Risk factors of hospital-acquired malnutrition in children: A study in a rural hospital of West Borneo, Indonesia.
Introduction: Hospital-acquired malnutrition (HAM) is prevalent among hospitalised children in developing countries. This condition relates to worse clinical outcomes, prolongs length of stay in hospitals, and increases mortality. A multidisciplinary approach should be performed to prevent and manag...
| Publicado en: | Malaysian Journal of Nutrition Vol. 27; no. 1; pp. 169 - 177 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Nutrition Society of Malaysia
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150865302&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150865302 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1394035X 6CKY jtl: Malaysian Journal of Nutrition issn: 1394035X maglogo: N pubinfo: dt: Apr2021 vid: 27 iid: 1 pid: 49148 pub: Nutrition Society of Malaysia artinfo: ui: 150865302 150865302 150865302 10.31246/mjn-2020-0083 150865302 ppf: 169 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Risk factors of hospital-acquired malnutrition in children: A study in a rural hospital of West Borneo, Indonesia. aug: au: Prasetya, Damar Haryanti, Sri Nurani, Neti affil: Department of Child Health, Faculty of Medicine, Nursing and Public Health, Universitas Gadjah Mada & Dr. Sardjito General Hospital, Yogyakarta, Indonesia sug: subj: Malnutrition Risk Factors Child, Hospitalized Hospitals, Rural Indonesia Human Child Indonesia Case Control Studies Nutritional Assessment Health Screening Weight Loss Logistic Regression Descriptive Statistics Confidence Intervals Odds Ratio Univariate Statistics Multivariate Analysis Child: 6-12 years ab: Introduction: Hospital-acquired malnutrition (HAM) is prevalent among hospitalised children in developing countries. This condition relates to worse clinical outcomes, prolongs length of stay in hospitals, and increases mortality. A multidisciplinary approach should be performed to prevent and manage this problem. However, HAM is often underdiagnosed, especially in rural hospitals with limited human resources. This study aims to delineate the risk factors of HAM among hospitalised children in a rural hospital. Methods: This nested case-control study derived from the implementation of a nutritional screening programme in Parindu Hospital, Sanggau, West Borneo, was conducted from December 2018 to February 2019. HAM was defined as a loss of body weight of >2% after hospitalisation. Independent variables such as the age of patients, fever, gastrointestinal loss, pre-existing malnutrition, length of stay, and grade of disease were analysed in univariate and multivariate analyses using logistic regression. Risk factors were expressed as odds ratio and adjusted odds ratio (aOR) with 95% confidence interval (CI). Results: Thirty-three patients were analysed as cases with 59 controls. Median age was younger in the case group (49 months, IQR 14-72.5) than control group (88 months, IQR 43-116). After adjustment for other covariates, age <5 years old (aOR 5.50, 95% CI 1.95- 15.59) and moderate-to-severe grade of disease (aOR 3.50, 95% CI 1.09-11.09) were significant risk factors of HAM in our study. Conclusion: Risk factors of HAM in children hospitalised in a rural hospital were age <5 years old and moderate-tosevere grade of disease. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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