Nutrition risk screening on newborns and its relevant factors analysis

Abstract

Objective To conduct nutrition risk screening on newborns with modified screening tool for the assessment of malnutrition in pediatrics (STAMP) , and to analyze the correlation between nutritional risk of newborns and diseases. Methods A total of 2 300 newborns treated in Neonatal Center (NICU, Department of Neonatology and Department of Neonatal Surgery) in Children's Hospital of Shanxi from February to December 2015 were screened by modified scale STAMP about their nutritional risks, with the data collected and analyzed. Results Top five high risks concerning disease and nutrition among newborns were: hyaline membrane, volvulus, hematochezia of unknown origin, premature infants, and abdominal distension of unknown origin. Differences of malnutrition conditions and nutrition intake among newborns from different departments were statistically significant (χ2=31.74, 177.00; P<0.005) . Majority of newborns in NICU and Department of Neonatal Surgery were without any nutrition intake at all, while majority of newborns in Department of Internal Medicine were with only half or less nutrition intake. Differences of high malnutrition risks and insufficient nutrition intake among premature and term infants from different departments were statistically significant (χ2=72.70, 53.95; P<0.001) . Differences of weight growth conditions among newborns from different departments were statistically significant (χ2=13.57, P=0.002) . Conclusions By using modified STAMP, it can be identified that factors causing high risks of neonatal nutrition include diseases, gestational age, nutritional intake, growth and development. Individualized nutritional support program should be implemented according to results of the screening, so that status quo of extrauterine growth restriction can be improved. Key words: Infant, newborn; Weight gain; Malnutrition; Nutrition risk screening; Relevant factors