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Article

Undernourishment Risk in Hospitalized Children: Development of a Risk Assessment Tool

1Servicio de Gastroenterología y Nutrición Pediátrica, Instituto Nacional de Pediatría, CDMX, México

2Departamento de Fisiología de la Nutrición, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubiran, CDMX, México

3Departamento de Metodología de la Investigación, Instituto Nacional de Pediatría, CDMX, México


Journal of Food and Nutrition Research. 2020, Vol. 8 No. 1, 15-20
DOI: 10.12691/jfnr-8-1-2
Copyright © 2020 Science and Education Publishing

Cite this paper:
Ericka Montijo-Barrios, Martha Guevara-Cruz, Beatriz Adriana Pinzón-Navarro, Judith Ileana Gris-Calvo, Miriam G. Bautista-Silva, Monserrat Cazares-Mendez, Roberto Cervantes-Bustamante, Jaime A. Ramírez-Mayans, Isabel Medina-Vera. Undernourishment Risk in Hospitalized Children: Development of a Risk Assessment Tool. Journal of Food and Nutrition Research. 2020; 8(1):15-20. doi: 10.12691/jfnr-8-1-2.

Correspondence to: Isabel  Medina-Vera, Departamento de Metodología de la Investigación, Instituto Nacional de Pediatría, CDMX, México. Email: imedinav@pediatria.gob.mx

Abstract

Aim: To develop a new screening tool that can quickly assess the risk of undernourishment and evaluate its correlation with frequently used anthropometric indicators. Methods: A new, easy-to-access screening tool was developed for clinical practice with 5 items. A total of 650 children were evaluated, with an average age of 54 months. Their global nutritional status was assessed, as well as the proposed new screening tool. Results: We found that the presence of the item "The patient is in serious condition" was associated with longer days of hospital stay (18.8 ± 4.5, p=0.002), as was the presence of the item "There are factors that increase metabolic and energy demand (20%)" (14.4 ± 1.9, p=0.007). Similarly, we observed a greater risk with the presence of undernourishment [OR=2.8 (95% CI=2 – 3.9)] and the item “There is functional limitation for feeding” [OR=2.3 (95% CI=1.4 – 3.5)]. The score of the new tool differed between those who children who exhibited undernourishment versus those who did not [2.1 ± 1.08 vs 1.6 ± 0.99 (p=0.0001)]. Conclusions: The identification of at least 2 items of the new screening tool could help to detect undernourishment, especially in paediatric populations where, due to the large amount of admissions.

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