Risk factors of hospital-acquired malnutrition in children: A study in a rural hospital of West Borneo, Indonesia
https://doi.org/10.31246/mjn-2020-0083
- Author:
Damar Prasetya
1
;
Sri Haryanti
2
;
Neti Nurani
1
Author Information
1. Department of Child Health, Faculty of Medicine, Nursing and Public Health, Universitas Gadjah Mada and Dr. Sardjito General Hospital, Yogyakarta, Indonesia
2. Parindu Hospital, Sanggau Regency, West Borneo Province, Indonesia
- Publication Type:Review
- Keywords:
Hospital-acquired malnutrition, children, rural hospital
- From:
Malaysian Journal of Nutrition
2021;27(No.1):169-176
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Hospital-acquired malnutrition (HAM) is prevalent among hospitalised
children in developing countries. This condition relates to worse clinical outcomes,
prolongs length of stay in hospitals, and increases mortality. A multidisciplinary
approach should be performed to prevent and manage this problem. However, HAM
is often underdiagnosed, especially in rural hospitals with limited human resources.
This study aims to delineate the risk factors of HAM among hospitalised children
in a rural hospital. Methods: This nested case-control study derived from the
implementation of a nutritional screening programme in Parindu Hospital, Sanggau,
West Borneo, was conducted from December 2018 to February 2019. HAM was
defined as a loss of body weight of >2% after hospitalisation. Independent variables
such as the age of patients, fever, gastrointestinal loss, pre-existing malnutrition,
length of stay, and grade of disease were analysed in univariate and multivariate
analyses using logistic regression. Risk factors were expressed as odds ratio and
adjusted odds ratio (aOR) with 95% confidence interval (CI). Results: Thirty-three
patients were analysed as cases with 59 controls. Median age was younger in the
case group (49 months, IQR 14-72.5) than control group (88 months, IQR 43-116).
After adjustment for other covariates, age <5 years old (aOR 5.50, 95% CI 1.95-
15.59) and moderate-to-severe grade of disease (aOR 3.50, 95% CI 1.09-11.09) were
significant risk factors of HAM in our study. Conclusion: Risk factors of HAM in
children hospitalised in a rural hospital were age <5 years old and moderate-tosevere grade of disease.
- Full text:4.2021my0533.pdf
