Faktor prediktor malnutrisi rumah sakit pada anak di RSUP Dr. Sardjito

https://doi.org/10.22146/ijcn.94668

Muhammad Tsani Arsyad(1*), Neti Nurani(2), Ratni Indrawanti(3)

(1) Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada/Rumah Sakit Umum Pusat (RSUP) Dr. Sardjito, Yogyakarta, Indonesia
(2) Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada/Rumah Sakit Umum Pusat (RSUP) Dr. Sardjito, Yogyakarta, Indonesia
(3) Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada/Rumah Sakit Umum Pusat (RSUP) Dr. Sardjito, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Predictors of pediatric hospital acquired malnutrition in a Sardjito Hospital

Background: In hospitalized children, nutrition is essential for the healing process as well as for reaching adequate growth. Hospital-acquired malnutrition (HAM) is declining in children’s body weight during hospitalization. The impact of undetected HAM including an increase in length of stay, increase in mortality, slowing of healing process, and increasing in hospital bills.

Objectives: This study aims to determine the predictive factors of HAM.

Method: A prospective study was performed. Samples were 1-month-old – 18-years-old children who hospitalized in pediatric ward of Sardjito Hospital in Yogyakarta from February 2023 to April 2023. Samples were taken using a consecutive sampling method. The relationship between variables was presented as odds ratio (OR), confidence intervals of 95%, the score for each variable, and statistical significance levels p < 0.05.

Results: 21 of 196 patients were diagnosed as HAM, with a male-to-female ratio of 1.1: 1. The prevalence of HAM was 10.9%. Bivariate analysis showed that maternal education (OR=2.27; CI 95% 1.02 – 5.05; p=0.041), comorbid of congenital heart disease (CHD) (RR=3.31; CI 95% 1.30 – 8.42; p=0,037), and 3rd degree of severity disease (RR=6.00; CI 95% 2.87 – 12.56; p=0.001) was significantly related to HAM. Multivariate analysis showed that comorbid of CHD (OR=5.33; CI 95% 1.34 – 20.7; p=0.017) and 3rd degree of severity disease (OR=11.54; CI 95% 3.52 – 37.86; p=0.000) increased the odds of developing of HAM.

Conclusion: Comorbid of CHD and 3rd degree of severity disease increased the odds of developing HAM during hospitalization.


Keywords


children; congenital heart disease; hospital acquired malnutrition; pediatric; predictor

Full Text:

