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Copyright (c) 2020 Omar Danilo Ortiz-Beltrán, Olga Lucia Pinzón-Espitia, Laura Brigitte Aya-Ramos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Association between nutritional risk and pediatric hospital stay
Corresponding Author(s) : Olga Lucia Pinzón-Espitia
Ciencia e Innovación en Salud,
2020
Abstract
Background: To identify the existing correlations between the nutritional risk score based on STRONGkids screening and the medical diagnosis at admission and Hospital stay. Methods: retrospective analytical study, performed with 1231 nutritional screening records done to pediatric patients hospitalized in an institution of medium complexity and their correlations based on the revision of database with information related to the medical diagnosis at the time of admission and hospital stay measured on days. Results were statistically analyzed by means of the Chi Square test for Independence. The intensity of the association was then measured through the calculation of the contingency coefficient and Cramer’s v coefficient. Finally, the description of the correlations was done through the correspondence analysis tool. Results: The data obtainedthrough the analysis show a moderate correlation between the nutritional risk variables, hospital stay, and medical diagnosis at admission; demonstrating that the highest nutritional risk scores are related with longer hospital stays. Conclusions: The existing correlation between a higher nutritional risk score and a prolonged hospital stay, supports the need for implementation of tools that help to early identify patients in need of a timely nutritional intervention thus lowering patient complications and healthcare costs
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- Luna Hernández JA, Arteaga IH, Felipe A. Estado nutricional y neurodesarrollo en la primera infancia . RevCuba Salud Pública [Internet]. 2018;44(4):169–85. Disponible en:http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-34662018000400169&lng=es&nrm=iso
- OMS. Fomento de una alimentación adecuada del lactante y del niño pequeño [Internet]. OrganizaciónMundial de la Salud. 2019; Available from: https://www.who.int/nutrition/topics/infantfeeding/es/
- Waitzberg DL, Ravacci GR, Raslan M. Desnutrición hospitalaria. Nutr Hosp. 2011;26(2):254–64. Disponibleen: http://scielo.isciii.es/pdf/nh/v26n2/03_revision_01.pdf
- Teitelbaum D, Guenter P, Howell WH, Kochevar ME, Roth J, Seidner DL. Definition of terms, style, andconventions used in A.S.P.E.N. guidelines and standards. Nutr Clin Pract. 2005;20(2):281–5.https://pubmed.ncbi.nlm.nih.gov/16207664/
- Borda ADA, Espitia OLP, Otalvaro PAA. Nutritional screening in hospitalized pediatric patients: Systematicreview. Nutr Hosp. 2018;35(5):1221–8. DOI: 10.1016/j.jped.2015.08.011
- Tuokkola J, Hilpi J, Kolho KL, Orell H, Merras-Salmio L. Nutritional risk screening-a cross-sectional study ina tertiary pediatric hospital. J Health Popul Nutr. 2019;38(1):8. DOI: 10.1186/s41043-019-0166-4
- Lee YJ, Yang HR. Comparison of four nutritional screening tools for Korean hospitalized children. Nutr ResPract. 2019;13(5):410–4. DOI: 10.4162/nrp.2019.13.5.410
- Patané J, Silva J. Descripción de las herramientas de tamizaje nutricional en el paciente pediátrico. Diaeta.2016;34(156):25–31. Disponible en: https://www.scienceopen.com/document?vid=ce3a6bd1-d9e3-40bf-b4e3-bb64f4139aaf
- Sánchez LRS, Rodríguez DAS, Galarza ALV. Nutritional status among hospitalized children with mixeddiagnoses at a referral teaching hospital in Manizales, Colombia. 2012;1451–9. DOI:10.3305/nh.2012.27.5.5875
