Nutrition Risk Screening And Influencing Factors Analysis Of Hospitalized Children

Objective Conduct nutritional risk screening on hospitalized children admitted to the Department of Pediatrics at the General Hospital of Ningxia Medical University,to understand the nutritional risk status and influencing factors of hospitalized children,in order to provide theoretical basis for reasonable nutritional risk assessment and nutritional support,so as to prevent malnutrition in hospitalized children in the early stage and ultimately improve their clinical outcomes.Methods The clinical data(general situation,medical history,laboratory indicators,clinical outcomes,etc.)of 4361 hospitalized pediatric patients admitted to the General Hospital of Ningxia Medical University from December 2021 to November 2022 were statistically described and analyzed using SPSS 23.0 statistical software.According to the results of the STRONG kids score,the children were divided into no nutritional risk group,moderate nutritional risk group,and high nutritional risk group.The Chi-square test and non-parametric Kruskal-Wallis test were used to compare the relevant indicators between the groups.At the same time,binary logistic regression analysis was used to explore the relevant risk factors of nutritional risk in hospitalized children,and the test levels were all: α= 0.05。Results1.Of the 4361 hospitalized children,134 were in the high nutritional risk group(3.1%),2317 were in the moderate nutritional risk group(53.1%),and 1910 were in the non-nutritional risk group(43.8%).Among them,the nutritional risk of digestive system diseases is the highest,accounting for 92.8%,followed by circulatory system diseases,accounting for 86%,and the nutritional risk of endocrine system diseases is the lowest,accounting for 27.2%.2.(1)The proportion of children’s nutritional risk in the infant group is 60.2%,and that in other age groups is 53.4%.The infant group is more prone to nutritional risk than other age groups,and the difference is statistically significant;(2)The proportion of nutritional risk of children living in cities was 53.9%,and that of children living in rural areas was 59.6%.The difference between the two was statistically significant;(3)The nutritional risk of breast-fed children within 6 months after birth accounted for 55.3%,and that of non-breast-fed children was 60.3%,with a statistically significant difference;(4)During hospitalization,the proportion of children with nutritional risk in the group with mechanical ventilation(99%)was higher than that in the group without mechanical ventilation(55.2%),and the difference was statistically significant;(5)During hospitalization,the proportion of children with nutritional risk in the alveolar lavage group was 91.5%,higher than that in the non-alveolar lavage group(55.7%),and the difference was statistically significant;(6)The proportion of nutritional risk in critically ill children(99.3%)was higher than that in non-critically ill children(53.2%),and the difference was statistically significant.3.In terms of disease outcome,the children with moderate and high nutritional risk disease had higher complication rate,higher mortality,higher hospitalization cost,longer PICU hospitalization time and total hospitalization time,and the difference was statistically significant(P<0.05).4.Binary logistic regression analysis showed that premature delivery,fever duration before admission,non-breast-feeding and low HGB were risk factors for the nutritional risk of children,and age was a protective factor.Conclusion1.The hospitalized children in the department of pediatrics in our hospital have high nutritional risk,among which the children with digestive system disease,circulatory system disease and blood tumor disease have the highest nutritional risk.The clinical medical staff should pay attention to the nutritional risk status of children with such diseases.2.Clinically,medical staff should focus on the nutritional status of hospitalized children with long fever before hospitalization,non-breast-feeding,premature delivery and low hemoglobin,dynamically screen their nutritional risk,and timely and appropriate nutritional intervention.3.Nutritional risk is related to clinical outcomes.Children with nutritional risk have higher mortality,longer PICU hospitalization,longer total hospitalization time,more hospitalization costs,and higher incidence of complications.Children with nutritional risk should be timely intervened to avoid bad prognosis in time.