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住院消化系统疾病患儿营养不良风险筛查的评估——一项单中心横断面研究

Evaluation of malnutrition risk screening in hospitalized children with digestive system diseases-a single-center cross-sectional study.

作者信息

Li Xiaoyu, Zou Yu, Zuo Jing, Xu Tian, Zeng Huilin, Ou Ruiju, Dai Dongling

机构信息

Department of Gastroenterology, Shenzhen Children's Hospital, Shenzhen, Guangdong, China.

出版信息

Front Pediatr. 2025 Jul 17;13:1598962. doi: 10.3389/fped.2025.1598962. eCollection 2025.

Abstract

OBJECTIVE

This study aimed to assess the malnutrition risk of hospitalized children with digestive system diseases and provide evidence for clinical nutritional support.

METHODS

In this single-enter cross-sectional study, the modified pediatric malnutrition risk screening tool was used to assess the malnutrition risk of pediatric patients hospitalized for digestive system diseases from January 2024 to June 2024. The screening was carried out within 24 h after admission, and scores ≥4 and <4 were considered as high risk of malnutrition and non-high risk of malnutrition, respectively. We collected the data from all children, including age, gender, malnutrition risk, nutritional support, and clinical outcomes. SPSS software package (version 23.0) was used for data processing.

RESULTS

A total of 1,200 children aged 1 month to 18 years were included in this study. The incidence of malnutrition risk in all hospitalized children was 53.17%, and the percentage of high malnutrition risk was 13.67%. There was a significant difference in the incidence of high malnutrition risk between different diseases ( < 0.01). The difference in nutritional support rate ( < 0.05) and outcomes ( < 0.05) was also significant in patients with different degrees of malnutrition risk.

CONCLUSIONS

Timely, standardized, and comprehensive nutritional assessment is of crucial importance for reasonable nutritional interventions to improve clinical outcomes in children with high malnutrition risk.

摘要

目的

本研究旨在评估患有消化系统疾病的住院儿童的营养不良风险,并为临床营养支持提供依据。

方法

在这项单中心横断面研究中,采用改良的儿科营养不良风险筛查工具,对2024年1月至2024年6月因消化系统疾病住院的儿科患者的营养不良风险进行评估。筛查在入院后24小时内进行,评分≥4分和<4分分别被视为营养不良高风险和非高风险。我们收集了所有儿童的数据,包括年龄、性别、营养不良风险、营养支持和临床结局。使用SPSS软件包(版本23.0)进行数据处理。

结果

本研究共纳入1200名年龄在1个月至18岁之间的儿童。所有住院儿童中营养不良风险的发生率为53.17%,高营养不良风险的百分比为13.67%。不同疾病之间高营养不良风险的发生率存在显著差异(<0.01)。不同程度营养不良风险的患者在营养支持率(<0.05)和结局(<0.05)方面的差异也很显著。

结论

及时、规范和全面的营养评估对于合理的营养干预以改善高营养不良风险儿童的临床结局至关重要。

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本文引用的文献

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[Clinical application of the modified pediatric nutritional risk screening tool].[改良小儿营养风险筛查工具的临床应用]
Zhongguo Dang Dai Er Ke Za Zhi. 2021 Feb;23(2):186-191. doi: 10.7499/j.issn.1008-8830.2010120.
2
Optimizing Nutrition and Bone Health in Children with Cerebral Palsy.优化脑瘫患儿的营养与骨骼健康
Phys Med Rehabil Clin N Am. 2020 Feb;31(1):25-37. doi: 10.1016/j.pmr.2019.08.001. Epub 2019 Nov 6.
10
Simple Nutrition Screening Tool for Pediatric Inpatients.儿科住院患者简易营养筛查工具
JPEN J Parenter Enteral Nutr. 2016 Mar;40(3):392-8. doi: 10.1177/0148607114544321. Epub 2014 Aug 5.

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