Nutritional Risk Assessment And Correlation Analysis Of Clinical Outccomes In Houpitalized Children In A Single Center

BackgroundAccording to the joint announcement of the United Nations Children’s Fund,WHO and the World Bank,in 2017,50.5 million children under 5 years old in the world were still wasting,accounting for 7.5%;150.8 million children had growth retardation accounting for 22.8%;But 38.3 million children,or 5.6percentwere overweight.In developing countries,nutritional deficient children are particularly vulnerable to acute and chronic infections and/or diarrhoeal diseases which could result in death.WHO estimates that about 45 percent of all deaths around the world among children under 5 years old are linked to nutritional deficiencies.Childhood malnutrition has occurred mainly in developing countries.In contrast,malnutrition can be caused by acute and chronic diseases in developed countries According to the Report on the Nutritional Development of Children aged 0-6 Years released by the former Ministry of Health of the People’s Republic of China in 2012,the wasting rate and growth retardation rate of children under 5 years old in China in 2010 were 2.3% and 9%,respectively,reaching the United Nations Millennium Development Goals ahead of schedule.The prevalence of anemia in children under 5 years of age was 12.6%;Malnutrition accounted for 13% of the case fatality rate in children under 5 years of age.Many countries around the world face different forms of malnutrition.Infants,children and adolescents are at high risk for malnutrition.Paying attention to the nutritional status of high-risk populations can ensure that life is maintained at its best,with long-term benefits.Domestic and foreign studies have shown that the incidence of malnutrition in hospitalized children is as high as 15%-50%,therefore,it is more meaningful and has clinical valueto choose hospitalized children as the research object.PurposeTo evaluate the nutritional risk of pediatric inpatients in Puyang People’s Hospital by using modified Screening tool for Pediatric Malnutrition Assessment(STAMP),and analyze the correlation between nutritional risk and clinical outcomes.To verify the utility of modified STAMP.Pediatric nutrition assessment application improved screening tool to separate different nutritional risk group of hospitalized children,such as high nutritional risk group of children hospitalized times repeatedly,more cost than low nutrition risk group,clinical outcomes have obvious differences between different nutritional risk group,pediatric malnutrition can verify improved the practicability of STAMP.MethodsChildren hospitalized in Pu Yang People’s Hospital from January 2021 to December2021 were selected,and the hospitalization information of these children was collected,including nutritional status information,disease types and information of patients re-hospitalized within a year All cases were first grouped according to the type of disease.Nutritional risk assessment was carried out under the same disease.Nutritional risk assessment was performed by using the modified Pediatric Malnutrition Assessment Screening tool(STAMP for nutritional assessment and nutritional riskscreening.Each disease was divided into STAMP score of 45 as High risk of malnutrition(HR),23 as Moderate risk of malnutrition(MR),01 as no or Low risk of malnutrition(LR).The diseases with a large number of total cases were selected to analyze the length of hospital stay,test indicators,readmission rate and other data between different nutritional risk groups.Finally,statistical software will be applied to collect data for analysis and draw conclusions.ResultsIn children with bronchopneumonia,diarrhea,suppurative tonsillitis and sepsis,the hospital stay,costand rehospitalization times of children with high nutritional risk were significantly higher than those of children with low nutritional risk.There was no significant difference in hospital stay and expenditure among different nutritional risk groups in children with Kawasaki disease,and the readmission rate of children with Kawasaki disease was related to nutritional risk.There was no significant difference in the average length of hospital stay and the cost of urinary tract infection among different nutritional risk groups.There was a difference in the number of readmissions.The proportion of undernutrition,overweight or obesity in the recurrent pneumonia group was higher than that in the single pneumonia group.The levels of vitamin D and vitamin A in the group with repeated pneumonia were lower than those in the group with single pneumoniaWith the increase of nutritional risk in the recurrent bronchopneumonia group,the prealbumin retinol-binding protein,age-specific body weight and age-specitic body length in the three groups were all decreased gradually.There were no significant differences in albumin,hemoglobin and transferrin among the three groups with low,medium and high nutritional risk.ConclusionHigh nutritional risk is an important risk factor for repeated hospitalization of hospitalized children.The STAMP malnutrition risk screening tool can be used to determine the nutritional risk of hospitalized children.Risk factors for malnutrition include partial micronutrient deficiencies.