- Vallandro JP, da Silveira Klein Campos L, Neumann LD, de Mello ED. Adductor muscle thickness of thethumb: A new and reliable parameter for nutritional assessment of pediatric inpatients. Clin Nutr [Internet].2018;(February):1–6. Disponible en: DOI : 10.1016/j.clnu.2018.02.010
- Andrade M, Nery MZ, Oliveira A, Santos B. Nutritional risk and associated factors in hospitalized paediatricpatients through the STRONGKids. Nutr Clin y Diet Hosp. 2016;36(2):158–67. DOI:10.12873/362zildamoura
- Oliveira TC, Albuquerque I, Ferreira ML, Sugai Mortoza A, Alves de Morais B. The Nutritional status ofhospitalized children and adolescents : a comparison between two nutritional assesment tools withanthropometric parameters. Nutr status Hosp Child Adolesc Introd [Internet]. 2017 ;35(3):273–80.Disponible en: DOI : 10.1590/1984-0462/;2017;35;3;00006
- CR DMS, ED DM, PR AC. Evolution of nutritional status of pediatric in patients of a tertiary care generalhospital in Brazil. Nutr Hosp [Internet]. 2008;23(6):599–606. Disponible en :http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=105639396&site=ehost-live
- Gilberto K, Patricia C, Silva D, Silveira R, Boas V, Pinhiero A. Lenght of stay is a associated with incidenceof in hospital malnutrition in a group of low-income Brazilian Children. Salud Pública de Mexico; 2000. DOI:10.1590/s0036-36342000000500006
- Lee YJ. Nutritional screening tools among hospitalized children: From past and to present. PediatrGastroenterol Hepatol Nutr. 2018;21(2):79–85. DOI: 10.5223/pghn.2018.21.2.79
- Velandia S, Hodgson MI, Le Roy C. Evaluación nutricional en niños hospitalizados en un Servicio dePediatría. Rev Chil Pediatr. 2016;87(5):359–65. DOI : 10.1016/j.rchipe.2016.05.001
- Mcglone P, J D. The feeding of patients in hospital : a review. Nutr Res Cent South Bank Univ. 1994. DOI:10.1177/146642409511500504
- Lama More RA, Morris López A, Herrero Álvarez M, Caraballo Chicano S, Galera Martínez R, LÓpez RuzafaE, et al. Validación de una herramienta de cribado nutricional para pacientes pediátricos hospitalizados.Nutr Hosp. 2012;27(5):1429–36. DOI: 10.3305/nh.2012.27.5.5467.
- De Ulíbarri Pérez JI, Lobo Támer G, Pérez De La Cruz AJ. Desnutrición clínica y riesgo nutricional en 2015.Nutr Clínica en Med [Internet]. 2015;9(3):231–54. Disponible en:http://www.aulamedica.es/nutricionclinicamedicina/pdf/5033.pdf
- Savino P. Desnutrición hospitalaria: grupos de soporte metabólico y nutricional. Segunda parte. RevColomb Cir. 2012;27:146–57. Disponible en:https://www.revistacirugia.org/index.php/cirugia/article/view/205
- Núñez J, Juan M, Ramírez C. Det erminantes de la pobreza en Colombia. Años recientes estudios yperspectivas [Internet].2002. 1–53 p. Disponible en: https://repositorio.cepal.org/bitstream/handle/11362/4789/1/S029701_es.pdf
References
Luna Hernández JA, Arteaga IH, Felipe A. Estado nutricional y neurodesarrollo en la primera infancia . RevCuba Salud Pública [Internet]. 2018;44(4):169–85. Disponible en:http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-34662018000400169&lng=es&nrm=iso
OMS. Fomento de una alimentación adecuada del lactante y del niño pequeño [Internet]. OrganizaciónMundial de la Salud. 2019; Available from: https://www.who.int/nutrition/topics/infantfeeding/es/
Waitzberg DL, Ravacci GR, Raslan M. Desnutrición hospitalaria. Nutr Hosp. 2011;26(2):254–64. Disponibleen: http://scielo.isciii.es/pdf/nh/v26n2/03_revision_01.pdf
Teitelbaum D, Guenter P, Howell WH, Kochevar ME, Roth J, Seidner DL. Definition of terms, style, andconventions used in A.S.P.E.N. guidelines and standards. Nutr Clin Pract. 2005;20(2):281–5.https://pubmed.ncbi.nlm.nih.gov/16207664/
