nutritional risk group (MR group; n=65), and low nutritional risk group (LR group; n=53). Fasting blood samples were collected to measure the levels of insulin-like growth factor-1 (IGF-1), adiponectin, leptin, non-esterified fatty acid (NEFA), albumin, transferrin, prealbumin, and retinol binding protein (RBP). The adverse clinical outcomes were recorded.
Results:
Compared with the MR and LR groups, the HR group had significantly lower serum levels of IGF-1, leptin, adiponectin, prealbumin, and RBP, as well as a significantly higher serum level of NEFA (P<0.05). Compared with the MR and LR groups, the HR group had a significantly higher proportion of children admitted to the intensive care unit and a significantly longer duration of mechanical ventilation (P<0.05). The HR group had a significantly longer mean hospital stay and a significantly higher incidence rate of complications compared with the LR and MR groups (P<0.05).
Conclusions:
Nutritional risk screening has an important value in evaluating the clinical outcome of children with severe pneumonia, and children at a higher nutritional risk tend to have more adverse clinical outcomes.
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