Napredna pretraga

Pregled bibliografske jedinice broj: 803185

Detecting under-nutrition on hospital admission - screening tool versus WHO criteria


Tješić-Drinković, Duška; Matak , Zrinka; Sović , Slavica, Omerza, Lana; Senečić-Čala, Irena; Dujšin, Margareta; Vuković , Jurica; Tješić- Drinković , Dorian
Detecting under-nutrition on hospital admission - screening tool versus WHO criteria // ESPGHAN 48 th Annual Meeting - Book of Abstracts
Amsterdam, Nizozemska, 2015. str. 771-771 (poster, međunarodna recenzija, sažetak, znanstveni)


Naslov
Detecting under-nutrition on hospital admission - screening tool versus WHO criteria

Autori
Tješić-Drinković, Duška ; Matak , Zrinka ; Sović , Slavica, Omerza, Lana ; Senečić-Čala, Irena ; Dujšin, Margareta ; Vuković , Jurica ; Tješić- Drinković , Dorian

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
ESPGHAN 48 th Annual Meeting - Book of Abstracts / - , 2015, 771-771

Skup
ESPGHAN 48 th Annual Meeting

Mjesto i datum
Amsterdam, Nizozemska, 6-9. svibnja 2015

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
hospital malnutrition; screening; children

Sažetak
Objectives and Study: The purpose of this study is to describe the current prevalence of malnutrition on hospital admission to a paediatric gastroenterology hospital unit and compare the value and feasibility of Screening Tool Risk on Nutritional status and Growth (*STRONGkids) scoring system versus anthropometric WHO criteria in identifying children at risk of developing malnutrition during hospital stay. Methods: Prospective observational study. A total of 124 children (age 0.08-17.91 yrs ; median 10.35 yrs, 67 male) were evaluated on admission to the Division of Paediatric Gastroenterology, University Hospital Centre Zagreb in the period January-April in 2013. and in 2014. The STRONGkids based on 4 items: (1) subjective clinical assessment, (2) high risk disease, (3) nutritional intake, (4) weight loss was applied and measurements of weight and length were performed. Main outcome measures: STRONGkids score 1-3 and 4-5 indicated moderate and high risk for malnutrition, respectively. SDscores <-2 BMI and height-for-age were considered to indicate acute and chronic malnutrition respectively. SD scores between -1 -2 were considered to indicate borderline under- nutrition. Data analysis: descriptive statistics, Kruskal- Wallis (KW) test, Fisher's exact (FE) test. Results: Anthropometry indentified 18.5% acutely and/or chronically malnourished children on admission and altogether 50/124 patients with nutritional risk (malnourished and borderline nourished). STRONGkids identified considerably more children prone to developing malnutrition: 94/124 (80 moderate, 14 high risk). The STRONG scoring system was in accordance with anthropometric measurements: a significant difference in BMI values among patients distributed in 3 STRONGkids risk groups was observed (KW test, CHI2 = 62.7 ; p<0.0001). Median duration of hospitalisation was 6.5 days (2-64 days). Children with higher risk for malnutrition stayed longer in hospital (KW test, CHI2 19.05 ; p < 0.0001). Patients that lost weight during hospitalisation (33.1%) were further analysed: 8/41 were not detected to be at risk by either method, 11/41 were identified by STRONGkids and anthropometry, and 22/41 were detected only by STRONGkids (Fisher's exact test p=0, 08). Conclusion: This study confirmed the serious issue of malnutrition among children hospitalized due to gastroenterological diseases. STRONGkids was superior to anthropometry in recognizing in- patients prone to developing malnutrition. Using this tool, a significant relationship was found between having a “high risk” score, a negative SD-score in BMI and a prolonged hospital stay. The results support routine nutritional screening in order to forestall hospital-acquired malnutrition.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Ustanove
Medicinski fakultet, Zagreb,
Klinički bolnički centar Zagreb

Citiraj ovu publikaciju

Tješić-Drinković, Duška; Matak , Zrinka; Sović , Slavica, Omerza, Lana; Senečić-Čala, Irena; Dujšin, Margareta; Vuković , Jurica; Tješić- Drinković , Dorian
Detecting under-nutrition on hospital admission - screening tool versus WHO criteria // ESPGHAN 48 th Annual Meeting - Book of Abstracts
Amsterdam, Nizozemska, 2015. str. 771-771 (poster, međunarodna recenzija, sažetak, znanstveni)
Tješić-Drinković, D., Matak , Z., Sović , Slavica, Omerza, Lana, Senečić-Čala, I., Dujšin, M., Vuković , J. & Tješić- Drinković , D. (2015) Detecting under-nutrition on hospital admission - screening tool versus WHO criteria. U: ESPGHAN 48 th Annual Meeting - Book of Abstracts.
@article{article, year = {2015}, pages = {771-771}, keywords = {hospital malnutrition, screening, children}, title = {Detecting under-nutrition on hospital admission - screening tool versus WHO criteria}, keyword = {hospital malnutrition, screening, children}, publisherplace = {Amsterdam, Nizozemska} }