Nutritional Status of Children Hospitalized for Parapneumonic Effusion

Huysentruyt, Koen; Alliet, Philippe; Raes, Marc; Willekens, Julie; Schutter, Iris De; Wachter, Elke De; Malfroot, Anne; Devreker, Thierry; Goyens, Philippe; Vandenplas, Yvan; Schepper, Jean De

doi:10.1371/journal.pone.0094242

Cited by 6 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even in the absence of severe malnutrition, being underweight is associated with an increased risk of pneumonia. 20 A study conducted by Wexler et al in Israel showed that patients with CCAP were often underweight, and this finding is similar to that of our study. However, the result of univariate logistic regression suggests that the condition is not an independent risk factor for CCAP development.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Risk factors for complicated community‐acquired pneumonia in children

Tuğcu

Özsezen

Türkyılmaz

et al. 2022

Pediatrics International

View full text Add to dashboard Cite

Background Community‐acquired pneumonia (CAP) in children continues to be one of the prominent causes of pediatric morbidity and mortality worldwide. By determining the risk factors associated with the development of complicated CAP (CCAP), new approaches for early diagnosis and effective treatment can be identified. Methods This retrospective cohort study enrolled patients with CAP and CCAP who visited the pediatric ward of the study hospital between January 1, 2017 and December 31, 2017. For patients with CCAP, data regarding medical procedures performed, surgical intervention, and hospitalization duration were collected. Results A total of 111 patients, 93 (83.7%) with CAP and 18 (16.3%) with CCAP, aged between 3 months and 18 years were hospitalized because of severe pneumonia. The mean age of the patients was 3.6 ± 1.2 years and 60 (54%) of them were female. The mean age of patients with CCAP was higher than that of patients with CAP (4.2 ± 3.3 vs. 2.8 ± 2.1 years respectively); however, the difference was not significant (p = 0.012). Patients with CCAP exhibited a significantly higher C‐reactive protein level than those with CAP (10.06 ± 7.55 vs. 4.43 ± 3.37 g/L respectively; p = 0.007). Hypoxia upon admission was noted more commonly in the CCAP group than in the CAP group (p < 0.001). Conclusion Findings related to hypoxia, respiratory distress, and pleural effusion on imaging are important distinguishing factors associated with the development of complications in patients hospitalized with CAP. Therefore, CCAP etiology, diagnosis, and treatment approaches should be established and protective measures adopted.

show abstract

Section: Discussionsupporting

confidence: 92%

“…However, the result of univariate logistic regression suggests that the condition is not an independent risk factor for CCAP development 11 . Our study results are consistent with those reported in the literature 11,20 …”

Section: Discussionsupporting

confidence: 91%

Risk factors for complicated community‐acquired pneumonia in children

Tuğcu

Özsezen

Türkyılmaz

et al. 2022

Pediatrics International

View full text Add to dashboard Cite

show abstract

“…A French study, however, reported that a poor nutritional status on admission was not a significant predictor of weight loss (23), which was confirmed in our Belgian study (3). Moreover, in a retrospective study of 56 children with a parapneumonic effusion, children with a higher WFH z score on admission had a more important weight loss in term of percentage during hospitalization (6). We speculated a decreased attention for reduced intake or proper nutritional policy in initially well‐nourished children.…”

Section: Nutritional Status At Admission Versus Nutritional Riskmentioning

confidence: 99%

“…I n the past decade, numerous studies reported undernutrition as a common finding in general (1)(2)(3)(4) and disease-specific pediatric populations (5,6). Systematic nutritional screening has been put forward to timely implement adequate nutritional support and prevent further nutritional deterioration of hospitalized children (7).…”

mentioning

confidence: 99%

Proposal for An Algorithm for Screening for Undernutrition in Hospitalized Children

Huysentruyt

Schepper

Bontems

et al. 2016

J. pediatr. gastroenterol. nutr.

Self Cite

View full text Add to dashboard Cite

The prevalence of disease-related undernutrition in hospitalized children has not decreased significantly in the last decades in Europe. A recent large multicentric European study reported a percentage of underweight children ranging across countries from 4.0% to 9.3%. Nutritional screening has been put forward as a strategy to detect and prevent undernutrition in hospitalized children. It allows timely implementation of adequate nutritional support and prevents further nutritional deterioration of hospitalized children. In this article, a hands-on practical guideline for the implementation of a nutritional care program in hospitalized children is provided. The difference between nutritional status (anthropometry with or without additional technical investigations) at admission and nutritional risk (the risk of the need for a nutritional intervention or the risk for nutritional deterioration during hospital stay) is the focus of this article. Based on the quality control circle principle of Deming, a nutritional care algorithm, with detailed instructions specific for the pediatric population was developed and implementation in daily practice is proposed. Further research is required to prove the applicability and the merit of this algorithm. It can, however, serve as a basis to provide European or even wider guidelines.

show abstract

“…Independently of the income setting, malnutrition is multifactorial. Whereas malnutrition in low-income countries is often, but not solely, attributable to limited access to food and/or medical care, it is often triggered by disease in in-transition countries [ 5 , 6 ]. Of importance, the report of the Global Burden of Disease Study 2013 revealed that protein-energy malnutrition accounted globally for 9.8/100.000 age-standardized deaths in the largest 50 countries for child and adolescent populations.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Malnutrition in Pediatric Hospitals in Developed and In-Transition Countries: The Impact of Hospital Practices

et al. 2019

View full text Add to dashboard Cite

Presently, undernutrition still goes undetected in pediatric hospitals despite its association with poor clinical outcomes and increased annual hospital costs, thus affecting both the patient and the health care system. The reported prevalence of undernutrition in pediatric patients seeking care or hospitalized varies considerably, ranging from 2.5 to 51%. This disparity is mostly due to the diversity of the origin of populations studied, methods used to detect and assess nutritional status, as well as the lack of consensus for defining pediatric undernutrition. The prevalence among inpatients is likely to be higher than that observed for the community at large, since malnourished children are likely to have a pre-existent disease or to develop medical complications. Meanwhile, growing evidence indicates that the nutritional status of sick children deteriorates during the course of hospitalization. Moreover, the absence of systematic nutritional screening in this environment may lead to an underestimation of this condition. The present review aims to critically discuss studies documenting the prevalence of malnutrition in pediatric hospitals in developed and in-transition countries and identifying hospital practices that may jeopardize the nutritional status of hospitalized children.

show abstract

Nutritional Status of Children Hospitalized for Parapneumonic Effusion

Cited by 6 publications

References 25 publications

Risk factors for complicated community‐acquired pneumonia in children

Risk factors for complicated community‐acquired pneumonia in children

Proposal for An Algorithm for Screening for Undernutrition in Hospitalized Children

Prevalence of Malnutrition in Pediatric Hospitals in Developed and In-Transition Countries: The Impact of Hospital Practices

Contact Info

Product

Resources

About