[Nutritional risk assessment by STAMP according to type of congenital heart disease in pediatric patients admitted to a reference hospital].

IF 2.5 4区医学 Q3 BUSINESS Nutricion hospitalaria Pub Date : 2024-11-12 DOI:10.20960/nh.05421

José de Jesús Vargas Lares, Lisset Del Carmen López Segovia, Jonathan Antonio Casillas Moreno, Juan Carlos Barrera de León

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Abstract

Introduction: patients with congenital heart disease are considered to be at high nutritional risk due to alterations in the metabolism of the underlying pathology and extracardiac factors. The STAMP (Screening Tool for the Assessment of Malnutrition in Paediatrics) is the only tool validated in our country in a pediatric population for nutritional screening.

Objective: to evaluate nutritional risk by STAMP screening in pediatric patients according to type of congenital heart disease.

Material and methods: an analytical cross-sectional study in 2023 in a pediatric reference hospital. Nutritional status was determined by Z scores based on WHO 2006/CDC 2000 child growth standards. The STAMP questionnaire was administered to establish nutritional risk. Inferential statistics with the Chi-squared and Mann-Whitney U-test were used. Spearman's correlation coefficient was used. Analyses were carried out using the SPSS V25 statistical package.

Results: 113 patients were included, male (n = 57, 50.4 %) and female (n = 56, 49.6 %). The most common age group was that of infants (n = 47, 45 %). Acute or chronic nutritional status impairment affected n = 50 (44.3 %) subjects. Cyanogenous congenital heart diseases had a greater impact on weight, height, average arm circumference and height/age, WBC/age indices. Two nutritional risk groups were established by STAMP: intermediate risk, n = 74 (65.5 %), and high risk, n = 39 (34.5 %). The greatest impact on anthropometric parameters was associated with elevated risk by STAMP, p = 0.000. The type of congenital heart disease was not associated with a greater increase in nutritional risk by STAMP (p = 0.76). There was no correlation of STAMP score with biochemical parameters.

Conclusion: patients with congenital heart disease will have an intermediate risk per STAMP. The type of congenital heart disease is not related to a greater increase in nutritional risk due to STAMP.

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[根据参考医院收治的儿科患者先天性心脏病类型进行 STAMP 营养风险评估]。

导言：先天性心脏病患者由于潜在病理代谢的改变和心外因素而被认为具有高营养风险。STAMP（儿科营养不良评估筛查工具）是我国唯一经过验证的儿科营养筛查工具。目的：根据先天性心脏病的类型，通过STAMP筛查评估儿科患者的营养风险。根据世界卫生组织 2006/CDC 2000 儿童生长标准，通过 Z 评分确定营养状况。采用 STAMP 问卷调查来确定营养风险。推断统计采用卡方检验（Chi-squared）和曼-惠特尼U检验（Mann-Whitney U-test）。使用了斯皮尔曼相关系数。使用 SPSS V25 统计软件包进行分析：共纳入 113 名患者，男性（n = 57，占 50.4%）和女性（n = 56，占 49.6%）。最常见的年龄组是婴儿（n = 47，45%）。急性或慢性营养状况受损的受试者有 50 人（44.3%）。先天性青紫型心脏病对体重、身高、平均臂围和身高/年龄、白细胞/年龄指数的影响较大。STAMP 确定了两个营养风险组：中度风险，n = 74（65.5%）；高度风险，n = 39（34.5%）。STAMP 对人体测量参数的影响最大的是高风险组，P = 0.000。先天性心脏病的类型与 STAMP 营养风险的增加无关（p = 0.76）。结论：先天性心脏病患者的 STAMP 风险处于中等水平。先天性心脏病的类型与 STAMP 导致的营养风险增加无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutricion hospitalaria 医学-营养学

CiteScore

1.90

自引率

8.30%

发文量

181

审稿时长

3-6 weeks

期刊介绍： The journal Nutrición Hospitalaria was born following the SENPE Bulletin (1981-1983) and the SENPE journal (1984-1985). It is the official organ of expression of the Spanish Society of Clinical Nutrition and Metabolism. Throughout its 36 years of existence has been adapting to the rhythms and demands set by the scientific community and the trends of the editorial processes, being its most recent milestone the achievement of Impact Factor (JCR) in 2009. Its content covers the fields of the sciences of nutrition, with special emphasis on nutritional support.