Research
Canadian Journal of Dietetic Practice and Research Downloaded from dcjournal.ca by University of Auckland on 02/11/15 For personal use only.
Recherche
Malnutrition in Hospitalized Children: Prevalence, Impact, and Management VERONIQUE GROLEAU, MD, FRCPC, Department of Pediatrics, Sherbrooke University Hospital Centre, Sherbrooke, QC, Division of Gastroenterology, Hepatology and Nutrition, Ste-Justine University Hospital Centre, Montreal, QC; MAXIME THIBAULT, BPharm, MSc, Department of Pharmacy, Ste-Justine University Hospital Centre, Montreal, QC; MYRIAM DOYON, MSc, Department of Pediatrics, Sherbrooke University Hospital Centre, Sherbrooke, QC; EVE-EMMANUELLE BROCHU, PDt, Department of Nutrition, Sherbrooke University Hospital Centre, Sherbrooke, QC; CLAUDE C. ROY, MD, FRCPC, Division of Gastroenterology, Hepatology and Nutrition, Ste-Justine University Hospital Centre, Montreal, QC; CORENTIN BABAKISSA, MD, Department of Pediatrics, Sherbrooke University Hospital Centre, Sherbrooke, QC
ABSTRACT
Résumé
Purpose: Malnutrition in hospitalized children has been reported since the late 1970s. The prevalence of acute and chronic malnutrition was examined in hospitalized patients in a general pediatric unit, and the impact and management of malnutrition were assessed.
Objectif. On rapporte des cas de malnutrition chez les enfants hospitalisés depuis la fin des années 1970. La prévalence de la malnutrition aiguë et chronique a été examinée chez des patients hospitalisés dans une unité pédiatrique générale, et l’impact et la gestion de la malnutrition ont été évalués.
Methods: The nutritional risk score (NRS) and nutritional status (NS) (weight, height, body mass index, and skinfold thickness) of children aged zero to 18 years were assessed upon hospital admission. Growth and energy intake were monitored every three days until discharge.
Méthodes. Le score de risque nutritionnel (SRN) et l’état nutritionnel (ÉN) (poids, taille, indice de masse corporelle et épaisseur du pli cutané) d’enfants âgés de 0 à 18 ans ont été évalués lors de l’admission à l’hôpital. La croissance et l’apport énergétique ont été surveillés tous les trois jours jusqu’au congé.
Results: A total of 173 children (median age three years, 88 girls) participated; 79.8% had a moderate to severe NRS and 13.3% were acutely and/or chronically malnourished. A high NRS was associated with a longer hospital stay in children older than three years (P
Canadian Journal of Dietetic Practice and Research Downloaded from dcjournal.ca by University of Auckland on 02/11/15 For personal use only.
Recherche
Malnutrition in Hospitalized Children: Prevalence, Impact, and Management VERONIQUE GROLEAU, MD, FRCPC, Department of Pediatrics, Sherbrooke University Hospital Centre, Sherbrooke, QC, Division of Gastroenterology, Hepatology and Nutrition, Ste-Justine University Hospital Centre, Montreal, QC; MAXIME THIBAULT, BPharm, MSc, Department of Pharmacy, Ste-Justine University Hospital Centre, Montreal, QC; MYRIAM DOYON, MSc, Department of Pediatrics, Sherbrooke University Hospital Centre, Sherbrooke, QC; EVE-EMMANUELLE BROCHU, PDt, Department of Nutrition, Sherbrooke University Hospital Centre, Sherbrooke, QC; CLAUDE C. ROY, MD, FRCPC, Division of Gastroenterology, Hepatology and Nutrition, Ste-Justine University Hospital Centre, Montreal, QC; CORENTIN BABAKISSA, MD, Department of Pediatrics, Sherbrooke University Hospital Centre, Sherbrooke, QC
ABSTRACT
Résumé
Purpose: Malnutrition in hospitalized children has been reported since the late 1970s. The prevalence of acute and chronic malnutrition was examined in hospitalized patients in a general pediatric unit, and the impact and management of malnutrition were assessed.
Objectif. On rapporte des cas de malnutrition chez les enfants hospitalisés depuis la fin des années 1970. La prévalence de la malnutrition aiguë et chronique a été examinée chez des patients hospitalisés dans une unité pédiatrique générale, et l’impact et la gestion de la malnutrition ont été évalués.
Methods: The nutritional risk score (NRS) and nutritional status (NS) (weight, height, body mass index, and skinfold thickness) of children aged zero to 18 years were assessed upon hospital admission. Growth and energy intake were monitored every three days until discharge.
Méthodes. Le score de risque nutritionnel (SRN) et l’état nutritionnel (ÉN) (poids, taille, indice de masse corporelle et épaisseur du pli cutané) d’enfants âgés de 0 à 18 ans ont été évalués lors de l’admission à l’hôpital. La croissance et l’apport énergétique ont été surveillés tous les trois jours jusqu’au congé.
Results: A total of 173 children (median age three years, 88 girls) participated; 79.8% had a moderate to severe NRS and 13.3% were acutely and/or chronically malnourished. A high NRS was associated with a longer hospital stay in children older than three years (P
