Chinese Journal of Child Health Care
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2016, Vol. 24
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Issue (1)
: 72-74.
DOI:
10.11852/zgetbjzz2016-24-01-21
Clinical application of the nutritional risk screening and nutrition assessment in critically ill children.
- ZHOU Fang,LI Xiao-qin.
Author information
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History
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Abstract
Objective To investigate the nutritional risk and malnutrition occurrence,and to provide clinical basis for nutrition support in critically ill children. Method Nutritional risk screening tool STRONG kids was applied to 326 cases of critically ill children with nutritional risk screening,and physical measurement assessed children's nutritional status. Results All patient's assessments of nutritional risk screening were completed.The incidences of nutritional risk and malnutrition was 51.53% (168 cases)and 23.01% (75 cases) respectively.Digestive disease occurred with severe nutritional risk and malnutrition was far higher than other diseases (P<0.05).According to pediatric critical illness score(PCIS) criteria,three groups including extremely critical group (≤70 scores),critical group(71~80 scores),and non-critical group(81~100 scores) were recruited.The detection rate of nutritional risk in the extremely critical group was significantly higher than that in the other two groups(P<0.01). Conclusions Nutritional risk and malnutrition are common among critically ill children.STRONGkids is a valid tool and recommended for nutritional risk screening in critically ill children and early nutrition support.
Key words
nutritional risk screening tool / nutritional risk / malnutrition / critically ill children
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[7] 王莹.危重症患儿营养评价指标[J].中华儿科杂志,2014,52(2):152-155.
[8] 蒋朱明,于康,朱赛楠,等.我国东中西部中小医院住院患者营养不足、营养风险、超重和肥胖发生率及营养支持应用状况调查[J].中国临床营养杂志,2008,16(6):338-340.
[9] 李冬娥,潘家华,王素梅,等.308例住院危重患儿的营养风险筛查[J].蚌埠医学院学报,2012,37(5):529-534.
[10] Gerasimidis K,Macleod I,Maclean A,et a1.Performance of the novel Paediatric Yorkhill Malnutrition Score(PYMS)in hospital practice[J].Clin Nutr,2011,30(4):430-435.
[11] 戚继荣,莫绪明,李荣,等.儿童营养风险及发育不良筛查工具用于先天性心脏病患儿围术期营养风险筛查[J].中华临床营养杂志,2014,22(1):38-42.
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[13] 何冰洁,廖艳,刘玉玲,等.住院患儿营养风险筛查及营养评估[J].中华实用儿科临床杂志,2014,29(19):1467-1470.
