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The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital

Received: 11 March 2022    Accepted: 9 April 2022    Published: 20 April 2022
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Abstract

Introduction: Hospital-acquired malnutrition is one aspect of childhood malnutrition that healthcare professionals might not recognize. The prevalence of hospital-acquired malnutrition globally and in developing countries is still high varies between 6.1%-40.9%. Various factors contributed to the frequency of hospital-acquired malnutrition, including the nutritional status at the onset of the disease. Material and Methods: The prospective cohort study was conducted on the patients in Pediatric Ward at Sanglah General Hospital, Denpasar Bali period July 2020 and January 2021. We Include children aged one month to 18 years old. Samples were taken by consecutive sampling. Hospital-acquired malnutrition was marked by more than 2% loss of weight from the measurement during admission. Univariate analysis was performed using the chi-square test. Nutritional status presented as Prevalence Ratio (PR) and 95% Confidence Interval (95% CI). The result is considered as significant if p<0.05. Results: 208 subjects were included and analyzed in this study. Malnutrition incidence was 15.4%. The risk factors significantly associated with hospital-acquired malnutrition were an underlying disease, length of stay, admission nutritional status. Malnutrition, length of stay and underlying condition were the independent risk factors for hospital-acquired malnutrition with PR 7.528 (95% CI, 2.528-21.033; p=0.001), PR 9.061 (95% CI, 2.925-28.066; p=0.001) and PR 2.638 (95% CI, 1.0325-6.724; p=0.042). Conclusion: The incidence of hospital acquired malnutrition in Sanglah Hospital was 15.4%. Children with malnutrition, prolonged hospitalization length, and underlying disease are associated with hospital-acquired malnutrition.

Published in American Journal of Pediatrics (Volume 8, Issue 2)
DOI 10.11648/j.ajp.20220802.16
Page(s) 86-90
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hospital, Malnutrition, Children, Nutritional Status

References
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Cite This Article
  • APA Style

    Jessica Sugiharto, I Gusti Lanang Sidiartha, I Gusti Ayu Putu Eka Pratiwi. (2022). The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital. American Journal of Pediatrics, 8(2), 86-90. https://doi.org/10.11648/j.ajp.20220802.16

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    ACS Style

    Jessica Sugiharto; I Gusti Lanang Sidiartha; I Gusti Ayu Putu Eka Pratiwi. The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital. Am. J. Pediatr. 2022, 8(2), 86-90. doi: 10.11648/j.ajp.20220802.16

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    AMA Style

    Jessica Sugiharto, I Gusti Lanang Sidiartha, I Gusti Ayu Putu Eka Pratiwi. The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital. Am J Pediatr. 2022;8(2):86-90. doi: 10.11648/j.ajp.20220802.16

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  • @article{10.11648/j.ajp.20220802.16,
      author = {Jessica Sugiharto and I Gusti Lanang Sidiartha and I Gusti Ayu Putu Eka Pratiwi},
      title = {The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital},
      journal = {American Journal of Pediatrics},
      volume = {8},
      number = {2},
      pages = {86-90},
      doi = {10.11648/j.ajp.20220802.16},
      url = {https://doi.org/10.11648/j.ajp.20220802.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220802.16},
      abstract = {Introduction: Hospital-acquired malnutrition is one aspect of childhood malnutrition that healthcare professionals might not recognize. The prevalence of hospital-acquired malnutrition globally and in developing countries is still high varies between 6.1%-40.9%. Various factors contributed to the frequency of hospital-acquired malnutrition, including the nutritional status at the onset of the disease. Material and Methods: The prospective cohort study was conducted on the patients in Pediatric Ward at Sanglah General Hospital, Denpasar Bali period July 2020 and January 2021. We Include children aged one month to 18 years old. Samples were taken by consecutive sampling. Hospital-acquired malnutrition was marked by more than 2% loss of weight from the measurement during admission. Univariate analysis was performed using the chi-square test. Nutritional status presented as Prevalence Ratio (PR) and 95% Confidence Interval (95% CI). The result is considered as significant if pResults: 208 subjects were included and analyzed in this study. Malnutrition incidence was 15.4%. The risk factors significantly associated with hospital-acquired malnutrition were an underlying disease, length of stay, admission nutritional status. Malnutrition, length of stay and underlying condition were the independent risk factors for hospital-acquired malnutrition with PR 7.528 (95% CI, 2.528-21.033; p=0.001), PR 9.061 (95% CI, 2.925-28.066; p=0.001) and PR 2.638 (95% CI, 1.0325-6.724; p=0.042). Conclusion: The incidence of hospital acquired malnutrition in Sanglah Hospital was 15.4%. Children with malnutrition, prolonged hospitalization length, and underlying disease are associated with hospital-acquired malnutrition.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - The Association Between Nutritional Status on Admission and Hospital-Acquired Malnutrition in Pediatric Patients at Sanglah General Hospital
    AU  - Jessica Sugiharto
    AU  - I Gusti Lanang Sidiartha
    AU  - I Gusti Ayu Putu Eka Pratiwi
    Y1  - 2022/04/20
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajp.20220802.16
    DO  - 10.11648/j.ajp.20220802.16
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 86
    EP  - 90
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20220802.16
    AB  - Introduction: Hospital-acquired malnutrition is one aspect of childhood malnutrition that healthcare professionals might not recognize. The prevalence of hospital-acquired malnutrition globally and in developing countries is still high varies between 6.1%-40.9%. Various factors contributed to the frequency of hospital-acquired malnutrition, including the nutritional status at the onset of the disease. Material and Methods: The prospective cohort study was conducted on the patients in Pediatric Ward at Sanglah General Hospital, Denpasar Bali period July 2020 and January 2021. We Include children aged one month to 18 years old. Samples were taken by consecutive sampling. Hospital-acquired malnutrition was marked by more than 2% loss of weight from the measurement during admission. Univariate analysis was performed using the chi-square test. Nutritional status presented as Prevalence Ratio (PR) and 95% Confidence Interval (95% CI). The result is considered as significant if pResults: 208 subjects were included and analyzed in this study. Malnutrition incidence was 15.4%. The risk factors significantly associated with hospital-acquired malnutrition were an underlying disease, length of stay, admission nutritional status. Malnutrition, length of stay and underlying condition were the independent risk factors for hospital-acquired malnutrition with PR 7.528 (95% CI, 2.528-21.033; p=0.001), PR 9.061 (95% CI, 2.925-28.066; p=0.001) and PR 2.638 (95% CI, 1.0325-6.724; p=0.042). Conclusion: The incidence of hospital acquired malnutrition in Sanglah Hospital was 15.4%. Children with malnutrition, prolonged hospitalization length, and underlying disease are associated with hospital-acquired malnutrition.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Department of Child Health, Medical Faculty, Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Department of Child Health, Medical Faculty, Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Department of Child Health, Medical Faculty, Udayana University, Sanglah Hospital, Denpasar, Indonesia

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