Unité mobile de nutrition, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France.
Service de chirurgie viscérale, urologique, plastique et brûlés, CHRU de Tours, 49, boulevard Béranger, 37044 Tours cedex 9, France.
Arch Pediatr. 2020 Nov;27(8):403-407. doi: 10.1016/j.arcped.2020.09.008. Epub 2020 Oct 14.
Overall, 10-15% of hospitalized children are undernourished. The present study focuses on pediatric surgical wards. We assessed the impact of undernutrition upon admission on the weight-for-height Z-score (Z-WFH) during hospitalization for surgery. Secondary aims were to investigate the influence of associated factors and to report on the use of nutritional support.
All children hospitalized for a surgical procedure between July 2015 and March 2016 were included in this monocentric, prospective study. Children were divided into two groups: whether the Z-WFH upon admission was below -2 standard deviations (undernourished) or not (not undernourished).
A total of 161 of 278 eligible children were included; 27 were undernourished (17%). The change in Z-WFH during hospitalization was greater in undernourished children (0.31±0.11 vs. -0.05±0.05, P=0.005). Of undernourished children, 49% recovered a Z-WFH above -2 SD during hospitalization. There was no difference between undernourished children and not undernourished children regarding age, length of hospital stay, pre- and post-operative duration of nil per os, duration of surgical procedure, ASA score, emergency level of the surgical procedure, and enteral/parenteral nutrition.
Our data suggest that the Z-WFH of undernourished children upon admission improved during hospitalization.
总体而言，10-15%的住院儿童存在营养不良。本研究重点关注儿科外科病房。我们评估了入院时的营养不良对手术住院期间身高体重 Z 评分（Z-WFH）的影响。次要目的是研究相关因素的影响，并报告营养支持的使用情况。
本单中心前瞻性研究纳入 2015 年 7 月至 2016 年 3 月期间因外科手术住院的所有儿童。将儿童分为两组：入院时 Z-WFH 是否低于-2 个标准差（营养不良）或不低于-2 个标准差（不营养不良）。
共纳入 278 名符合条件的儿童中的 161 名；27 名儿童营养不良（17%）。营养不良儿童住院期间 Z-WFH 的变化更大（0.31±0.11 与-0.05±0.05，P=0.005）。住院期间，营养不良儿童中有 49%的人恢复了 Z-WFH 高于-2 SD。营养不良儿童和非营养不良儿童在年龄、住院时间、术前和术后禁食时间、手术时间、ASA 评分、手术紧急程度、肠内/肠外营养方面无差异。
我们的数据表明，入院时营养不良儿童的 Z-WFH 在住院期间有所改善。
