Weight-for-height Z-score improves in half of undernourished children hospitalized in surgical wards.
Body Height
Body Weight
Case-Control Studies
Child
Child, Preschool
Female
Hospitalization
Humans
Infant
Length of Stay
/ statistics & numerical data
Logistic Models
Male
Malnutrition
/ complications
Nutritional Support
/ methods
Operative Time
Perioperative Care
/ methods
Postoperative Complications
/ etiology
Practice Patterns, Physicians'
/ statistics & numerical data
Prospective Studies
Risk Factors
Weight Gain
Weight Loss
Hospital stay
Nil per os
Nutritional support
Undernutrition
Journal
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
ISSN: 1769-664X
Titre abrégé: Arch Pediatr
Pays: France
ID NLM: 9421356
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
20
03
2020
revised:
23
07
2020
accepted:
19
09
2020
pubmed:
19
10
2020
medline:
24
8
2021
entrez:
18
10
2020
Statut:
ppublish
Résumé
Overall, 10-15% of hospitalized children are undernourished. The present study focuses on pediatric surgical wards. We assessed the impact of undernutrition upon admission on the weight-for-height Z-score (Z-WFH) during hospitalization for surgery. Secondary aims were to investigate the influence of associated factors and to report on the use of nutritional support. All children hospitalized for a surgical procedure between July 2015 and March 2016 were included in this monocentric, prospective study. Children were divided into two groups: whether the Z-WFH upon admission was below -2 standard deviations (undernourished) or not (not undernourished). A total of 161 of 278 eligible children were included; 27 were undernourished (17%). The change in Z-WFH during hospitalization was greater in undernourished children (0.31±0.11 vs. -0.05±0.05, P=0.005). Of undernourished children, 49% recovered a Z-WFH above -2 SD during hospitalization. There was no difference between undernourished children and not undernourished children regarding age, length of hospital stay, pre- and post-operative duration of nil per os, duration of surgical procedure, ASA score, emergency level of the surgical procedure, and enteral/parenteral nutrition. Our data suggest that the Z-WFH of undernourished children upon admission improved during hospitalization.
Sections du résumé
BACKGROUND
BACKGROUND
Overall, 10-15% of hospitalized children are undernourished. The present study focuses on pediatric surgical wards. We assessed the impact of undernutrition upon admission on the weight-for-height Z-score (Z-WFH) during hospitalization for surgery. Secondary aims were to investigate the influence of associated factors and to report on the use of nutritional support.
METHODS
METHODS
All children hospitalized for a surgical procedure between July 2015 and March 2016 were included in this monocentric, prospective study. Children were divided into two groups: whether the Z-WFH upon admission was below -2 standard deviations (undernourished) or not (not undernourished).
RESULTS
RESULTS
A total of 161 of 278 eligible children were included; 27 were undernourished (17%). The change in Z-WFH during hospitalization was greater in undernourished children (0.31±0.11 vs. -0.05±0.05, P=0.005). Of undernourished children, 49% recovered a Z-WFH above -2 SD during hospitalization. There was no difference between undernourished children and not undernourished children regarding age, length of hospital stay, pre- and post-operative duration of nil per os, duration of surgical procedure, ASA score, emergency level of the surgical procedure, and enteral/parenteral nutrition.
CONCLUSION
CONCLUSIONS
Our data suggest that the Z-WFH of undernourished children upon admission improved during hospitalization.
Identifiants
pubmed: 33069563
pii: S0929-693X(20)30217-7
doi: 10.1016/j.arcped.2020.09.008
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
403-407Informations de copyright
Copyright © 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.