The prospective evaluation of malnutrition in hospitalized children in a pediatric urology unit

Yıl 2019, , 118 - 123, 31.10.2019

Sebahat Cam , Tarik Emre Sener

https://doi.org/10.5472/marumj.637066

Cited By: 1

Öz

Objective: Malnutrition has been reported to be a rather common health problem in hospitalized children and it is recommended to

be evaluated in these conditions. The objective of this prospective trial was to evaluate the nutritional status of hospitalized pediatric

urology patients and find the prevalence of malnutrition in this specific subgroup of patients.

Patients and Methods: All subsequent children between 1 and 18 years old who were hospitalized between January 2018 and January

2019 in the pediatric urology unit of a referral university hospital were included into the study. STRONGkids questionnaire was used

to assess the nutritional status of the children. Malnutrition was evaluated according to anthropometric measurements based on the

computer programs developed by the World Health Organization (WHO).

Results: A total of 76 patients were included in the study. The mean age of the patients was 8.84±4.23; mean height was 121.03±22.49

cm; mean weight was 27.8±13.41 kg. Malnutrition risk, according to STRONGkids screening tool was high in 1 patient, medium in

8 patients and low in 67 patients. According to anthropometric measurements, 6 patients (7.9%) and 25 patients (32.9%) had acute

and chronic malnutrition, respectively.

Conclusion: The current prospective trial suggested that malnutrition is a significant issue also for hospitalized pediatric urology

patients.

Anahtar Kelimeler

Malnutrition, Pediatric Urology, STRONGkids, Hospital

Kaynakça

• [1] Ghosh-Jerath S, Singh A, Jerath N, Gupta S, Racine EF. Undernutrition and severe acute malnutrition in children. BMJ 2017;359: j4877. doi: 10.1136/bmj.j4877.
• [2] Rytter MJ, Kolte L, Briend A, Friis H, Christensen VB. The immune system in children with malnutrition-a systematic review. PloSOne 2014;25;9:e105017. doi: 10.1371/journal. pone.0105017. eCollection 2014.
• [3] Joosten KF, Hulst JM. Malnutrition in pediatric hospital patients: Current issues. Nutrition 2011;27:133-7. doi: 10.1016/j.nut.2010.06.001.
• [4] Huysentruyt K, Alliet P, Muyshont L, et al. The STRONGkids nutritional screening tool in hospitalized children: A validation study. Nutrition 2013;29:1356-61. doi: 10.1016/j. nut.2013.05.008.
• [5] Joosten KFM, Hulst JM. Prevalence of malnutrition in pediatric hospital patients. Curr Opin Pediatr 2008;2:590-6. doi: 10.1097/MOP.0b013e32830c6ede.
• [6] Oztürk Y, Büyükgebiz B, Arslan N, Ellidokuz H. Effects of hospital stay on nutritional anthropometric data in Turkish children. J Trop Pediatr 2003; 49:189-90. doi: 10.1093/ tropej/49.3.189.
• [7] Doğan Y, Erkan T, Yalvaç S, et al. Nutritional status of patients hospitalized in pediatric clinic. Turk J Gastroenterol 2005;16: 212-6.
• [8] Durakbaşa ÇU, Fettahoğlu S, Bayar A, Mutus M, Okur H. The prevalence of malnutrition and effectiveness of STRONGkids tool in the identification of malnutrition risks among pediatric surgical patients. Balkan Med J 2014; 31:313-21. doi: 10.5152/ balkanmedj.2014.14374. Epub 2014.
• [9] Agostoni C, Axelson I, Colomb V, et al. The need for nutrition support teams in pediatric units: a commentary by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr 2005;41:8e11.
• [10] Wonoputri N, Djais JT, Rosalina I. Validity of nutritional screening tools for hospitalized children J Nutr Metab. 2014;2014:143649. doi: 10.1155/2014/143649. Epub 2014 Sep 14.
• [11] World Health Organization WHO. Child growth standards. Available from: http://www.who.int/childgrowth/software/en/
• [12] World Health Organization WHO. Growth reference 5-19 years. Available from: http://www.who.int/growthref/tools/en
• [13] Pollack MM, Ruttimann UE, Wiley JS. Nutritional depletions in critically ill children: associations with physiologic instability and increased quantity of care. J Parenter Enteral Nutr 1985; 9:309-13. doi:10.1177/014.860.7185009003309.
• [14] Heyland DK, Montalvo M, MacDonald S, Keefe L, Su XY, Drover JW. Total parenteral nutrition in the surgical patient: a meta-analysis. Can J Surg 2001; 44:102-11.
• [15] Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health 2011; 8: 514-27. doi: 10.3390/ijerph8020514. Epub 2011 Feb 16.
• [16] Middleton MH, Nazarenko G, Nivison-Smith I, Smerdely P. Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals. Intern Med J 2001; 31: 455-61.
• [17] Pawellek I, Dokoupil K, Koletzko B. Prevalence of malnutrition in paediatric hospital patients. ClinNutr 2008; 27: 72-6. doi: 10.1016/j.clnu.2007.11.001.
• [18] Erkan T. Hastaneye yatan hastalarda beslenme riski değerlendirme yöntemleri. Türk Ped Arş 2014; 49: 276-81.
• [19] Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003;22:415- 21.
• [20] Elia M, Zellipour L, Stratton RJ. To screen or not to screen for adult malnutrition. Clin Nutr 2005;24:867-4. doi: 10.1016/j. clnu.2005.03.004.
• [21] Pablo AR, Izaga MA, Alday LA. Assessment of nutritional status on hospital admission: nutritional scores. Eur J Clin Nutr 2003;57:824-31. doi: 10.1038/sj.ejcn.1601616.
• [22] Green SM, Watson R. Nutritional screening and assessment tools for use by nurses: literature review. J Adv Nurs 2005;50:69-83. doi: 10.1111/j.1365-2648.2004.03350.x.
• [23] Moeeni V, Walls T, Day AS. The STRONGkids nutritional risk screening tool can be used by paediatric nurses to identify hospitalised children at risk. Acta Paediatr 2014; 103:e528-31. doi: 10.1111/apa.12768. Epub 2014 Sep 7.
• [24] Joosten KF, Hulst JM. Nutritional screening tools for hospitalized children: methodological considerations. Clin Nutr 2014; 33:1-5. doi:10.106/j.clnu.2013.08.002. Epub 2013 Aug 31.
• [25] Hulst JM, Zwart H, Hop WC, Joosten KF. Duch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children. ClinNutr 2010; 29: 106-11. doi: 10.1016/j.clnu.2009.07.006. Epub 2009 Aug 13.
• [26] Beser OF, Cokugras FC, Erkan T, Kutlu T, Yagci RV. TUHAMAR Study Group. Evaluation of malnutrition development risk in hospitalized children. Nutrition 2018; 48: 40-7. doi: 10.1016/j. nut.2017.10.020. Epub 2017 Nov 29.
• [27] Tutar E, Boran P, Öktem S, Tokuç G, Çalışkan B. Hastanede yatarak tedavi gören çocuklarda malnütrisyon: Ulusal Türk ve Dünya Sağlık Örgütü (DSÖ) çocuk büyüme standartlarının karşılaştırılması. Marmara Med J 2012;25:128-3. doi: 10.5472/ MMJ.2012.02242.1