Application of STRONGkids to screen infants with lower respiratory tract infection and its possible influence on clinical outcome

Q4 Nursing

中华临床营养杂志 Pub Date : 2019-08-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2019.04.006

Dan Zhang, Yanqin Lu, S. Pan

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引用次数: 0

Abstract

Objective To investigate the incidence of nutritional risk in infants with lower respiratory tract infection, and to compare the effects of different nutritional risks on clinical outcomes, and to provide evidence for clinical nutritional management of infantile lower respiratory tract infection. Methods Infants and young children with lower respiratory tract infection who were hospitalized in our hospital from January 2013 to March 2016 were selected as subjects. Nutritional risk screening was performed using the Nutritional Status and Growth Risk Screening Tool (STRONGkids). Results A total of 957 infants with lower respiratory tract infections were included in the study. The incidence of high nutrition risk and low and medium nutritional risk were 17.6% and 82.4%, respectively. The clinical cure rate was 68.5% and 71.4% respectively. The children with pneumonia and bronchitis had high nutritional risk. The incidence rates were 20.60% and 4.87%, respectively, and the difference was statistically significant (χ2=25.52, P=0.000). Time-effect single factor analysis (Kaplan-Meier method): The hospitalization time for infants with low nutritional risk and high nutritional risk was 9.3(0.3) d and 13.3(1.0) d, respectively. The difference between the two groups was statistically significant. (χ2=28.33, P=0.000), the total hospitalization expenses were 5 653.5(224.8) yuan and 10 079.5(1 755.8) yuan respectively. The difference between the two groups was statistically significant (χ2=4.47, P=0.034). Multivariate COX regression analysis: High nutritional risk was a risk factor for hospitalization of hospitalized infants with lower respiratory tract infection (RR=1.57, P=0.024). Conclusion There is a high incidence of high nutritional risk in infants with lower respiratory tract infection. Compared with children with low and moderate nutritional risk, the hospitalization time is longer, the hospitalization cost is increased, and the clinical cure rate is lower, which is the risk of clinical outcome. factor. Therefore, it is necessary to conduct nutrition risk screening for infants with lower respiratory tract infections, and provide a theoretical basis for clinical nutrition evaluation and nutritional intervention. Key words: Respiratory infections; Infants; Nutritional status and growth risk screening tools

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STRONGchilds在婴幼儿下呼吸道感染筛查中的应用及其对临床结果的影响

目的了解婴幼儿下呼吸道感染的营养风险发生率，比较不同营养风险对临床疗效的影响，为临床下呼吸道感染营养管理提供依据。方法选择2013年1月至2016年3月在我院住院的婴幼儿下呼吸道感染者为受试者。使用营养状况和生长风险筛查工具（STRONGkids）进行营养风险筛查。结果共有957名患有下呼吸道感染的婴儿被纳入研究。高营养风险和低、中营养风险的发生率分别为17.6%和82.4%。临床治愈率分别为68.5%和71.4%。患有肺炎和支气管炎的儿童有很高的营养风险。发生率分别为20.60%和4.87%，差异有统计学意义（χ2=25.52，P=0.000）。时间效应单因素分析（Kaplan-Meier法）：低营养风险和高营养风险婴儿的住院时间分别为9.3（0.3）d和13.3（1.0）d。两组之间的差异具有统计学意义。总住院费用分别为5 653.5（224.8）元和10 079.5（1755.8）元。两组差异有统计学意义（χ2=4.47，P=0.034）。多因素COX回归分析：高营养风险是下呼吸道感染住院婴儿住院的危险因素（RR=1.57，P=0.024）。与中低营养风险儿童相比，住院时间更长，住院费用增加，临床治愈率更低，这就是临床转归的风险。因素因此，有必要对婴儿下呼吸道感染进行营养风险筛查，为临床营养评价和营养干预提供理论依据。关键词：呼吸道感染；婴儿；营养状况和生长风险筛查工具

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.