Malnutrisi rumah sakit dan asuhan nutrisi pediatrik di Rumah Sakit Hasan Sadikin Bandung

Hafsah, Tisnasari; Prawitasari, Titis; Djais, Julistio T.B.

doi:10.22146/ijcn.43090

Cited by 4 publications

(7 citation statements)

References 31 publications

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“…However, another study reported that girls dominated HM (80%) (Juliaty, 2013). To date, there has not been any study explaining the factors that cause gender dominance (Hafsah, Prawitasari & Djais 2019).…”

Section: Discussionmentioning

confidence: 98%

Application of STRONGkids method on assessing the risk of malnutrition among hospitalised children in Universitas Sebelas Maret Hospital

Sari¹,

Widyaningsih²,

Puspita³

et al. 2022

Mal J Nutr

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Introduction: Hospital malnutrition (HM) in children augments morbidity and mortality, thus early detection is a preventive measure that may improve a patient’s condition. This study identified the risk factors of HM among children hospitalised in Universitas Sebelas Maret (UNS) Hospital using the STRONGkids method. Methods: This observational analytical cross-sectional study was performed in children hospitalised at the paediatric ward of UNS Hospital between February and August 2021. The samples were taken by consecutive sampling technique. Subjects meeting the inclusion criteria were assessed for their underlying disease, nutritional status based on World Health Organization Anthro software, and STRONGkids score. Chi-square test and logistic regression analysis were used, with a p-value of <0.05 considered as statistical significance. Results: A total of 173 children were included in the study, 56% were males, mean age was 62.5 months, 45% had an underlying chronic disease, and 17.9% experienced moderate malnutrition. Based on the STRONGkids score, 39.3% children were at high risk of malnutrition and 60.7% were at moderate risk of malnutrition. Logistic regression analysis showed that high risk of HM was significantly associated with age (OR 2.58, 95% CI 1.38-4.84, p=0.003), chronic disease (OR 7.23, 95% CI 3.3-15.86, p=0.018), and moderate malnutrition (OR 13.5, 95% CI 3.96-45.98, p<0.001). Conclusion: Children hospitalised in UNS Hospital were at risk of malnutrition. Toddlerhood, chronic disease, and moderate malnutrition significantly increased the risk of HM. Thus, these children need optimal nutritional support to improve their clinical condition. STRONGkids is a convenient and easy method to identify malnutrition risk during hospitalisation.

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Section: Discussionmentioning

confidence: 98%

Application of STRONGkids method on assessing the risk of malnutrition among hospitalised children in Universitas Sebelas Maret Hospital

Sari¹,

Widyaningsih²,

Puspita³

et al. 2022

Mal J Nutr

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“…Insidensi MRS di negara maju bervariasi antara 13,5 -39,7% [7]. Di Indonesia, MRS terjadi pada 9 -30% anak yang menjalani rawat inap [6][7][8][9]. Perbedaan angka kejadian ini dapat disebabkan oleh perbedaan alat ukur yang digunakan untuk menilai malnutrisi rumah sakit pada anak.…”

Section: Pendahuluanunclassified

“…Variabel bebas dengan nilai p kurang dari 0,25 selanjutnya dilakukan analisis multivariat dengan uji regresi logistik metode backward yaitu dengan melakukan eksklusi satu per satu variabel yang tidak bermakna sampai diperoleh variabel yang bermakna saja terhadap kejadian MRS. Berdasarkan hasil uji regresi logistik terhadap faktor prediktor yang telah diteliti, sebelumnya di Jakarta pada tahun 2022 menunjukkan hasil yang tidak jauh berbeda yaitu sebanyak 7% menderita MRS dari 373 anak yang menjalani rawat inap [12]. Sementara di Rumah Sakit Hasan Sadikin Bandung, MRS ditemukan pada 9% pasien anak yang menjalani rawat inap [8]. Penelitian lain di beberapa negara maju seperti di Amerika Serikat, Inggris, Belgia, Perancis, Kanada, Jerman, dan Italia memiliki nilai prevalensi yang bervariasi antara 13,5 -39,7% [7].…”

