Introduction: Hospital-acquired malnutrition is one aspect of childhood malnutrition that healthcare professionals might not recognize. The prevalence of hospital-acquired malnutrition globally and in developing countries is still high varies between 6.1%-40.9%. Various factors contributed to the frequency of hospital-acquired malnutrition, including the nutritional status at the onset of the disease. Material and Methods: The prospective cohort study was conducted on the patients in Pediatric Ward at Sanglah General Hospital, Denpasar Bali period July 2020 and January 2021. We Include children aged one month to 18 years old. Samples were taken by consecutive sampling. Hospital-acquired malnutrition was marked by more than 2% loss of weight from the measurement during admission. Univariate analysis was performed using the chi-square test. Nutritional status presented as Prevalence Ratio (PR) and 95% Confidence Interval (95% CI). The result is considered as significant if p<0.05. Results: 208 subjects were included and analyzed in this study. Malnutrition incidence was 15.4%. The risk factors significantly associated with hospital-acquired malnutrition were an underlying disease, length of stay, admission nutritional status. Malnutrition, length of stay and underlying condition were the independent risk factors for hospital-acquired malnutrition with PR 7.528 (95% CI, 2.528-21.033; p=0.001), PR 9.061 (95% CI, 2.925-28.066; p=0.001) and PR 2.638 (95% CI, 1.0325-6.724; p=0.042). Conclusion: The incidence of hospital acquired malnutrition in Sanglah Hospital was 15.4%. Children with malnutrition, prolonged hospitalization length, and underlying disease are associated with hospital-acquired malnutrition.
Published in | American Journal of Pediatrics (Volume 8, Issue 2) |
DOI | 10.11648/j.ajp.20220802.16 |
Page(s) | 86-90 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2022. Published by Science Publishing Group |
Hospital, Malnutrition, Children, Nutritional Status
[1] | Sukhosa, O., Kittisakmontri, K. (2017). Prevalence of Hospital-acquired malnutrition at admission and outcomes in pediatric Patients. International Journal of Child Health and Nutrition, 6: 98-104. doi: 10.6000/1929-4247.2017.06.03.2. |
[2] | Sidiartha, I. G. L. (2012). Insidens malnutrisi rumah sakit pada anak di Rumah Sakit Umum Pusat Sanglah Denpasar. Medicina, 43: 15-8. doi: 10.14238/sp9.6.2008.381-85. |
[3] | Pawellek, I., Dokoupil, K., Koletzko, B. (2008). Prevalence of malnutrition in paediatric hospital patients. Clin Nutr, 27: 72-6. doi: 10.1016/j.clnu.2007.11.001. |
[4] | McCarthy, H., McNulty, H., Dixon, M., Eaton-Evans, M. J. (2008). Screening for nutrition risk in children: the validation of a new tool. J Hum Nutr Diet, 21: 395-6. doi: 10.1111/j.1365-277X.2008.00881_31.x. |
[5] | Hulst, J. M., Zwart, H., Hop, W. C., Joosten, K. F. M. (2010). Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children. Clin Nutr, 29: 106-11. doi: 10.1016/j.clnu.2009.07.006. |
[6] | Huysentruyt, K., Alliet, P., Muyshont, L., Rossignol, R., Devreker, T., Bontems, P. et al. (2013). The STRONGkids nutritional screening tool in hospitalized children: a validation study. Nutrition, 29: 1356-61. doi: 10.1016/j.nut.2013.05.008. |
[7] | Shaaban, S., Nassar, M., El-Gendy, Y., El-Shaer, B. (2019). Nutritional risk screening of hospitalized childen aged under three years. East Mediterr Health J, 25 (1): 18–23. doi: 10.26719/emhj.18.019. |
[8] | Juliaty, A. (2013). Malnutrisi rumah sakit pada bangsal anak rumah sakit Dr. Wahidin Sudirohusodo Makassar. Sari pediatric, 15 (2): 65-8. doi: 10.14238/sp15.2.2013.65-8. |
[9] | Gouveina, M. A. C., Silva, G. A. P. (2017). Hospital Malnutrition in Pediatric Patients: A Review. Ann Nutr Disord and Ther, 4 (2): 1042. doi: 10.3390/nu11020236. |
