Nutritional Risk Screening And Its Clinical Significance In342Children Hospitalized In The General Surgery Department

Objective: To find out the incidence of nutritional risk andintravenous nutrition in children hospitalized in the General Surgerydepartment, to evaluate nutritional status and clinical outcome, and providea scientific foundation for standard clinical nutrition management.Methods: Nutritional risk screening was performed on342childrenhospitalized in the General Surgery department using the Screening Toolfor Risk on Nutritional Status and Growth (STRONG). The data on lengthof hospital stay, post operative length of hospital stay and incidence ofinfectious complications, Intravenous nutrition support duringhospitalization were recorded.Results:(1) Of the complete342cases,15.8%had high nutritionalrisk,49.1%had moderate nutritional risk, and35.1%had low nutritionalrisk.(2) Of the223operation patients,21.1%had high nutritional risk,41.3%had moderate nutritional risk, compared with the non-operationones,the incidence of high or moderate nutritional risk in the operationchildren is higher?P<0.01?.(3) Hepatobiliary surgical diseases, abdominal trauma and congenital megacolon were the three most common types ofhigh nutritional risk.(4) The incidence of high or moderate nutritional riskin children over3years was higher than that in infants and young children?P<0.01?.(5)47(72.7%) of the54children with high nutritional and25(20.8%) of the120children with low nutritional risk received parenteralnutrition.(6)Children with high nutritional risk: length of hospital stay M?P25,P75?for12(9,16.3)days, post operative length of hospital stay M?P25,P75?for9(8,3)days, the infection rate is13%; Children withmoderate nutritional risk: length of hospital stay M ?P25,P75? for7(3,8)days, post operative length of hospital stay M ?P25,P75? for7(6,7.8)days, the infection rate is3.6%; Children with low nutritional risk:length of hospital stay M?P25,P75?for5(3,5)days, post operative length ofhospital stay M?P25,P75?for3(3,4)days, the infection rate is1.7%.Patients with high nutritional risk had significantly increased length ofhospital stay, post operative length of hospital stay,and incidence ofinfectious complications, compared with those with moderate or lownutritional risk (P<0.05).Conclusions:(1) We find Moderate or high nutritional risk in childrenhospitalized in the General Surgery Department.(2)The incidence ofnutritional risk in the operation children is higher than non-operation ones,.(3)Nutrition problems in children over3years old are non optimistic.(4)The STRONG nutritional risk score is bound up with clinical outcomes.