Pengukuran status gizi pasien anak menggunakan metode subjective global nutrition assessment (SGNA) sebagai prediktor lama rawat inap, status pulang dan kejadian malnutrisi di rumah sakit

Sri Wahyuni; Madarina Julia; R Dwi Budiningsari

doi:10.22146/ijcn.17349

Pengukuran status gizi pasien anak menggunakan metode subjective global nutrition assessment (SGNA) sebagai prediktor lama rawat inap, status pulang dan kejadian malnutrisi di rumah sakit

https://doi.org/10.22146/ijcn.17349

Sri Wahyuni^(1*), Madarina Julia⁽²⁾, R Dwi Budiningsari⁽³⁾

(1) Fakultas Kedokteran Universitas Riau Pekanbaru
(2) Bagian Anak RSUP Dr. Sardjito Yogyakarta/Fakultas Kedokteran Universitas Gadjah Mada
(3) Magister Gizi dan Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Background: Malnutrition in hospitalized patients is associated with longer stay, higher risk of complication and mortality.

Subjective Global Nutrition Assessment (SGNA) is a recently discovered method to assess nutritional status.

Objective: To assess the association between nutritional statuses of under-fi ve year old patients measured with SGNA and length of inpatient stay, discharge status and occurrence of malnutrition.

Methods: Under-fi ve year old patients hospitalized in Pediatric Ward of Pekanbaru Hospital had their nutritional status measured with SGNA on admission. Three groups were identifi ed: exposed to bad nutritional status, i.e. SGNA C (worst) and B (moderate), and not exposed to bad nutritional status (SGNA A). Length of hospital stay, discharge status and occurrence of malnutrition in exposed groups (SGNA B and C) were independently compared to non-exposed group (SGNA A) as the reference. Other variables measured were types of disease

and intake of energy and protein.

Results: Children with SGNA C and B had higher risk to stay longer in hospital, i.e. RR (95%CI) of 3.2 (1.7-6.0) and 2.5 (1.3 – 4.9), respectively. They had also higher risk for discharged without complete recovery, i.e. RR (95%CI) of 3.3 (1.8-6.2) and 2.2 (1.1 – 4.3), respectively. Children with SGNA C had higher risk for hospital malnutrition, i.e. RR (95%CI) of 2.8 (1.5-5.2), but not children with SGNA B. Types of disease, energy and protein intake were not important effect modifi ers for this association.

Conclusion: Nutritional status on admission was signifi cantly associated with length of hospital stay, discharge status and occurrence of hospital malnutrition.

Keywords

Subjective Global Nutrition Assessment (SGNA); hospital malnutrition; children under-five; length of stay; discharge status

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DOI: https://doi.org/10.22146/ijcn.17349