[10] | McCarthy, A., Delvin, E., Marcil, V., Belanger, V., Marchand, V., Boctor, D. et al. (2019). Prevalence of malnutrition in Pediatric Hospitals in Developed and In-Transition Countries: The Impact of Hospital Practices. Nutrients, 11 (2): 236. doi: 10.3390/nu11020236. |
[11] | Rocha, G. A., Rocha, E. J. M., Martins, C. V. (2006) The effects of hospitalization on the nutritional status of children. Jornal de Pediatria, 82: 70-4. doi: 10.2223/jped.1440. |
[12] | Secker, D. J., Jeejeebhoy, K. N. (2007). Subjective global nutritional assessment for children. Am J Clin Nutr, 85: 1083-9. doi: 10.1093/ajcn/85.4.1083. |
[13] | Sidiartha, I. G. L. (2010). Malnutrisi rumah sakit pada anak di rumah sakit umum pusat Sanglah, Denpasar. Kumpulan Naskah Lengkap PIT IV IKA Medan 2010. Ikatan Dokter Anak Indonesia, 56-65. |
[14] | Kazem, A. I., Hassan, M. K. (2011). Effect of hospitalization on the nutritional status of under five children. Med J Basrah University, 29: 1–2. doi: 10.33762/mjbu.2011.49484. |
[15] | Waitzberg, D. L., Caiaffa, W. T., Correia, M. I. (2001). Hospital acquired malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition, 17: 573-80. doi: 10.1016/s0899-9007(01)00573-1. |
[16] | Mehta, N. M., Duggan, C. P. (2009). Nutritional deficiencies during critical illness. Pediatr Clin North Am, 56: 1143-60. doi: 10.1016/j.pcl.2009.06.007. |
[17] | Hecht, C., Weber, M., Grote, V., Daskalou, E., Dell'era, L., Flynn, D., et al. (2014) Disease associated malnutrition correlates with length of hospital stay in children. Clin Nutr, 4: 1-10. doi: 10.1016/j.clnu.2014.01.003. |
[18] | Mehta, N. M., Corkins, M. R., Lyman, B., Malone, A., Goday, P. S., Carney, L. N., et al. (2013). Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions. J Parenter Enteral Nutr, 37: 460-81. doi: 10.1177/0148607113479972. |
[19] | Hwang, E. H., Park, J. H., Chun, P., Lee, Y. J. (2016). Prevalence and risk factors for the weight loss during hospitalization in children: a single Korean children's hospital experience. Pediatr Gastroenterol Hepatol Nutr, 19: 269–75. doi: 10.5223/pghn.2016.19.4.269. |
[20] | Campanozzi, A., Russo, M., Catucci, A., Rutigliano, I., Canestrino, G., Giardino, I. (2009). Hospital acquired malnutrition in children with mild clinical conditions. Nutrition, 25: 540-7. doi: 10.1016/j.nut.2008.11.026. |
[21] | Mokkink, L. B., Van-der-lee, J. H., Grootenhius, M. A., Offringa, M., Heymans, H. S. A. (2008). Defining chronic diseases and health conditions in childhood (0-18 years of age): National concensus in Netherlands. Eur J Pediatr, 167: 1441-7. doi: 10.1007/s00431-008-0697-y. |
APA Style
Jessica Sugiharto, I Gusti Lanang Sidiartha, I Gusti Ayu Putu Eka Pratiwi. (2022). The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital. American Journal of Pediatrics, 8(2), 86-90. https://doi.org/10.11648/j.ajp.20220802.16
ACS Style
Jessica Sugiharto; I Gusti Lanang Sidiartha; I Gusti Ayu Putu Eka Pratiwi. The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital. Am. J. Pediatr. 2022, 8(2), 86-90. doi: 10.11648/j.ajp.20220802.16
AMA Style
Jessica Sugiharto, I Gusti Lanang Sidiartha, I Gusti Ayu Putu Eka Pratiwi. The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital. Am J Pediatr. 2022;8(2):86-90. doi: 10.11648/j.ajp.20220802.16
