Nutritional effect of hospitalized children in the pediatrics unit of the Hospital Universitario San Ignacio
Colombia (ASCEMCOL) - Universidad Pontificia Javeriana de Bogotá, Bogotá
Pediatric department and Clinical Epidemiology department of San Ignacio Hospital, Xaverian University
Nelcy Rodriguez Chief of Clinical epidemiology and Biostatistics department
Nelcy Rodriguez
4 weeks
Cities/Months Jan Feb Mar Apr May Jun Jul Augt Sep Oct Nov Dec
No No No No No Yes No No No No No No
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Multiple studies have shown that as high as 50% of hospitalized children present malnutrition. This depends on age and nutritional status before being sick and the type of illness that causes the hospitalization. This malnutrition influences periods of hospitalizations and more outcomes of morbidity and mortality.
What is the aim of the project?
The purpose of this project is to realize the nutritional impact of being hospitalized in Colombian children in a Fourth level hospital and which are the major risks factor involved in it.
What techniques and methods are used?
A cohort of all hospitalized children on the pediatrics unit between March and September of 2019 will be included in the observation. A data base that has already been reviewed in a pilot study will be used. Information such as comorbidities, feeding patterns, family history and current illness will be obtained from clinical history and direct interrogation. Nutritional status will be classified according to WHO (World Health Organization) standards at the hospital entrance and will be followed up at day three, seven and each week until being discharged. All of these is done by trained research assistants with the previously done form. Statistical analysis will be done according to the research design, We’ll do a descriptive analysis of the information, reporting summary statistics like frequencies and proportions for categorical variables; and variability and central tendency measures for continuous variables. The differences in calculation of the weight will be reported in subgroups of pathologies (chirurgical, infectious, traumatic, according to the removal of oral route and time range). With the variables that have proven themselves significant in the bivariate analysis, we will do an exploratory analysis with a multivariate logistic regression adjusting by confounding variables, in order to find possible risk factors for acute malnutrition. We will present the RR with its respective confidence intervals of 95%.
What is the role of the student?
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
The student will have direct contact with the children and their relatives asking questions and measuring height and weight under pediatrician´s supervision. The internship student will summarize his/her findings when finishing the period of the exchange.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Yes, the student will be trained in data gathering for the study, including filling the forms and measuring the children’s anthropometric values. The student will have to read about methods of this type of research.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a presentation
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Previous knowledge of the writing of clinical histories, comunication skills at patient aproach and knowing the basics about nutrition in medicine.
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts:
- Medical students
- Graduated students (less than 6 months)
- (1) Aurangzeb B; Whitten K; Harrison B; Mitchell M; Kepreotes H; Sidler M; et al. Prevalence of malnutrition and risk of under-nutrition in hospitalized children. Clinical Nutrition. 2012;31(1):35–40.
- (2) Joosten K; Hulst J. Malnutrition in pediatric hospital patients: Current issues. Nutrition. 2011;27(2):133-137.
- (3) Pacheco-Acosta JC; Gomez-Correa AC; Florez ID; Cortés JE; Velez D; Gomez J; et al. Incidence of Nutrition Deterioration in Nonseriously Ill Hospitalized Children Younger Than 5 Years. Nutr Clin Pract [Internet]. 2014;29(5):692–7.
- (4) Joosten K; Hulst J. Prevalence of malnutrition in pediatric hospital patients. Current Opinion in Pediatrics. 2008;20(5):590-596.
- (5) Santafé Sánchez LR; Sánchez Rodríguez D a; Villegas Galarza a L; González-Correa CH. Nutritional status among hospitalized children with mixed diagnoses at a referral teaching hospital in Manizales; Colombia. Estado Nutr En Niños Hosp Con Diagnósticos Mix En Un Hosp Univ Ref En Manizales; Colomb [Internet]. 2012;27(5):1451–9.
- (6) Agostoni C; Axelson I; Colomb V; Goulet O; Koletzko B; Michaelsen K et al. The Need for Nutrition Support Teams in Pediatric Units: A Commentary by the ESPGHAN Committee on Nutrition. Journal of Pediatric Gastroenterology and Nutrition. 2005;41(1):8-11.
- (7) Rodriguez-Escobar; Relationship between nutritional status and school absenteeism among students in rural schools. Revista de Salud Pública. 2015Dec; (6):861-873.
- (8) Bonilla RCAACAO; Trujillo DMC. Valoración del estado nutricional de la población escolar del municipio de Argelia; Colombia. Revista de Salud Pública. 2014Jun;16(4):547–59.
- (9) Tienboon P. Nutrition problems of hospitalised children in a developing country: Thailand. Asia Pacific Journal of Clinical Nutrition. 2002;11(4):258–62.