PDF


References

  1. Budiputri GL, Suryawan IWB, Dewi MR. Analisis faktor-faktor yang mempengaruhi kejadian malnutrisi rumah sakit (MRS) pada pasien anak di Bangsal Kaswari, RSUD Wangaya, Bali, Indonesia. Intisari Sains Medis. 2020;11(2):680-5. doi: 10.15562/ism.v11i2.647
  2. Mehta NM, Corkins MR, Lyman B, Malone A, Goday PS, Schwenk WF, et al. Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions. JPEN J Parenter Enteral Nutr. 2013;37(4):460-81. doi: 10.1177/0148607113479972
  3. Joosten KF, Hulst JM. Prevalence of malnutrition in pediatric hospital patients. Curr Opin Pediatr. 2008 Oct;20(5):590-6. doi: 10.1097/MOP.0b013e32830c6ede
  4. Corkins MR, Daniels SR, de Ferranti SD, Golden NH, Kim JH, Schwarzenberg SJ, et al. Nutrition in children and adolescents. Med Clin North Am. 2016;100(6):1217-35. doi: 10.1016/j.mcna.2016.06.005
  5. Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health. 2011;8(2):514-27. doi: 10.3390/ijerph8020514
  6. Sidiartha IGN. Insidens malnutrisi rawat inap pada anak balita di Rumah Sakit Umum Pusat Sanglah Denpasar. Sari Pediatri. 2008;9(6):381-5. doi: 10.14238/sp9.6.2008.381-85
  7. McCarthy A, Delvin E, Marcil V, Belanger V, Marchand V, Levy E, et al. Prevalence of malnutrition in pediatric hospitals in developed and in-transition countries: the impact of hospital practices. Nutrients. 2019;11(2):236. doi: 10.3390/nu11020236
  8. Hafsah T, Prawitasari T, Djais JTB. Malnutrisi rumah sakit dan asuhan nutrisi pediatrik di Rumah Sakit Hasan Sadikin Bandung. Jurnal Gizi Klinik Indonesia. 2019;16(2):47-57. doi: 10.22146/ijcn.43090
  9. Maryani E, Prawirohartono EP, Nugroho S. Faktor prediktor malnutrisi rumah sakit pada anak. Sari Pediatri. 2017;18(4):278-84. doi: 10.14238/sp18.4.2016.278-84
  10. Campanozzi A, Russo M, Catucci A, Rutigliano I, Canestrino G, Pettoello-Mantovani M, et al. Hospital-acquired malnutrition in children with mild clinical conditions. Nutrition. 2009;25(5):540-7. doi: 10.1016/j.nut.2008.11.026
  11. Juliaty A. Malnutrisi rumah sakit pada bangsal anak Rumah Sakit Dr. Wahidin Sudirohusodo Makassar. Sari Pediatri. 2013;15(2):65-8. doi: 10.14238/sp15.2.2013.65-8
  12. Falahaini, A. and Wanda, D. Hospital-acquired malnutrition in the pediatric population: a cross-sectional study. Jurnal Keperawatan Indonesia. 2022;25(3):155-62. doi: 10.7454/jki.v25i3.1227
  13. Sermet-Gaudelus I, Poisson-Salomon AS, Colomb V, Brusset MC, Mosser F, Ricour C, et al. Simple pediatric nutritional risk score to identify children at risk of malnutrition. Am J Clin Nutr. 2000;72(1):64-70. doi: 10.1093/ajcn/72.1.64
  14. Baldemir, R., Öztürk, A., Eraslan Doganay, G., Cirik, M. O., & Alagoz, A. Evaluation of nutritional status in hospitalized chronic obstructive pulmonary disease patients and can C-reactive protein-to-albumin ratio be used in the nutritional risk assessment in these patients. Cureus. 2022;14(2):e21833. doi: 10.7759/cureus.21833
  15. Beck FK, Rosenthal TC. Prealbumin: a marker for nutritional evaluation. Am Fam Physician. 2002;65(8):1575-8. Erratum in: Am Fam Physician. 2002;66(12):2208.
  16. Agustini W, Yantie NPVK, Gunawijaya E, Sidiartha GL, Pratiwi GAE. Underweight, stunted, and wasted among children with congenital heart disease: acyanotic versus cyanotic. Open Access Maced J Med Sci. 2022;10(B):610-3. doi: 10.3889/oamjms.2022.8424
  17. Zhang Y, Lu L, Yang L, Yan W, Yu Q, Wang Y, et al. Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease. BMC Pediatr. 2023;23(1):126. doi: 10.1186/s12887-023-03899-1
  18. Arodiwe, I. et al. Nutritional status of children with congenital heart disease (CHD) attending university of Nigeria teaching hospital Ituku – Ozalla, Enugu. Pak J Med Sci. 2015;31(5):1140-5. doi: 10.12669/pjms.315.6837
  19. Varan B, Tokel K, Yilmaz G. Malnutrition and growth failure in cyanotic and acyanotic congenital heart disease with and without pulmonary hypertension. Arch Dis Child. 1999;81(1):49-52. doi: 10.1136/adc.81.1.49
  20. Ismail SR, Mehmood A, Rabiah N, Abu-Sulaiman RM. Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome. Egypt Pediatric Association Gaz. 2021;69(1):28. doi: 10.1186/s43054-021-00077-9
  21. Brinksma A, Huizinga G, Sulkers E, Kamps W, Roodbol P, Tissing W. Malnutrition in childhood cancer patients: a review on its prevalence and possible causes. Critical Reviews in Oncology/Hematology. 2012;83(2):249-75. doi: 10.1016/j.critrevonc.2011.12.003
  22. Green GJ, Weitzman SS, Pencharz PB. Resting energy expenditure in children newly diagnosed with stage IV neuroblastoma. Pediatr Res. 2008:63(3):332-6. doi: 10.1203/PDR.0b013e318163a2d4
  23. Rivadeneira DE, Evoy D, Fahey TJ 3rd, Lieberman MD, Daly JM. Nutritional support of the cancer patient. CA Cancer J Clin. 1998;48(2):69-80. doi: 10.3322/canjclin.48.2.69
  24. Diakatou V, Vassilakou T. Nutritional status of pediatric cancer patients at diagnosis and correlations with treatment, clinical outcome and the long-term growth and health of survivors. Children (Basel). 2020;7(11):218. doi: 10.3390/children7110218
  25. Kac G, Camacho-Dias P, Silva-Coutinho D, Silveira-Lopes R, Marins VV, Pinheiro AB. Length of stay is associated with incidence of in-hospital malnutrition in a group of low-income Brazilian children. Salud Publica Mex. 2000;42(5):407-12. doi: 10.1590/s0036-36342000000500006



DOI: https://doi.org/10.22146/ijcn.94668

Article Metrics

Abstract views : 713 | views : 659

Refbacks

  • There are currently no refbacks.




Copyright (c) 2023 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free
web stats View My Stats