Nutritional recovery after discharge in hospitalized children with malnutrition.
- Author:
Hui-Hui WANG
1
;
Ju-Rong WEI
;
Wen-Jing ZHOU
;
Qun XU
;
Li-Hua NIE
;
Ling LI
Author Information
1. Department of Clinical Nutrition, Shenzhen Children's Hospital, Shenzhen, Guangdong 518026, China. weijurong65@163.com.
- Publication Type:Journal Article
- MeSH:
Child;
Child, Hospitalized;
Hospitalization;
Humans;
Malnutrition;
Nutritional Status;
Patient Discharge
- From:
Chinese Journal of Contemporary Pediatrics
2020;22(8):882-886
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the nutritional recovery status of children with moderate or severe malnutrition during hospitalization after discharge.
METHODS:The children with moderate or severe malnutrition were given nutrition support during hospitalization. They received a regular follow-up and nutrition guidance after discharge. The weight-for-age and height-for-age Z-scores reaching above -2 SD were considered the nutrition criterion for ending follow-up.
RESULTS:Among the 298 children with moderate or severe malnutrition, 174 (58.4%) reached the criterion for ending follow-up, 100 (33.6%) were lost to follow-up, 18 (6.0%) died, and 6 (2.0%) did not reach the criterion for ending follow-up after 18 months of follow-up. The children with malnutrition in the department of surgery had a significantly higher proportion of children reaching the criterion for ending follow-up than those in the department of internal medicine (P<0.05). The children with severe malnutrition had a significantly higher loss to follow-up rate than those with moderate nutrition (P<0.05). The majority of children with emaciation reached the criterion for ending follow-up at month 3 after discharge, while those with growth retardation reached such the criterion at months 3-6 after discharge. Up to 1 year after discharge, more than 80% of the children with different types of malnutrition reached the nutrition criterion for ending follow-up.
CONCLUSIONS:Most of the children with malnutrition who adhere to follow-up can reach the expected nutrition criterion within 1 year after discharge. The children with growth retardation have slower nutritional recovery than those with emaciation.
