Nutritional Risk Screening And High Risk Factors For Malnutrition In Pediatric Inpatients

With the development of national economy and amelioration of citizenliving standards, the nutritional status of children has been significantlyimproved. However, a general problem, which is the high nutritional riskratio of hospitalized children, has long been existing but receivinginsufficient concern. Previous reports showed that it is important forimproving clinic prognosis to screening hospitalized children for nutritionalrisk and uncovering nutrition problems. Therefore it is crucial to screen eachhospitalized child for nutritional risk and analyze risk factors in order todiscover malnutrition as soon as possible and perform specific interventionto benefit patients from nutritional treat. The relevant researches are stilllimited in China.Objective：1. To evaluate the effect of Chinese Version Pediatric YorkhillMalnutrition Score (CVPYMS) for malnutrition risk assessment in pediatricinpatients in China.2. To study the status and influencing factors on nutritional risk in pediatric inpatients.Methods:1. The test of reliability and validity for the Chinese VersionPaediatric Yorkhill Malnutrition Score (CVPYMS)The PYMS was translated into Chinese and retroversion as well asmodified. A total of131pediatric inpatients were included by the inclusioncriteria, and evaluated with the Chinese Version PYMS (CVPYMS). Thevalidity and reliability were examined.2. Nutritional risk screening and high risk factors of malnutritionin Pediatric InpatientsA total of410Pediatric Inpatients in6wards were included by theinclusion criteria, from December8,2012to January10,2013, andevaluated with the Chinese Version Paediatric Yorkhill Malnutrition Score（CVPYMS）and self designed general situation questionnaire of pediatricinpatients by consecutive sampling.Results:1. The test of reliability and validity for the Chinese VersionPaediatric Yorkhill Malnutrition Score (CVPYMS)①Feasibility: The evaluation content of the CVPYMS was simple andhigh efficient. The average time for completing the evaluation is6minutes.②Validity: Each entry score and total Pearson correlation coefficient wasbetween0.438and0.756, and correlation intensity was between moderate correlation and strong degree-strength correlation. CVPYMS scorecomparison for with or without malnutrition groups of children, thedifference was statistically significant (p <0.01). Compared With no or lownutrition risk and moderate risk, the children with high nutrition risk hadobviously lower nutrition biochemical index value, and longer hospital stay.③Reliability: Two nurses used the scale to evaluate the consistency of theresults,and the Kappa coefficient was0.827.2. Nutritional risk screening and high risk factors of malnutritionin Pediatric InpatientsIn410cases,23.9%were moderate nutritional risk,33.7%for highlynutritional risk. By the single factor analysis and Logistic regressionanalysis showed that age, disease, family per monthly income of threefactors that affect the condition of hospitalized children with nutritional riskwas statistically significant (p＜0.05), and the rest factors had no statisticalsignificance (p＞0.05). Among them, the highest percentage of nutritionalrisk is1to3years old group (41.3%); group followed by10to16years oldgroup (38.1%). The digestive system disease had the highest percentage ofnutritional risk (63.9%). In addition, with children family per monthlyincome increased, highly nutritional risk ratio reduces.Conclusions:1. The CVPYMS has good feasibility, validity and reliability. It isfeasible to assess the nutritional status with the CVPYMS for pediatric inpatients in China.2. There are higher proportion of nutritional risk in hospitalizedchildren, the age, disease and family per monthly income for sick childrenare the main influence factors of nutritional risk profile.