Nutritional Risk Screening For Hospitalized Children And Influence Factors

Objective To investigate the status of nutritional risk and analyze the associated factors of nutritional risk in hospitalized children. It is to provide theoretical basis for early identifying hospitalized children at the risk of nutrition and for guiding clinical nutritional intervention. Method 1406 hospitalized children in the department of pediatrics of our hospital aged from 1 month to 13 year-old(average: 3.39 year-old)were included from March 1st2013 to April 30th2014, and evaluated by STAMP screening tool. Questionnaire survey was conducted and clinical data was recorded. The childen were divided into two groups according to STAMP scores upon admission.Comparing the differences of basic characteristics, laboratory examinations and treatments between two groups, associated factors of statistical significance were detected. With the associated factors identified in single factor analysis as independent variables and STAMP score-based group division as the dependent variable, multifator unconditional logistic regression analysis was performed to explore the independent risk factors influencing STAMP scores of hospitalized children. Result A total of 1406 hospitalized children, of whom 738 were at high nutritional risk, and the other 668 were at low nutritional risk. Single factor analysis indicated that fever before admission,pathogenetic condition, main caretaker, coexist disease, age, length of fever before admission(z=-3.809, P=0.000), severity of pathogenetic condition(χ2=14.068, P=0.000),age(χ2=5.813, P=0.017), length of fever before admission(t=2.793, P=0.005), AST(z=-2.396, P=0.017)were associated with nutritional risk of hospitalized children.Non-conditional multiplicity logistic regression suggested that severity of pathogenetic condition(OR=1.557, 95%CI: 1.164~2.08, P=0.003), length of fever before admission(OR=1.039, 95%CI: 1.011 ~ 1.06, P=0.006), granulocyte count(OR=1.032, 95%CI:1.004~1.061, P=0.027) were risk factors of high nutritional risk, and age(OR=0.942,95%CI: 0.909 ~ 0.977, P=0.001) was protective factor. Conclusion Hospitalized children can be faced with high nutritional risk. STAMP screening tool can be used to nutritional risk screening for hospitalized children. Age, severity of pathogenetic condition, length of fever before admission and granulocyte count can provide helpful information for early identification of hospitalized children.