Evaluation of cases under five years old hospitalized with malnutrition in a tertiary care center/ Bes yas altinda malnutrisyon tanisi ile ucuncu basamak bir merkezde yatirilarak izlenen olgularin degerlendirilmesi

• Published in: Pamukkale Medical Journal 2022-07, Vol.15 (3), p.433
• Main Authors: Kacar, Dilek, Polat, Emine, Zorlu, Pelin
• Format: Article
• Language: English
• Subjects: Analysis; Chronic diseases; Diagnosis; Malnutrition; Mortality; Parenting; World health
• ISSN: 1309-9833
• DOI: 10.31362/patd.1013058

Purpose: Malnutrition which is presented as a disruption of normal growth dueto inadequate nutrient intake, is mostly seen in early childhood. Severe cases with complications should be treated at hospital. The aim of this study is to evaluate the follow-up of inpatient children with malnutrition diagnosis under five years old. Materials and methods: Children with corrected ages 1 to 60 months and hospitalized at a tertiary care training and research hospital with malnutrition diagnosis between May 2006 and May 2011 were evaluated retrospectively. Nutrition status of the patients were determined by the z scores which were calculated according to 2006 World Health Organization growth standards. Results: All of the included 97 patients' weight for age z scores were below -3 and they were all severely underweight. Low birth weight (23.7% in the group, 10-11% in the community) and parental consanguinity (48.7% in the group, 21-22% in the community) ratios in the group were higher than the community. Prior hospital stay (54.9%), prematurity (15.5%), chronic diseases (18.5%) frequencies were also high and an important percentage of patients (15.4%) received additional diagnosis during study period. Mortality rate was 5.1% and occurred in patients under 6 months age who were more severe chronically malnourished. Conclusion: Malnourished children under five years managed in hospital frequently have underlying medical complexities. Besides, their social and economic circumstances may aggravate malnutrition. Key words: Childhood, malnutrition, z score. Amac: Besin eksikligi sonucunda normal buyumenin duraklamasi seklinde bulgu veren malnutrisyon, en sik erken cocukluk doneminde gorulur. Malnutrisyona komplikasyonlarin eslik ettigi agir olgular hastanede tedavi edilmelidir. Bu calismada, malnutrisyon tanisi ile hastanede yatirilarak izlenen bes yas altindaki cocuklarin izlemlerinin degerlendirilmesi amaclanmistir. Gerec ve yontem: Calismada; duzeltilmis yaslari 1-60 ay arasinda degisen, ucuncu basamak bir egitim ve arastirma hastanesinde malnutrisyon tanisi ile Mayis 2006-Mayis 2011 tarihleri arasinda yatirilarak takip ve tedavi edilen hastalar retrospektif olarak degerlendirilmistir. Hastalarin beslenme durumlari 2006 Dunya Saglik Orgutu buyume standartlarina gore hesaplanan z skorlari ile belirlenmistir. Bulgular: Calismaya alinan 97 hastanin tamaminin yasa gore agirlik z skoru -3'un altinda olup cok dusuk kilolulardi. Grupta, dusuk dogum agirligi (grupta %23,7, top