2013, Number 3
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Bol Med Hosp Infant Mex 2013; 70 (3)
Nutritional status of children in critical condition at admission to pediatric intensive care units
Toussaint-Martínez de Castro G, Kaufer-Horwitz M, Carrillo-López HA, Klünder-Klünder M, Jarillo-Quijada A, García-Hernández HR
Language: Spanish
References: 20
Page: 216-221
PDF size: 99.45 Kb.
ABSTRACT
Background. Epidemiology of the nutritional status of pediatric patients has changed in Mexico. As a consequence, there should be a growing awareness about nutritional diseases when patients are admitted to the pediatric intensive care units.
Methods. Anthropometric data of children upon admission to the Pediatric Intensive Care Unit (PICU) at the Hospital Infantil de México Federico Gómez were retrospectively recorded from November 2002 to December 2007. For children up to 2 years old, nutritional status was calculated using the Z-score of body mass index according to the World Health Organization; for older children (›2 up to 18 years old), the charts from the Centers for Disease Control and Prevention were used.
Results. Prevalence of malnutrition, risk of malnutrition, overweight and obesity for children up to 2 years of age was 36.2%, 24.1%, 4.6% y 4.9%, respectively. For children between 2 and 6 years of age, the figures were 24.2%, 22.1%, 9.2% and 7.6%, respectively. For children between 6 and 13 years old, the percentages were 16.1% for malnutrition, 16.8% risk for malnutrition, 16.1% overweight, and 5.8% for obesity. In adolescents these values were 16.2%, 16.9%, 15.6% and 2.1%, respectively.
Conclusions. Risk for diseases such as malnutrition continues to be present in children admitted to pediatric intensive care units. However, other emerging diseases such as overweight and obesity have a high frequency. This shows that the epidemiological situation of children with serious illnesses is not very different from the general population.
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