Screening and influencing factors analysis for nutritional status in hospitalized children with pectus excavatum
10.3760/cma.j.issn.2095-428X.2019.18.014
- VernacularTitle: 漏斗胸住院患儿营养状况筛查及影响因素分析
- Author:
Hui WANG
1
;
Wei LIU
1
;
Zhihui SU
2
;
Jinhui WU
3
;
Jing SUN
3
;
Fenghua WANG
1
;
Jianhua LIANG
1
;
Jing WANG
4
;
Meizhen TAN
4
;
Huimin XIA
1
Author Information
1. Department of Surgery, Guangzhou Women and Children′s Medical Center, Guangzhou Medical University, Guangzhou 510623, China
2. the Third Clinical School, Guangzhou Medical University, Guangzhou 510180, China
3. Department of Clinical Nutrition, Guangzhou Women and Children′s Medical Center, Guangzhou Medical University, Guangzhou 510623, China
4. Department of Well-Children, Guangzhou Women and Children′s Medical Center, Guangzhou Medical University, Guangzhou 510623, China
- Publication Type:Journal Article
- Keywords:
Pectus excavatum;
Nutritional status;
Body mass index;
Risk factor;
Deformity severity
- From:
Chinese Journal of Applied Clinical Pediatrics
2019;34(18):1415-1417
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To screen the hospitalized children with pectus excavatum for nutritional status, and to analyze the influencing factors of nutritional status, then to provide the scientific basis for comprehensive management of clinical nutrition.
Methods:The body mass index (BMI) of 360 hospitalized children with pectus excavatum in Guangzhou Women and Children′s Medical Center from January 2013 to December 2017 were reviewed and compared with World Health Organization standard and the emaciation rate was calculated.The influencing factors such as CT index, age, weight, height, sex, the width of thorax and surgical treatment were analyzed with BMI.
Results:Compared with the lowest standard of BMI, the whole emaciation rate of hospitalized children with pectus excavatum was 93.61% (337/360 cases): in which severe, moderate and slight emaciation were 74.17% (267/360 cases), 13.33% (48/360 cases), and 6.11% (22/360 cases), respectively.BMI was negatively related with CT index (r=-0.172, P=0.001), but positively related with age, weight, height, and the width of thorax (r=0.129, 0.342, 0.022, 0.179, P=0.014, 0.001, 0.673, 0.001). Three years after Nuss procedure, both the whole and severe emaciation rate decreased (93.62% vs. 95.74%; 65.96% vs. 78.72%), but the weight, height and BMI increased [25.5(12.5, 38.5) kg vs.17.0(10.0, 24.0) kg; 126.0(99.0, 153.0) cm vs.108.0(74.5, 143.5) cm; 14.69(12.38, 17.00) kg/m2 vs. 14.36(12.17, 16.56) kg/m2], and the differences were significant (all P<0.01).
Conclusions:There is a high nutritional risk in hospitalized children with pectus excavatum, and the deformity severity is the main risk factor.Surgical treatment can improve the nutritional status effectively, but the malnutrition in pectus excavatum can not be corrected completely.
