Value of nutritional risk screening in evaluating adverse clinical outcomes in children with severe pneumonia

GUO Xiao-Hui, SUN Yan-Feng, WANG Jiang-Bo, HAN Shu-Zhen, MIAO Jing, CUI Min

Chinese Journal of Contemporary Pediatrics ›› 2017, Vol. 19 ›› Issue (3) : 322-326.

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Chinese Journal of Contemporary Pediatrics ›› 2017, Vol. 19 ›› Issue (3) : 322-326. DOI: 10.7499/j.issn.1008-8830.2017.03.014
CLINICAL RESEARCH

Value of nutritional risk screening in evaluating adverse clinical outcomes in children with severe pneumonia

  • GUO Xiao-Hui1, SUN Yan-Feng2, WANG Jiang-Bo1, HAN Shu-Zhen1, MIAO Jing1, CUI Min1
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Abstract

Objective To investigate the nutritional risk in children with severe pneumonia using the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) and the association between nutritional risk and adverse clinical outcomes. Methods According to the STAMP score, 216 children with severe pneumonia were classified into high nutritional risk group (HR group; n=98), moderate nutritional risk group (MR group; n=65), and low nutritional risk group (LR group; n=53). Fasting blood samples were collected to measure the levels of insulin-like growth factor-1 (IGF-1), adiponectin, leptin, non-esterified fatty acid (NEFA), albumin, transferrin, prealbumin, and retinol binding protein (RBP). The adverse clinical outcomes were recorded. Results Compared with the MR and LR groups, the HR group had significantly lower serum levels of IGF-1, leptin, adiponectin, prealbumin, and RBP, as well as a significantly higher serum level of NEFA (P < 0.05). Compared with the MR and LR groups, the HR group had a significantly higher proportion of children admitted to the intensive care unit and a significantly longer duration of mechanical ventilation (P < 0.05). The HR group had a significantly longer mean hospital stay and a significantly higher incidence rate of complications compared with the LR and MR groups (P < 0.05). Conclusions Nutritional risk screening has an important value in evaluating the clinical outcome of children with severe pneumonia, and children at a higher nutritional risk tend to have more adverse clinical outcomes.

Key words

Nutritional risk screening / Severe pneumonia / Clinical outcome / Child

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GUO Xiao-Hui, SUN Yan-Feng, WANG Jiang-Bo, HAN Shu-Zhen, MIAO Jing, CUI Min. Value of nutritional risk screening in evaluating adverse clinical outcomes in children with severe pneumonia[J]. Chinese Journal of Contemporary Pediatrics. 2017, 19(3): 322-326 https://doi.org/10.7499/j.issn.1008-8830.2017.03.014

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