The clinical outcomes of nutritional support in children with high nutritional risk / 临床儿科杂志
Journal of Clinical Pediatrics
; (12): 919-923, 2016.
Article
in Zh
| WPRIM
| ID: wpr-506742
Responsible library:
WPRO
ABSTRACT
Objective To explore the clinical outcomes of nutritional support in children with high nutritional risk. Methods Improved screening tool for the assessment of malnutrition in pediatrics (STAMP) was used to make nutritional risk score in 1296 cases of consecutively hospitalized patients, and to analysis the effects of nutrition support in clinical outcome. Results In these 1296 hospitalized patients, 379 cases had STAMP score?≥?4 and the detection rate of high nutritional risk was 29 . 24 %. A total of 304 cases were included for further analysis, including 85 cases ( 27 . 96 %) of nutritional support, among whom there were 37 cases of parenteral nutrition (PN), 23 cases of enteral nutrition (EN), 25 cases of combined application of EN and PN. Per capita and daily mean support cost were statistically different among patients with EN, PN and combination of PN and EN (P all?0.001), and EN had least cost. Compared with patients without nutrition support, the infection rate in patients with nutrition support were lower, but there was no statistic difference (P?=?0.095); the treatment fee of infectious diseases in patients without nutrition support was higher than that of patients with nutrition support and the cost of antibiotics was higher as well, and there were statistic differences (P all?0.001). The hospitalization costs in patients without nutrition support were different from that in patients with EN, PN, and PN combined EN (P all?0.001), while the duration of hospital stays were the same (P?=?0.213). Conclusions Improved STAMP is a simple and practical nutritional risk screening tool for pediatric patients; there are differences in the cost among different nutrition support methods. Nutritional support can effectively improve clinical outcomes, especially in reducing infection and reducing the cost for the treatment of infection.
Full text:
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Index:
WPRIM
Type of study:
Etiology_studies
Language:
Zh
Journal:
Journal of Clinical Pediatrics
Year:
2016
Type:
Article