Hospital-acquired malnutrition in children at a tertiary care hospital
<br><strong>Objectives: </strong> This study sought to investigate the incidence and factors associated with hospital-acquired malnutrition in children. <br><strong> Design: </strong> A hospital-based longitudinal survey carried out between December 2013 and Febru...
| Main Authors: | , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Taylor and Francis
2017
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| _version_ | 1826279056045244416 |
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| author | Quadros, DRS Kamenwa, R Akech, S Macharia, WM |
| author_facet | Quadros, DRS Kamenwa, R Akech, S Macharia, WM |
| author_sort | Quadros, DRS |
| collection | OXFORD |
| description | <br><strong>Objectives: </strong> This study sought to investigate the incidence and factors associated with hospital-acquired malnutrition in children.
<br><strong>
Design: </strong> A hospital-based longitudinal survey carried out between December 2013 and February 2014.
<br><strong>
Setting: </strong> Aga Khan University Hospital, Nairobi, Kenya, a tertiary care hospital.
<br><strong>
Subjects:</strong> One hundred and seventy children who met the inclusion criteria were included in the study.
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Outcome measures: </strong> Anthropometry was done at admission and discharge. Incidence of hospital-acquired malnutrition was estimated from the total number of children showing a decrease in weight-for-height/length (WFH) or Body Mass Index (BMI) z-scores from the time of admission to discharge. Logistic regression analysis was performed to determine associations between selected variables and weight loss during hospitalisation.
<br><strong>
Results: </strong> Albeit a borderline level of significance, a decrease in calculated z-scores occurred in 60.6% (Confidence Interval (CI) 53.1–67.6%) of children during hospitalisation with a mean weight decrease of 0.5 kg (Standard Deviation (SD) ± 3.37, p = 0.055). Children ≤ 60 months of age demonstrated a mean decrease in weight-for-height/length z-score of 0.145 (SD ± 0.73, p = 0.042); and those > 60 months, a mean decrease in BMI z-score of 0.152 (SD ± 0.39, p = 0.004). The majority with weight loss had been admitted with a diagnosis of gastroenteritis (81.2%), gastritis (64.3%) and pneumonia (55.6%). Weight loss was associated with duration of admission: 3 - 5 days (Odds Ratio (OR) 2.43, CI 1.46–4.03), 5 - 7 days (OR 4.67, CI 1.34–16.24), and > 7 days (OR 2.75, CI 0.88–8.64); score test for trend of odds is OR 1.37 (95% CI 1.11–1.69, p = 0.003).
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Conclusion: </strong> This study found a high incidence of hospital-acquired malnutrition in children. The most affected were those with gastroenteritis, gastritis and pneumonia. Hospital-acquired malnutrition was associated with an increased duration of hospitalisation. |
| first_indexed | 2024-03-06T23:53:07Z |
| format | Journal article |
| id | oxford-uuid:734c0b54-b5f6-4552-9fd2-9e4b5c09c044 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T23:53:07Z |
| publishDate | 2017 |
| publisher | Taylor and Francis |
| record_format | dspace |
| spelling | oxford-uuid:734c0b54-b5f6-4552-9fd2-9e4b5c09c0442022-03-26T19:55:30ZHospital-acquired malnutrition in children at a tertiary care hospitalJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:734c0b54-b5f6-4552-9fd2-9e4b5c09c044EnglishSymplectic ElementsTaylor and Francis2017Quadros, DRSKamenwa, RAkech, SMacharia, WM<br><strong>Objectives: </strong> This study sought to investigate the incidence and factors associated with hospital-acquired malnutrition in children. <br><strong> Design: </strong> A hospital-based longitudinal survey carried out between December 2013 and February 2014. <br><strong> Setting: </strong> Aga Khan University Hospital, Nairobi, Kenya, a tertiary care hospital. <br><strong> Subjects:</strong> One hundred and seventy children who met the inclusion criteria were included in the study. <br><strong> Outcome measures: </strong> Anthropometry was done at admission and discharge. Incidence of hospital-acquired malnutrition was estimated from the total number of children showing a decrease in weight-for-height/length (WFH) or Body Mass Index (BMI) z-scores from the time of admission to discharge. Logistic regression analysis was performed to determine associations between selected variables and weight loss during hospitalisation. <br><strong> Results: </strong> Albeit a borderline level of significance, a decrease in calculated z-scores occurred in 60.6% (Confidence Interval (CI) 53.1–67.6%) of children during hospitalisation with a mean weight decrease of 0.5 kg (Standard Deviation (SD) ± 3.37, p = 0.055). Children ≤ 60 months of age demonstrated a mean decrease in weight-for-height/length z-score of 0.145 (SD ± 0.73, p = 0.042); and those > 60 months, a mean decrease in BMI z-score of 0.152 (SD ± 0.39, p = 0.004). The majority with weight loss had been admitted with a diagnosis of gastroenteritis (81.2%), gastritis (64.3%) and pneumonia (55.6%). Weight loss was associated with duration of admission: 3 - 5 days (Odds Ratio (OR) 2.43, CI 1.46–4.03), 5 - 7 days (OR 4.67, CI 1.34–16.24), and > 7 days (OR 2.75, CI 0.88–8.64); score test for trend of odds is OR 1.37 (95% CI 1.11–1.69, p = 0.003). <br><strong> Conclusion: </strong> This study found a high incidence of hospital-acquired malnutrition in children. The most affected were those with gastroenteritis, gastritis and pneumonia. Hospital-acquired malnutrition was associated with an increased duration of hospitalisation. |
| spellingShingle | Quadros, DRS Kamenwa, R Akech, S Macharia, WM Hospital-acquired malnutrition in children at a tertiary care hospital |
| title | Hospital-acquired malnutrition in children at a tertiary care hospital |
| title_full | Hospital-acquired malnutrition in children at a tertiary care hospital |
| title_fullStr | Hospital-acquired malnutrition in children at a tertiary care hospital |
| title_full_unstemmed | Hospital-acquired malnutrition in children at a tertiary care hospital |
| title_short | Hospital-acquired malnutrition in children at a tertiary care hospital |
| title_sort | hospital acquired malnutrition in children at a tertiary care hospital |
| work_keys_str_mv | AT quadrosdrs hospitalacquiredmalnutritioninchildrenatatertiarycarehospital AT kamenwar hospitalacquiredmalnutritioninchildrenatatertiarycarehospital AT akechs hospitalacquiredmalnutritioninchildrenatatertiarycarehospital AT machariawm hospitalacquiredmalnutritioninchildrenatatertiarycarehospital |