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Klin Padiatr. 2019 Sep 30. doi: 10.1055/a-1003-6933. [Epub ahead of print]

Malnutrition in Paediatrics: Stationary Screening & Follow-up.

Author information

1
Department for General Paediatrics & Neonatology, University Hospital Giessen, Giessen, Germany.
2
Faculty of Agricultural Sciences, Nutritional Sciences and Environmental Management, Institute for Nutritional Sciences, Justus Liebig University Giessen, Giessen, Germany.

Abstract

in English, German

OBJECTIVE:

The prevalence and follow-up of the clinical real-world data focussing on existing or risk of malnutrition in a tertiary hospital general paediatric ward including 4 months of follow-up was assessed.

METHODS:

Measurements included anthropometric measurements, a nutrition interview and an extended version of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP). R Studio 3.4.2 was used for statistical analysis and diagnosing malnutrition by calculating height-for-age (HfAz)-, weight-for-age (WfAz)- weight-for-height (WfHz)-, body mass index-for-age (BMIz) and mid-upper-arm circumference (MUACz)-z-scores with the childsds package with KIGGS and WHO for reference.

RESULTS:

The median age of the 68 participants was 8.00 (4.00-13.00) years. The main reasons for hospitalisation in the tertiary centre were gastrointestinal diseases, diabetes mellitus and rheumatic diseases. At admission 39.71%, at the second examination 36.00% and at the third examination 45.90% were malnourished. 68% of inpatients lost weight during their clinical stay, of which 35.29% lost more than 3% of their initial weight. However, changes were not significantly different.

CONCLUSION:

A significant share of patients was diagnosed to be malnourished at admission, the majority of patients lost weight during their hospital stay and the 4 months after admission. Due to the far reaching consequences for patients, doctors, health insurance and politics, the early diagnosis and treatment of malnutrition should take greater account in the future.

PMID:
31569262
DOI:
10.1055/a-1003-6933

Conflict of interest statement

The authors declare that they have no conflict of interest.

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