Abstract Ref Number = APCP388
ASSOCIATION BETWEEN MODIFIED STRONGkids SCORE AND HOSPITAL MALNUTRITION IN PATIENTS WITH ENTERAL NUTRITION
Teti Hendrayani,Moretta Damayanti,Julius Anzar
Department of Child Health Faculty of Medicine Sriwijaya University Dr Mohammad Hoesin Hospital Palembang Department of Child Health Faculty of Medicine Sriwijaya University Dr Mohammad Hoesin Hospital Palembang
Background : The STRONGkids is a nutritional screening tool for predicting hospital malnutrition, higher score indicates patient at risk for hospital malnutrition needing good nutrition management. Enteral nutrition (EN) is one of modality in pediatric nutrition care to guarantee nutritional supply. The aim of this study is to identify association between modified STRONGkids score and hospital malnutrition in patients with EN.
Material : We performed a cohort study from medical records of patients with EN hospitalized in RSMH between May and July 2017. Risk of malnutrition was categorized based on modified STRONGkids score into mild (score 0), moderate (score 1-3), and high (score 4-5). Hospital malnutrition (defined as weight loss ?2% within ?7 days of hospitalization) was compared between groups.
Results : Thirty-nine patients included in this study, consisted of 15 (38.5%) girls, 24 (61.5%) boys. Twenty-three (76,9%) patients aged 0-1 year. Diagnostic categories were 24 (61.5%) non-infectious, 11 (28.2%) infectious, 4 (10.3%) surgical diseases. Twenty-seven (69.2%) patients had STRONGkids score ?4, 12 (30.8%) scored 1-3. The mean of length of stay (LOS) was 12.92 days, 30 (76.9%) patients with LOS ?7 days. Four (10.3%) patients had hospital malnutrition, one with score of 3, and three with score ?4. Modified STRONGkids score did not show statistically significant association with hospital malnutrition (p 0.792; RR 0.95).
Conclusions : There is no association between modified STRONGkids score at admission with hospital malnutrition in patients with EN. Enteral nutrition for patients with high risk of malnutrition seems to be an effective measure to prevent hospital malnutrition.
Keywords: STRONGkids enteral nutrition hospital malnutrition