Borda ADA, Espitia OLP, Otalvaro PAA. Nutritional screening in hospitalized pediatric patients: Systematicreview. Nutr Hosp. 2018;35(5):1221–8. DOI: 10.1016/j.jped.2015.08.011
Tuokkola J, Hilpi J, Kolho KL, Orell H, Merras-Salmio L. Nutritional risk screening-a cross-sectional study ina tertiary pediatric hospital. J Health Popul Nutr. 2019;38(1):8. DOI: 10.1186/s41043-019-0166-4
Lee YJ, Yang HR. Comparison of four nutritional screening tools for Korean hospitalized children. Nutr ResPract. 2019;13(5):410–4. DOI: 10.4162/nrp.2019.13.5.410
Patané J, Silva J. Descripción de las herramientas de tamizaje nutricional en el paciente pediátrico. Diaeta.2016;34(156):25–31. Disponible en: https://www.scienceopen.com/document?vid=ce3a6bd1-d9e3-40bf-b4e3-bb64f4139aaf
Sánchez LRS, Rodríguez DAS, Galarza ALV. Nutritional status among hospitalized children with mixeddiagnoses at a referral teaching hospital in Manizales, Colombia. 2012;1451–9. DOI:10.3305/nh.2012.27.5.5875
Vallandro JP, da Silveira Klein Campos L, Neumann LD, de Mello ED. Adductor muscle thickness of thethumb: A new and reliable parameter for nutritional assessment of pediatric inpatients. Clin Nutr [Internet].2018;(February):1–6. Disponible en: DOI : 10.1016/j.clnu.2018.02.010
Andrade M, Nery MZ, Oliveira A, Santos B. Nutritional risk and associated factors in hospitalized paediatricpatients through the STRONGKids. Nutr Clin y Diet Hosp. 2016;36(2):158–67. DOI:10.12873/362zildamoura
Oliveira TC, Albuquerque I, Ferreira ML, Sugai Mortoza A, Alves de Morais B. The Nutritional status ofhospitalized children and adolescents : a comparison between two nutritional assesment tools withanthropometric parameters. Nutr status Hosp Child Adolesc Introd [Internet]. 2017 ;35(3):273–80.Disponible en: DOI : 10.1590/1984-0462/;2017;35;3;00006
CR DMS, ED DM, PR AC. Evolution of nutritional status of pediatric in patients of a tertiary care generalhospital in Brazil. Nutr Hosp [Internet]. 2008;23(6):599–606. Disponible en :http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=105639396&site=ehost-live
Gilberto K, Patricia C, Silva D, Silveira R, Boas V, Pinhiero A. Lenght of stay is a associated with incidenceof in hospital malnutrition in a group of low-income Brazilian Children. Salud Pública de Mexico; 2000. DOI:10.1590/s0036-36342000000500006
Lee YJ. Nutritional screening tools among hospitalized children: From past and to present. PediatrGastroenterol Hepatol Nutr. 2018;21(2):79–85. DOI: 10.5223/pghn.2018.21.2.79
Velandia S, Hodgson MI, Le Roy C. Evaluación nutricional en niños hospitalizados en un Servicio dePediatría. Rev Chil Pediatr. 2016;87(5):359–65. DOI : 10.1016/j.rchipe.2016.05.001
Mcglone P, J D. The feeding of patients in hospital : a review. Nutr Res Cent South Bank Univ. 1994. DOI:10.1177/146642409511500504
Lama More RA, Morris López A, Herrero Álvarez M, Caraballo Chicano S, Galera Martínez R, LÓpez RuzafaE, et al. Validación de una herramienta de cribado nutricional para pacientes pediátricos hospitalizados.Nutr Hosp. 2012;27(5):1429–36. DOI: 10.3305/nh.2012.27.5.5467.
De Ulíbarri Pérez JI, Lobo Támer G, Pérez De La Cruz AJ. Desnutrición clínica y riesgo nutricional en 2015.Nutr Clínica en Med [Internet]. 2015;9(3):231–54. Disponible en:http://www.aulamedica.es/nutricionclinicamedicina/pdf/5033.pdf
Savino P. Desnutrición hospitalaria: grupos de soporte metabólico y nutricional. Segunda parte. RevColomb Cir. 2012;27:146–57. Disponible en:https://www.revistacirugia.org/index.php/cirugia/article/view/205
Núñez J, Juan M, Ramírez C. Det erminantes de la pobreza en Colombia. Años recientes estudios yperspectivas [Internet].2002. 1–53 p. Disponible en: https://repositorio.cepal.org/bitstream/handle/11362/4789/1/S029701_es.pdf