@article{10.11648/j.ajp.20220802.16, author = {Jessica Sugiharto and I Gusti Lanang Sidiartha and I Gusti Ayu Putu Eka Pratiwi}, title = {The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital}, journal = {American Journal of Pediatrics}, volume = {8}, number = {2}, pages = {86-90}, doi = {10.11648/j.ajp.20220802.16}, url = {https://doi.org/10.11648/j.ajp.20220802.16}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220802.16}, abstract = {Introduction: Hospital-acquired malnutrition is one aspect of childhood malnutrition that healthcare professionals might not recognize. The prevalence of hospital-acquired malnutrition globally and in developing countries is still high varies between 6.1%-40.9%. Various factors contributed to the frequency of hospital-acquired malnutrition, including the nutritional status at the onset of the disease. Material and Methods: The prospective cohort study was conducted on the patients in Pediatric Ward at Sanglah General Hospital, Denpasar Bali period July 2020 and January 2021. We Include children aged one month to 18 years old. Samples were taken by consecutive sampling. Hospital-acquired malnutrition was marked by more than 2% loss of weight from the measurement during admission. Univariate analysis was performed using the chi-square test. Nutritional status presented as Prevalence Ratio (PR) and 95% Confidence Interval (95% CI). The result is considered as significant if pResults: 208 subjects were included and analyzed in this study. Malnutrition incidence was 15.4%. The risk factors significantly associated with hospital-acquired malnutrition were an underlying disease, length of stay, admission nutritional status. Malnutrition, length of stay and underlying condition were the independent risk factors for hospital-acquired malnutrition with PR 7.528 (95% CI, 2.528-21.033; p=0.001), PR 9.061 (95% CI, 2.925-28.066; p=0.001) and PR 2.638 (95% CI, 1.0325-6.724; p=0.042). Conclusion: The incidence of hospital acquired malnutrition in Sanglah Hospital was 15.4%. Children with malnutrition, prolonged hospitalization length, and underlying disease are associated with hospital-acquired malnutrition.}, year = {2022} }
TY - JOUR T1 - The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital AU - Jessica Sugiharto AU - I Gusti Lanang Sidiartha AU - I Gusti Ayu Putu Eka Pratiwi Y1 - 2022/04/20 PY - 2022 N1 - https://doi.org/10.11648/j.ajp.20220802.16 DO - 10.11648/j.ajp.20220802.16 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 86 EP - 90 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20220802.16 AB - Introduction: Hospital-acquired malnutrition is one aspect of childhood malnutrition that healthcare professionals might not recognize. The prevalence of hospital-acquired malnutrition globally and in developing countries is still high varies between 6.1%-40.9%. Various factors contributed to the frequency of hospital-acquired malnutrition, including the nutritional status at the onset of the disease. Material and Methods: The prospective cohort study was conducted on the patients in Pediatric Ward at Sanglah General Hospital, Denpasar Bali period July 2020 and January 2021. We Include children aged one month to 18 years old. Samples were taken by consecutive sampling. Hospital-acquired malnutrition was marked by more than 2% loss of weight from the measurement during admission. Univariate analysis was performed using the chi-square test. Nutritional status presented as Prevalence Ratio (PR) and 95% Confidence Interval (95% CI). The result is considered as significant if pResults: 208 subjects were included and analyzed in this study. Malnutrition incidence was 15.4%. The risk factors significantly associated with hospital-acquired malnutrition were an underlying disease, length of stay, admission nutritional status. Malnutrition, length of stay and underlying condition were the independent risk factors for hospital-acquired malnutrition with PR 7.528 (95% CI, 2.528-21.033; p=0.001), PR 9.061 (95% CI, 2.925-28.066; p=0.001) and PR 2.638 (95% CI, 1.0325-6.724; p=0.042). Conclusion: The incidence of hospital acquired malnutrition in Sanglah Hospital was 15.4%. Children with malnutrition, prolonged hospitalization length, and underlying disease are associated with hospital-acquired malnutrition. VL - 8 IS - 2 ER -