STRONGkids Nutritional Risk Screening For Hospitalized Children And Influence Factors

Objective: To investigate the status of nutritional risk of hospitalized children and its related factors, which would provide reference for the clinical nutritional risk screening in hospitalized children. Methods: 1642 hospitalized children were recruited from March 1, 2014 to December 31, 2015 in the First Affiliated Hospital of Fujian Medical University, All the patients were assessed nutritional risk by Screening tool for risk of nutrition in growth-kids(STRONGkids)and conducted the questionnaire survey within 24 hours after admission. The questionnaire survey included the basic situation, the results of laboratory tests during hospitalization, clinical diagnosis and outcome of hospitalized children. Patients were divided into low nutritional risk group(LNRG), and high nutritional risk group(HNRG) by using 2 points as a boundary. Chi-test were used to compare clinical cure rate between groups. Single factor analysis combined with multivariate unconditional Logistic regression analysis were performed to explore the influence factors of nutritional risk with STRONGkids. SPSS 22.0 statistical software was used in all statistical tests and the value of α=0.05 was considered significant. Results: There were 941 children(57.31%) in HNRG and 701(42.69%) in LNRG. Compared with the LNRG, the HNRG had significantly lower clinical cure rate [39.96% vs. 46.93%, c2=7.978,P=0.005]. Univariate analysis showed that severity of pathogenetic condition(c2=15.212, P=0.000), residence place(c2=5.307, P=0.021), coexistence of disease(c2=40.069, P=0.000), age(c2=19.413, P=0.000), anemia(c2=13.526, P=0.001), hypoalbuminemia(c2=32.675, P=0.000), breastfeeding(c2=10.637, P=0.000), hemoglobin(Z=-4.128, P=0.000), serum albumin(Z=-3.097, P=0.002) associated with high nutritional risk in hospitalized children, multivariate unconditional Logistic regression analysis showed that the age(OR=0.574, 95%CI: 0.453~0.726, P=0.000) in hospitalized children is protection factors; coexistence of disease(OR=1.826, 95%CI: 1.480 ~2.253, P=0.000), the severity of pathogenetic condition(OR=1.570, 95%CI: 1.110~2.220, P=0.011), anemia(OR=1.276, 95%CI: 1.011~1.611, P=0.040), hypoalbuminemia(OR=2.465, 95%CI: 1.665~ 3.649, P=0.000) in hospitalized children is a high risk of nutritional risk factors. Conclusion: Hospitalized children have a high nutritional risk. The children with high nutritional risk have a lower clinical cure rate. STRONGkids should be promoted for nutritional risk screening in hospitalized children. In order to further intervention, the hospitalized children with Age, coexistence of disease, low serum albumin, anemia and severity of pathogenetic condition could provide a reference to nutritional screening for hospitalized children.