243 Research of nutritional status of surgical patients

RelevanceNutritional status (NS) has an effect on adaptation, pathological process severity, recovery rate, therapy effectiveness, hospitalization duration, etc.ObjectiveEvaluate NS of children being treated in clinical departments. Materials and Methods nutritional status of 20 children 7 to 17 years old (average age is 13.8 years old) being treated in the surgical department was evaluated. Body weight, height and body mass index (BMI) as well as chest, waist, hips, hip and non-working arm wrist circumferences were studied; centile corridors (CC) were determined. All children have been evaluated for nutritional status using impedancemetry (body composition). All children were questioned using the nutritional status scale created specifically for this research. Statistical analysis, including parametric statistics methods, as well as Spearman’s rank correlations was performed using the Statistics 6.1 software.ResultsChildren with chronic orthopedic pathology requiring repeated surgical intervention as well as children with acute trauma observed in the 2nd surgical department. Nutritional status was estimated according to anthropometric data using relative values (centile corridors). Height: 20% are tall (4 children in the 6th and the 7th centile corridors), 30% (6 children) are in the 3rd centile corridor, and 25% (5 children) have stunted growth (the 1st and the 2nd centile corridors). Weight: 25% have excess weight (mainly children with acute pathology), 30% (6 children) have moderate weight deficit (the 3rd centile corridor), and 15% (3 children) have acute weight deficit relative to height. Body mass index: 30% have excess weight and 20% have acute deficit in nutritional status. Nutritional status was estimated by the method of impedancemetry, which coincided with the data of anthropometry. High reliable (p<0.05) positive correlations between percentage of fat mass, lean mass, active cell mass and total water and the following anthropometric data: centile corridors of body mass and centile corridors of BMI were established.ConclusionsThus, according to the totality of studies performed, 30% of children were in normal nutritional status; 15% of children had stunted growth; 10% of children showed acute protein-energy deficiency of the 1st grade and 5% of children showed acute protein-energy deficiency of the 2nd grade; 15% of children have chronic protein-energy deficiency of the 1st grade; different grades of excess nutrition and obesity were detected in 25% of children.