K F Joosten1, H Zwart, W C Hop, J M Hulst. 1. Erasmus MC, Sophia's Children Hospital, Rotterdam, The Netherlands. k.joosten@erasmusmc.nl
Abstract
OBJECTIVE: Nationwide prevalence studies on malnutrition in hospitalised children have not been done. This study aimed to investigate the prevalence of malnutrition of all newly admitted children in The Netherlands during 3 consecutive days. DESIGN: Prospective observational study. SETTING: Paediatric wards of 44 hospitals (7 academic and 37 general). PARTICIPANTS: A total of 424 children aged > or = 30 days and hospitalised for > or = 1 day were included, 63% male, 86% non-white. Median age was 3.5 years and median hospital stay was 2 days. MAIN OUTCOME MEASURES: SD scores ,22 for weight for height and height for age were considered to indicate acute and chronic malnutrition, respectively. RESULTS: Overall 19% of the children had acute and/or chronic malnutrition at admission (academic 22% and general 17%). The proportion of children with chronic malnutrition was significantly higher in academic hospitals (14% vs 6%). Logistic regression analysis allowing for age, underlying disease, ethnicity, surgery and type of centre showed a significant relation between the presence of malnutrition at admission and underlying disease (odds ratio (OR) 2.2). For chronic malnutrition both underlying disease and non-white ethnicity were significantly related to a higher prevalence (OR 3.7 and OR 2.8, respectively). Multiple regression analysis showed that children with acute malnutrition stayed on average 45% longer (95% CI 7% to 95%) in the hospital than children without such malnutrition. CONCLUSIONS: This unique nationwide study shows that 19% of children admitted to Dutch hospitals are malnourished at admission. This high prevalence underlines the need for routine screening and treatment of malnutrition in hospitalised children.
OBJECTIVE: Nationwide prevalence studies on malnutrition in hospitalised children have not been done. This study aimed to investigate the prevalence of malnutrition of all newly admitted children in The Netherlands during 3 consecutive days. DESIGN: Prospective observational study. SETTING: Paediatric wards of 44 hospitals (7 academic and 37 general). PARTICIPANTS: A total of 424 children aged > or = 30 days and hospitalised for > or = 1 day were included, 63% male, 86% non-white. Median age was 3.5 years and median hospital stay was 2 days. MAIN OUTCOME MEASURES: SD scores ,22 for weight for height and height for age were considered to indicate acute and chronic malnutrition, respectively. RESULTS: Overall 19% of the children had acute and/or chronic malnutrition at admission (academic 22% and general 17%). The proportion of children with chronic malnutrition was significantly higher in academic hospitals (14% vs 6%). Logistic regression analysis allowing for age, underlying disease, ethnicity, surgery and type of centre showed a significant relation between the presence of malnutrition at admission and underlying disease (odds ratio (OR) 2.2). For chronic malnutrition both underlying disease and non-white ethnicity were significantly related to a higher prevalence (OR 3.7 and OR 2.8, respectively). Multiple regression analysis showed that children with acute malnutrition stayed on average 45% longer (95% CI 7% to 95%) in the hospital than children without such malnutrition. CONCLUSIONS: This unique nationwide study shows that 19% of children admitted to Dutch hospitals are malnourished at admission. This high prevalence underlines the need for routine screening and treatment of malnutrition in hospitalised children.
Authors: A Duclos; S Touzet; L Restier; P Occelli; F Cour-Andlauer; A Denis; S Polazzi; C Colin; A Lachaux; N Peretti Journal: Eur J Clin Nutr Date: 2015-02-04 Impact factor: 4.016
Authors: Giao Huynh; Quynh H Ngoc Huynh; Ngoc Han T Nguyen; Quang Thanh Do; Van Khanh Tran Journal: Biomed Res Int Date: 2019-02-05 Impact factor: 3.411
Authors: Koen Joosten; Kelly van der Velde; Pieter Joosten; Hans Rutten; Jessie Hulst; Karolijn Dulfer Journal: Qual Life Res Date: 2015-09-11 Impact factor: 4.147