WEIGHT LOSS IN PNEUMONIA PATIENTS AGED 6-60 MONTHS TREATED AT CHILDREN'S HOSPITAL 2 AND ITS RELATIONSHIP TO LENGTH OF HOSPITAL STAY AND TREATMENT RESPONSE
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Tóm tắt
Aims: To determine the rate of weight loss and the relationship between weight loss, length of hospital stay, and treatment response in pneumonia patients aged 6-60 months treated at Children's Hospital 2 (CH2).
Methods: A hospital cross-based prospective study was conducted on 208 patients aged 6-60 months diagnosed with pneumonia and treated as inpatients at the Respiratory Department 1 and 2 of CH2 from March to April 2024.
Results: The rates of weight loss after 3 days, after 7 days of hospitalization, and at discharge were 27.6%, 38.1%, and 38.0% respectively. The length of hospital stay for children with weight loss ≥ 5% after 3 days of hospitalization and at discharge was longer than for those with weight loss < 5%, and this difference was statistically significant (p < 0.05). Children with weight loss ≥ 5% after 3 days of hospitalization and at discharge had a poorer treatment response compared to children with weight loss < 5% [(RR (95%CI)= 5.88 (1.71-20.1) and RR (95%CI)= 4.86 (1.95-12.1), respectively (p=0.025 and p=0.001).
Conclusion: Regulary monitoring children's weight during treatment and providing nutritional support to prevent excessive weight loss is essential to improve the treatment process and the hospital stay.
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Từ khóa
Viêm phổi, sụt cân, thời gian nằm viện, đáp ứng điều trị
Tài liệu tham khảo
2. Nguyen Van Dung, Nguyen Thi Thinh, Pham Van Phu.. Nutritional Status of Children Aged 6-23 Months with Acute Respiratory Infections and Some Feeding Practices of Mothers at Hanam Pediatric and Obstetrics Hospital, 2016-2018. Journal of Community Medicine. 2021;62(4).
3. Hwang EH, Park JH, Chun P, Lee YJ. Prevalence and Risk Factors for Weight Loss during Hospitalization in Children: A Single Korean Children's Hospital Experience. Pediatr Gastroenterol Hepatol Nutr. 2016;19(4):269-275.
4. Huysentruyt K, Alliet P, Muyshont L, Devreker T, Bontems P, Vandenplas Y. Hospital-related Undernutrition in Children: Still an Often Unrecognized and Undertreated Problem. Acta Paediatr. 2013;102(10):e460-6. doi:10.1111/apa.12344.
5. Rocha GA, Rocha EJ, Martins CV. The Effects of Hospitalization on the Nutritional Status of Children. J Pediatr (Rio J). 2006;82(1):70-74.
6. Tran Đo Hung. Survey on Care Knowledge of Mothers with Children with Pneumonia at Can Tho Children's Hospital. Practical Medicine Journal. 2013;872(6):16-21.
7. Tran Thi Ngoc Bich, Pham Ngoc Toan. Assessment of Mothers' Knowledge and Practices on Caring for Children Under 5 Years Old with Pneumonia at Department C, National Children's Hospital, 2021. Vietnam Medical Journal. 2022;511(1):31-35. doi:10.51298/vmj.v511i1.2035.