Section: Hasilunclassified

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Faktor prediktor malnutrisi rumah sakit pada anak di RSUP Dr. Sardjito

Arsyad,

Nurani,

Indrawanti

2023

Jurnal Gizi Klinik Indonesia

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Predictors of pediatric hospital acquired malnutrition in a Sardjito HospitalBackground: In hospitalized children, nutrition is essential for the healing process as well as for reaching adequate growth. Hospital-acquired malnutrition (HAM) is declining in children’s body weight during hospitalization. The impact of undetected HAM including an increase in length of stay, increase in mortality, slowing of healing process, and increasing in hospital bills.Objectives: This study aims to determine the predictive factors of HAM.Method: A prospective study was performed. Samples were 1-month-old – 18-years-old children who hospitalized in pediatric ward of Sardjito Hospital in Yogyakarta from February 2023 to April 2023. Samples were taken using a consecutive sampling method. The relationship between variables was presented as odds ratio (OR), confidence intervals of 95%, the score for each variable, and statistical significance levels p < 0.05.Results: 21 of 196 patients were diagnosed as HAM, with a male-to-female ratio of 1.1: 1. The prevalence of HAM was 10.9%. Bivariate analysis showed that maternal education (OR=2.27; CI 95% 1.02 – 5.05; p=0.041), comorbid of congenital heart disease (CHD) (RR=3.31; CI 95% 1.30 – 8.42; p=0,037), and 3rd degree of severity disease (RR=6.00; CI 95% 2.87 – 12.56; p=0.001) was significantly related to HAM. Multivariate analysis showed that comorbid of CHD (OR=5.33; CI 95% 1.34 – 20.7; p=0.017) and 3rd degree of severity disease (OR=11.54; CI 95% 3.52 – 37.86; p=0.000) increased the odds of developing of HAM.Conclusion: Comorbid of CHD and 3rd degree of severity disease increased the odds of developing HAM during hospitalization.

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“…Hafsah dkk menemukan kejadian malnutrisi rumah sakit yaitu sebesar 9%, tidak jauh berbeda dengan studi di RS Wahidin Sudirohusodo Makassar sebesar 11,7%. 8 Namun, beberapa studi di negara berkembang menunjukkan tingkat malnutrisi yang tinggi pada anak-anak yang dirawat di rumah sakit yaitu sebesar 31,8% di Turki, 37% di Romania, dan 50-60% di Thailand. 9-11 Penelitian yang dilakukan di Yogyakarta menunjukkan prevalensi malnutrisi pada pasien anak yang dirawat di RS sebesar 27%.…”

Section: Pendahuluanunclassified

Angka insiden dan faktor risiko malnutrisi rumah sakit pada anak rawat inap di RSUP Sanglah, Bali, Indonesia

Santhi

Sidiartha

Pratiwi

2021

Intisari Sains Medis

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Background: Nutritional support is an important aspect of the clinical management of hospitalized children. Several factors contribute to prevalence of malnutrition in hospitalized children and it can led to deterioration of nutritional status. Research on factors related to malnutrition in pediatric hospitalized patients is still limited, especially in Indonesia. This study aims to evaluate the incidence rate and risk factors of malnutrition in hospitalized children at

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Malnutrisi rumah sakit dan asuhan nutrisi pediatrik di Rumah Sakit Hasan Sadikin Bandung

Cited by 4 publications

References 31 publications

Application of STRONGkids method on assessing the risk of malnutrition among hospitalised children in Universitas Sebelas Maret Hospital

Application of STRONGkids method on assessing the risk of malnutrition among hospitalised children in Universitas Sebelas Maret Hospital

Faktor prediktor malnutrisi rumah sakit pada anak di RSUP Dr. Sardjito

Angka insiden dan faktor risiko malnutrisi rumah sakit pada anak rawat inap di RSUP Sanglah, Bali, Indonesia

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