Evaluation of malnutrition development risk in hospitalized children
Makaleler > Tam Makale · 2018
Yazarlar: Omer F Beser, Fugen Cullu Cokugras, Tulay Erkan, HÜSEYİN TUFAN KUTLU, Rasit V Yagci, DENİZ ERTEM ŞAHİNOĞLU, Güniz Yaşöz, Hasan Ali Yüksekkaya, REHA ARTAN, ZERRİN ÖNAL, MEHMET ENES COŞKUN, Ayşen Aydoğan, Pelin Zorlu, Meltem Akçaboy, Mahya Sultan Tosun, NAFİYE URGANCI, Reyhan Gümüştekin Kaya, MEHMET SATAR, AYSEL YÜCE, ASUMAN NUR KARHAN, Hasret Ayyıldız Civan, HASAN ERHUN KASIRGA, Burcu Volkan, Alev Cansu Certel, AHMET GÜZELÇİÇEK, TANJU MUNEVVER ÖZKAN, KAAN DEMİRÖREN, SADIK AKŞİT, Şule GÖKÇE, SİRMEN KIZILCAN ÇETİN, BUKET DALGIÇ, ZELİHA DEMİRTAŞ, Adem Karbuz, AYHAN GAZİ KALAYCI, Aliye Gülbahçe, Talip Sayar, SERHAT GÜLER, FESİH AKTAR, AYDAN KANSU, CANSU ALTUNTAŞ, Dilfuza Ağalıoğlu, DURAN ARSLAN, HASAN KARAKURT, Soner Sazak, Oya Baltalı Halıcıoğlu, Gülberat İnce, GONCA HANDAN ÜSTÜNDAĞ, YASEMİN DİLEK SOYSAL, Neslihan Karacabey, NUR ARSLAN, YEŞİM ÖZTÜRK, Pınar Kuyum, UĞUR DEVECİ, MUKADDER AYŞE SELİMOĞLU, Fatma İlknur Varol, BURCU GÜVEN, Güzide Doğan, MURAT ÇAKIR, HACER FULYA GÜLERMAN, Esra Dursun, Esin Kıyan, Ali Evrim Doğan, Feza Kırbıyık
NUTRITION, SCI Expanded İndekslerine Giren Dergi, Uluslararası, 2018, cilt 48, ss 40-47
DOI: 10.1016/j.nut.2017.10.020
Özet
OBJECTIVES: Many screening methods, such as the Screening Tool Risk on Nutritional Status and Growth (STRONGkids) and the Pediatric Yorkhill Malnutrition Score (PYMS), have been developed to detect malnutrition in pediatric patients. We aimed to explore the prevalence of malnutrition risk in hospitalized children via symptoms and identification of contributing factors, and to examine the efficacy of malnutrition screening tools for hospitalized children. METHODS: STRONGkids and PYMS were applied to 1513 inpatients at 37 hospitals in 26 cities from different regions of Turkey. Physical measurements were collected at hospital admission and at discharge. z-Scores of height-for-age, weight-for-age, weight-for-height, and body mass index-for-age were calculated. RESULTS: Overall, 1513 patients were included in the study. A body mass index standard deviation score of less than -2 was present in 9.5% of the study population at hospital admission, whereas 11.2% of the participants had a weight-for-length/height score of less than -2 at hospital admission. According to STRONGkids results, the proportion of the patients with an underlying chronic disease was higher for the patients at high risk of malnutrition than for the patients at medium or low risk (91% compared with 47% or 45%, respectively). PYMS results indicated that patients at high risk of malnutrition have more chronic diseases (75%) than the patients at medium or low risk of malnutrition (55% and 44%, respectively). CONCLUSIONS: Use of anthropometric measurements in addition to screening tools to identify hospital malnutrition (such as PYMS, STRONGkids) will prevent some nutritional risk patients from being overlooked.