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      Valoración antropométrica de los niños internados en el Centro Hospitalario Pereira Rossell

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          Abstract

          Resumen Introducción: la desnutrición en el niño hospitalizado es un problema importante. No hay estudios nacionales sobre su prevalencia. Objetivo: conocer la prevalencia de desnutrición en niños hospitalizados y su relación con distintas variables. Material y métodos: corte transversal, con única valoración realizada a los pacientes internados en el Hospital Pediátrico del Centro Hospitalario Pereira Rossell (HP-CHPR). Se midió peso y longitud/talla. Se calcularon los índices peso/edad (P/E), talla/edad (T/E), peso/talla (P/T) e índice de masa corporal (P/T2). Se consideró evidencia de desnutrición a la presencia de uno o más índices antropométricos por debajo de -2 Z. Se relacionó el estado nutricional con la edad, la duración de la internación, el medio socioeconómico y la presencia de enfermedad crónica previa. Resultados: 95% de todos los niños estaba por debajo de la línea de pobreza. Presentaron evidencia de desnutrición 34 niños (25,2%). Entre los menores de 2 años, 18,2% tenían un índice P/E afectado y 21,2% tenían talla baja. Entre los mayores de 2 años, 13% tenían un índice P/E afectado, 8,7% tenían talla baja. En el grupo de desnutridos la mayoría presentaban enfermedad crónica previa y la duración de la internación fue mayor. Discusión: los niños internados en el HP-CHPR tienen altas cifras de desnutrición, corresponden a los estratos más bajos de la sociedad, los más afectados son los menores de 2 años, con enfermedad crónica previa y que requirieron internaciones más prolongadas. Se deberán diseñar estrategias para evitar la posible repercusión nutricional de la hospitalización e iniciar la recuperación de los que ya están desnutridos

          Translated abstract

          Summary Introduction: malnutrition in hospitalized children is an important problem. In our country there are no studies about its prevalence. Objective. to learn the prevalence of malnutrition in the hospitalized children at the CHPR and its relation with different variables. Material and methods. a cross-sectional survey with a single assessment was carried out in all hospitalized patients. Weight and length was measured. Weight for age (W/A), height for age (H/A), weight for height (W/H) and body mass index (W/H²) were calculated. Malnutrition was considered when one or more anthropometric values were under score Z -2. The nutritional state was correlated with age, hospitalization time, socioeconomic conditions and with previous chronic disease. Results: 95 % of the children hospitalized at the CHPR are under the line of poverty. Thirty four children (25.2 %) had one or more anthropometric values below score Z -2 . Among children under 2 years of age, 18.2 % had a W/A value affected and 21.2 % presented growth retardation. In the group older than 2 years of age 13 % had an affected W/A value, 8.7 % had growth retardation and 5.8 % had an altered W/H. In the group of malnourished children the majority had chronic previous disease and the hospital stay was longer. Discussion: malnutrition incidence is high among hospitalized children at the CHPR. They usually belong to the lower socioeconomic stratus. The most affected were children under 2 years of age, with previous chronic disease and who usually required a longer hospital stay. It is necessary to design strategies to prevent the nutritional repercussion during hospitalization and begin the recovery of the already malnourished children

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          PEDIATRICS

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            Use and interpretation of anthropometric indicators of nutritional status

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              Simple pediatric nutritional risk score to identify children at risk of malnutrition.

              Although hospitalized children are at risk of malnutrition, routine screening of nutritional status has been hindered by lack of a validated nutritional assessment tool. Our aim was to develop a simple pediatric nutritional risk score that could be used at hospital admission to identify patients at risk of acute malnutrition during hospitalization. Nutritional risk was assessed prospectively in 296 children. Anthropometric measurements, food intake, ability to eat and retain food, medical condition, and symptoms interfering with feeding (pain, dyspnea, and depression) were evaluated within 48 h of admission. Pathology was classified as mild (grade 1), moderate (grade 2), or severe (grade 3). The risk of weight loss was investigated with stepwise logistic regression. Weight loss during hospitalization occurred in 65% of the children and was >2% of admission weight in 45% of patients. Multivariate analysis indicated that food intake 2%. The nutritional risk score ranged from 0 to 5 and was calculated by adding the values for the significant risk factors as follows: 1 for food intake /=3 indicated high risk of malnutrition. This simple score is suitable for routine use to identify patients at risk of malnutrition during hospitalization. Implementation may prevent hospital-acquired malnutrition.
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                Author and article information

                Contributors
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                Journal
                adp
                Archivos de Pediatría del Uruguay
                Arch. Pediatr. Urug.
                Sociedad Uruguaya de Pediatría (Montevideo )
                1688-1249
                June 2006
                : 77
                : 2
                : 110-117
                Affiliations
                [1 ] Universidad de la República
                [2 ] Universidad de la República
                [3 ] Universidad de la República
                [4 ] Universidad de la República
                [5 ] Universidad de la República
                [6 ] Residente de Pediatría
                [7 ] Universidad de la República Uruguay
                Article
                S1688-12492006000200006
                70b7d2df-e598-4046-891a-74ee55f6342e

                http://creativecommons.org/licenses/by/4.0/

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                Product

                SciELO Uruguay

                Self URI (journal page): http://www.scielo.edu.uy/scielo.php?script=sci_serial&pid=1688-1249&lng=en
                Categories
                ANESTHESIOLOGY
                MEDICAL ETHICS
                MEDICINE, GENERAL & INTERNAL
                MEDICINE, LEGAL
                PEDIATRICS
                SURGERY

                Social law,General medicine,Pediatrics,Surgery,Anesthesiology & Pain management,Internal medicine
                ANTHROPOMETRY,NUTRITIONAL STATUS,CHILD, HOSPITALIZED,ANTROPOMETRíA,ESTADO NUTRICIONAL,NIÑO HOSPITALIZADO

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