[Nutrition status on pediatric admissions in Spanish hospitals; DHOSPE study]
José Manuel Moreno Villares, Vicente Varea Calderón, Carlos Bousoño García, Rosa Lama Moré, Susana Redecillas Ferreiro, Luis Peña Quintana, Sociedad Española de Gastroenterología, Alexandra Aldana, María Jesús Balboa Vega, Josefa Barrio Torres, Juan José Benavente García, José Antonio Blanca García, Francisco Cañabate Reche, Gemma Castillejo de Villasarte, Gemma Colomé Rivero, Pedro Cortés Mora, Jaime Dalmau Serra, Elena Díaz Álvarez, Santiago Miguel Fernández Hernández, Belén Ferrer Lorente, Rafael Galera Martínez, Marta Gambra Arzoz, Jose Ignacio García Burriel, Salvador García Calatayud, Elvira García Carulla, David Gil Ortega, Pilar Guallarte Alias, Miriam Herrero Alvarez, Cristina Iglesias Blázquez, Jesús Jiménez, Mercedes Juste Ruiz, Enrique La Orden Izquierdo, Leticia Lesmes Moltó, Miguel Ángel López Casado, Encarnación López Ruzafa, Raquel Lorite Cuenca, José Maldonado Lozano, Manuel Martín Gonzalez, Cecilia Martínez Costa, José Manuel Marugán de Miguelsanz, Silvia Meavilla Olivas, Cristina Molera, Cristina Molinos Norniella, Ana Moráis López, Consuelo Pedrón Giner, Patricia Pérez González, Pilar Pérez Segura, David Pérez Solís, Ma Carmen Rivero de la Rosa, Patricia Rodríguez, Julio Romero González, Ignacio Ros Arnal, Enrique Salcedo Lobato, Félix Sánchez-Valverde Visus, Claudia Santos Pérez, Belén Sarto Guerri, Francisco Vela Enríquez, José Manuel Moreno Villares, Vicente Varea Calderón, Carlos Bousoño García, Rosa Lama Moré, Susana Redecillas Ferreiro, Luis Peña Quintana, Sociedad Española de Gastroenterología, Alexandra Aldana, María Jesús Balboa Vega, Josefa Barrio Torres, Juan José Benavente García, José Antonio Blanca García, Francisco Cañabate Reche, Gemma Castillejo de Villasarte, Gemma Colomé Rivero, Pedro Cortés Mora, Jaime Dalmau Serra, Elena Díaz Álvarez, Santiago Miguel Fernández Hernández, Belén Ferrer Lorente, Rafael Galera Martínez, Marta Gambra Arzoz, Jose Ignacio García Burriel, Salvador García Calatayud, Elvira García Carulla, David Gil Ortega, Pilar Guallarte Alias, Miriam Herrero Alvarez, Cristina Iglesias Blázquez, Jesús Jiménez, Mercedes Juste Ruiz, Enrique La Orden Izquierdo, Leticia Lesmes Moltó, Miguel Ángel López Casado, Encarnación López Ruzafa, Raquel Lorite Cuenca, José Maldonado Lozano, Manuel Martín Gonzalez, Cecilia Martínez Costa, José Manuel Marugán de Miguelsanz, Silvia Meavilla Olivas, Cristina Molera, Cristina Molinos Norniella, Ana Moráis López, Consuelo Pedrón Giner, Patricia Pérez González, Pilar Pérez Segura, David Pérez Solís, Ma Carmen Rivero de la Rosa, Patricia Rodríguez, Julio Romero González, Ignacio Ros Arnal, Enrique Salcedo Lobato, Félix Sánchez-Valverde Visus, Claudia Santos Pérez, Belén Sarto Guerri, Francisco Vela Enríquez
Abstract
Malnutrition among hospitalized patients has clinical implications and is associated with adverse outcomes: depression of the immune system, impaired wound healing, muscle wasting, longer length of stay, higher costs and increased mortality. Although the rate of malnutrition in hospitalized children varies in different studies, it seems to be lower than in adult population. Nevertheless, this is a population that has a higher risk of developing malnutrition during hospital stay. There is a need to find the most suitable nutrition screening tool for pediatric patients.
Aim: As a first step, we have performed a nationwide study on the prevalence of malnutrition on admission, in order to further evaluate the results of employing a screening tool (STAMP).
Material and methods: The study is a multicenter, transversal study performed in 32 Spanish hospital between June and September 2011 in patients under 17 admitted to a the hospital longer than 48 hours. Weight, height and STAMP questionnaire were done on admission and repeated at day 7, 14 or at discharge. Nutritional status was classified according to Waterlow index for height and for weight. The study was approved by the Ethics Research Committee in each hospital and informed consent obtained prior to be included in the study.
Results: 991 patients were finally included. Mean age was 5.0 years (SD: 4.6), distributed uniformly among ages. Moderate to severe malnutrition was present in 7.8%, and overweight-obesity in 37.9%. We found a significant correlation between nutritional status and type of disease. There were no correlationship with age, or with plasmatic albumin levels. comments: This is the first nationwide study on the prevalence of malnutrition on admission in pediatric patients. Malnutrition in pediatric patients was present in around 8% of admissions, slightly inferior to other series. The most likely explanation is that the study included patients from different types of hospitals, mimicking real life conditions.
Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.
Source: PubMed